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.