_________
Producer Self-Declaration
(Year)
A written declaration that the requirements of the Verified Beef
Production ™ program continue to be met, and records and
documents are available to provide evidence of program
conformance.
Beef Cattle Operation Regist. _________________________
Name: ____________________________________________
Address: _________________________________________
Page 1 of 2
Conforms with:
VBP Producer Manual Version 7.7 March 31, 2009
Description of the Management System:
Standard Operating Procedures for the beef cattle operation continue to be maintained for all aspects of the
Verified Beef Production ™ program including the following key areas:
1. prescriptions from a veterinarian for extra-label use of pharmaceutical products, feed and water
medications are available for review
□yes □no □ not required (explain) _____________________________________________
2. all medications with withdrawal times given to cattle (fed, injected or otherwise) are recorded, and
administered according to label directions or written vet prescription
□yes □no □ not applicable (explain) ___________________________________________
3. suspect broken needles are recorded including identification of the animal, and if sold, the next owner is
informed
□yes □no occurrence □ no (explain) _____________________________________________
4. shipping procedures include a check on medications to ensure cattle meet withdrawal times, and for
suspect broken needles in the cattle. If withdrawal times are not met or suspect broken needle, next
owner is informed.
□yes □no
□ not applicable (explain) ____________________________________________
5. herbicides, pesticides, solvents and treated seed are stored to avoid contamination of cattle, or feed and
water cattle have access to
□yes □no
□ not applicable (explain) ____________________________________________
6. herbicide and pesticide use on pasture or hay is recorded and used according to label directions.
Records are checked and “safe to graze” dates are observed before cattle are allowed access or forage
is harvested.
□yes □no □not applicable (explain) ___________________________________________________
7. records for all Must Do requirements, including errors and corrective actions for animal treatments or
processing, feed/water medications, and any broken needles are current and available for review
□yes □no □not applicable (explain) __________________________________________________
VBP Self-Declaration
Version 1.7
June 15 2012
_________
Producer Self-Declaration
(Year)
Beef Cattle Operation Regist. No: __________________
page 2 of 2
Name: ________________________________ Address: _____________________________________
Changes to Standard Operating Procedures and Practices:
- acknowledges that any changes to standard operating practices that affects the validity of the selfdeclaration shall be documented and available for review.
Any major deviations if they occur are documented, and this includes but is not limited to: chemical
residues in meat or meat products, needles found in live animals or meat products, shipping slaughter
cattle before drug withdrawal times are met, or cattle inadvertently consuming chemical products from
feed, forage or water.
Agreement to Maintain Records and Documents:
I hereby submit that all records, standard operating procedures and documents regarding the Verified Beef
Production ™ (VBP) program are current and available for review. I also agree to continue to maintain the
requirements of the VBP program, including standard operating procedures, records and on-going
communication to staff and others assisting in our cattle enterprise. I am also aware that we are subject to a
random audit to ensure accuracy of this declaration.
Signed for and on behalf of:
_____________________________
Signature
______________
Date
Version 1.7
(please print name)
Registration with the VBP program
does not imply registration of product
from such facilities or guarantee the
safety of any products.
Alberta Beef Quality Starts Here
c/o Alberta Beef Producers
165, 6815 – 8 Street N.E.
Calgary, AB T2E 7H7
VBP Self-Declaration
__________________________
June 15 2012