Department of Economic Development, Jobs, Transport & Resources
Application and Authority to Purchase and Administer Tick Fever Vaccine in Victoria
Livestock Disease Control Act 1994
Livestock Disease Control Regulations 2006
Part A
1.
Name of Applicant:
---------------------------------------------------------------------------------------(Veterinary Practitioner)
2.
Address of Applicant: -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------3.
Contact details of Applicant: Phone: ----------------------
Fax:: ----------------------------------
Part B
4.
Description of cattle to be vaccinated
The number and class of cattle --------------------------------------------------------------------------------------Location of stock to be vaccinated (incl. Property Identification Code) --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Destination
------------------------------------------------------------------------------------------Name and address of stock owner ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Date of export/ movement ------------------------------------------------------------------------------------------Part C
5.
Name and address of manufacturer / supplier of the tick fever vaccine
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------6.
Name and address of Veterinary Practitioner(s) who are to administer the vaccine
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Signature of Applicant
---------------------------------------------
Date: ---------------------------------
Name of Applicant (print) --------------------------------------------Part D
7.
Approval is hereby granted for the Applicant to purchase tick fever vaccine and for the
Veterinary Practitioner(s) in Part C to vaccinate the livestock in Part B with tick fever vaccine,
subject to the conditions in Part E overleaf.
Name ------------------------------------------(Authorised Officer for DEDJTR)
Signature -----------------------------------------------------
Date --------------------------------------------THIS APPROVAL IS VALID FOR ONE (1) MONTH FROM THE DATE OF ISSUE
Part E
Page 1 of 2
Version: 11 June 2015
Department of Economic Development, Jobs, Transport & Resources
8.
Conditions of this authority
Under current regulations, cattle that have been vaccinated with bivalent or trivalent tick fever vaccines
are required to be removed from Victoria. Should circumstances arise such that this is not possible,
such as injury or inability to travel, one of the following would need to be considered:
a)
movement to an abattoir or knackery for slaughter; or
b)
export to another country; or
c)
continued residence in Victoria, subject to the animals being identified with a National
Livestock Identification Scheme (NLIS) device, and the NLIS database administrator being
notified of the NLIS tag numbers indicating that the animals have been vaccinated for tick fever.
Should any vaccinated cattle remain in Victoria, please notify the Department, by email to
livestock.exports@ecodev.vic.gov.au or phone 03 5430 4723, fax 03 5430 4505.
The vaccine must be administered as per the manufacturer’s directions.
The Applicant will maintain the following records for a period of three years:
 Name and address of the owner and the location where the vaccine was administered.
 The date of vaccination, number and details of livestock vaccinated.
 The name and batch details of the vaccine used.
 Name of the Veterinary Practitioner(s) who administered the vaccine.
The above records will be made available on request, to an Inspector of Livestock under the Livestock
Disease Control Act 1994, for audit purposes.
This Authority is valid for one (1) month from the date of issue.
Part F
Applications for authority to purchase and administer tick fever vaccine should be mailed or
faxed to:
Livestock Exports
Department of Economic Development,
Jobs, Transport & Resources
PO Box 2500
BENDIGO VIC 3554
Phone – (03) 5430 4723
Fax – (03) 5430 4505
The completed Authority will be sent (faxed) to the applicant for his/her further action.
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Version: 11 June 2015