The Livestock Market, Wyncolls Road, Colchester.CO4 9HU Tel: 01206 842156 Fax: 01206 852585 Email: info@stanfords-colchester.co.uk RICS CLIENT MONEY PROTECTION SCHEME All financial transactions within this market are conducted with the Auctioneers acting as Principal. Sale Proceeds are not paid into a client bank account and, consequently, the RICS Client Money Protection Scheme (CMPS) will not apply to protect the vendor. LIVESTOCK ENTRY AND MOVEMENT FORM DECLARATIONS: 1. I hereby declare that I am the owner/owner’s agent of the animal(s) described below and that to the best of my knowledge the particulars shown on this form at the time of movement are correct and complete. 2. I authorise the auctioneers to act on my behalf without any responsibility attached to this action in respect of ear numbers or passports. 3. I certify that stock comes from a holding which has had no movement of Foot and Mouth Disease susceptible animals on to it in the previous 6 days of a 6 day Restricted Movement. 4. I certify that the Stock has been examined and no signs of Foot and Mouth Disease or other notifiable diseases were apparent. 5. I certify that the movement complies with the relevant general licence. 6. BLUE TONGUE (See over). 7. I certify that all stock entered by me shall be free from any medication subject to the recommended withdrawal period unless notified to the auctioneers in writing with the date of the end of withdrawal period confirmed. 8. To the best of my knowledge the animals are not showing signs of any disease or condition that may affect the safety of meat derived from them. No analysis of samples taken from animals on the holding or other samples has shown that the animals in this consignment may have been exposed to any disease or condition that may affect the safety of meat or to substances likely to result in residues in meat (Sign Section B over). Trading Name ................................................................................... Signed .................................................................. Address ................................................................................................................................................................................... .......................................................................................................... Postcode .............................................................. Telephone No. .............................................. Stanfords Account Ref. No. (see last Statement) .................................. THIS FORM MUST ACCOMPANY ALL STOCK TO MARKET. IT APPLIES TO EVERY TYPE OF BOVINE, INCLUDING FAT, STORES AND CALVES AND SHEEP Place of last cleansing and disinfecting ………………………………………………………………………………………………………………………………. Date of last cleansing and disinfecting ………………………………………………………………………………………………………………………………… ADDRESS FROM WHICH STOCK MOVED: ....................................................................................................................... (if different from above) TIME OF DEPARTURE FROM FARM: HAULIER’S NAME: FABBL .............................................................................. ............................................................................. HOLDING NUMBER: VEHICLE REGISTRATION NUMBER: ...................... / ...................... / ............................ ............................................................................. DATE OF MOVEMENT/SALE: FABBL NO: .............................................................................. ............................................................................. DATE LAST STOCK ON FARM: EXPIRY DATE: ..................................................... (If no number or label we will assume not FABBL registered) .............................................................................. TB STATUS OF HERD (MUST BE FILLED COMPLETELY) DATE OF LAST TB TEST ……………………………………………………. I Hereby declare that the TB Status of my holding is 12-24 Month 36-48 Month Number or LABEL Wash Out of Vehicle I Declare that I will Wash Out At Stanfords, The Livestock Market, Wyncolls Road, Colchester, CO4 9HU Or At ……………………………………………………………………Type Of Vehicle ………………………………………………………………….. Drawbar Trailer Rigid Vehicle Articulated Lorry ………………………………………………………………….. Make Of Vehicle: ………………………………. ………………………………………………………………….. Section B Keepers Signature: ……………………………………………………………………………………… Print Name: ……………………………………………………………………………………… Date: ……………………………………………………………………………………… Please Note: If the animals do not fulfil previous statements on front page, tick this box and provide additional information on document entitled “Food Chain Information for Cattle “ Auction Lot No. Type of Stock (S or B)* * S = Sheep B = Bovine Official Ear Tag Management Tag/Mark Breed Sex D.O.B.