Form SM3 2015 - Department of Agriculture

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Form SM3 2015
Department of Agriculture, Food and the Marine
Rural Environment Protection Scheme 4
Application for payment for Supplementary Measure 3: (Rare Breeds)
Dear Sir or Madam:
You have applied for Supplementary Measure 3 (Rare Breeds). In order to process your payment
for 2014 you must complete the enclosed form and submit it to your local Department AES Office
together with the supporting documentation listed below. This form and documentation must be
returned to your Local AES Office before 12th June 2015. Your payment for this Measure (and
your 2015 REPS 4 payment if it is due), cannot be processed unless this document is submitted.
Failure to return this declaration by the deadline may result in claw back of all SM 3 payments
made to date in REPS 4.
Documentation required
In all cases proof of membership of breed society (the exception to this Is the Irish Draught,
membership does not have to be proven here until further notice) Passports/certificates/birth
notification documents must be in the name of the applicant. Only original documents or copies
certified by a REPS planner are acceptable.
In addition
A) Bovines: a copy of pedigree certificate (or birth notification for males, letter from breed
society listing all eligible males that have been birth notified to the society is acceptable)
B) Equines: a copy of the complete passport for each eligible animal must be on file. A female
breeding animal over three years of age must foal before her 5th birthday to allow payment
to be made for that year.
Where the foal has been sold a certified copy of the foals original passport which shows the
dam (in the case of Connemara ponies a “Ponies to specification” letter stamped by the
CPBS will suffice instead of a passport)
Name:
REPS No:
HERD No:
Supplementary Measure 3. – Conservation of Animal Genetic Resources
Identification number of offspring produced in:
Identification
number of
Breeding
female
Year ending
31st December
20____
Year ending
31st December
20____
Year ending
31st December
20____
Year ending
31st December
20____
Year ending
31st December
20____
Year ending
31st December
20____
Form SM3 2015
Animal type/month
(first column month
to start at
commencement of
REPS contract)
Bovines:
Number of animals at end of each month of the calendar year
J
F
M
A
M
J
J
A
S
O
N
D
Ave LU1 Total
LU
Female < 2 years
Breeding Female > 2 years
(see footnote 2)
Males < 2 years
Males 2 – 3years
Bulls > 3 years (see
footnote 3)
Equines:
Males and Females
6 months – 3 years.
Breeding Females > 3
years
(see footnote 2a)
Stallion > 3 years (see
footnote 3)
Ovines:
Females 6 months –
1 year.
Breeding females >
1year. (see footnote
2)
Rams> 1 year (see
footnote 3)
Total LU for payment
1LU conversion equivalents for the various stock types are as follows:
Cattle < 24 months = 0.6LU, Cattle > 24 months= 1LU. Equines > 6 months = 1LU, Ewe = 0.15 LU, Ram =0.15, Ewe Lamb (6 – 12
months intended for breeding) = 0.1LU.
2 Each breeding bovine female must have a calf registered to her before her 4th birthday to allow 4th year payment to be made
2a Breeding equines must foal at least once every two years once they reach three years of age. I.e. a mare that is 5 years of age cannot
be paid unless she has foaled within the previous two years
3Adult males: Include at max 1 bull per 5 cows: 1 ram per 5 ewes (male ovines < 1year not eligible): all stallions can be included.
for equines, birthday is as per January 1st
Note: If more than 8 Breeding Females to be listed use a separate sheet and attach to the annual record sheet.
Bovine
Kerry
Dexter
Irish Maol
LU Claimed
2014 - Details of your Rare Breeds:
Equine
LU Claimed1
Ovine
Connemara
Galway
Irish Draught
Kerry Bog
LU Claimed
Declaration: I/We declare that the information provided is correct, and that I/we have observed all the conditions of
participation in this Supplementary Measure.
Signed (Participant)______________
Signed (if Joint Applicant)____________________
Date _________________
Date _________________
Please note that the only acceptable proof of postage will be: Swift post receipt or Registered Post receipt. Certificate
of posting (obtained from the Post Office) will not be accepted as proof of postage.
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