DIY A.I. 1 Form DIY A.I. 1 Application Form and Conditions for a new licence or renewal of an existing licence for the Artificial Insemination of bovine breeding animals by a herdowner or his/her nominated applicant Note: Please detach Conditions and retain for reference April, 2015 Rev. 6 AN ROINN TALMHAIOCHTA, BIA AGUS MARA- DEPARTMENT OF AGRICULTURE FOOD AND THE MARINE, LIVESTOCK (ARTIFICIAL INSEMINATION) ACT 1947 Application Form DIY A.I. 1 for a New Licence or Renewal of an existing Licence for Artificial Insemination of cows by a Herdowner or his/her nominated applicant (DIY A.I.) Please note: If applicant is also the Herdowner, please complete sections A, B and C If applicant is the nominated applicant of the Herdowner, please complete sections A, B and D Section A: Applicant Details: 1. Name: ____________________________________________________________________ Address: __________________________________________________________________ Tel No: ____________ Mobile No: ____________ e-mail: _________________________ Date of Birth: _____/____/____ 2. I am a: First time applicant Renewal applicant Previous licence number: _________________ 3. Please provide the names of the companies that you purchased bovine semen from during the period of your last licence: _________________________________________________________________________ Section B: Details of Herd: 1. I wish to apply for a licence to practice Artificial Insemination in: My own Herd (Herd No. ______________) In the Herd of (Name and Address of Herdowner and herdnumber)____________________________ _____________________________________________________________________ In the Herd of (Name and Address of Herdowner and herdnumber)____________________________ ___________________________________________________________________ 2. (a) Number of dairy cows to be inseminated (including breeding heifers): ___________ (b) Number of beef cows to be inseminated (including breeding heifers): ___________ 3. The bovine semen will be stored at: _____________________________________________ Section C: Declaration of Applicant(s) if Applicant is Herdowner or Joint Herdowner. Please tick where applicable. I HEREBY DECLARE THAT: I am applying for a licence to carry out artificial insemination in the above herd number(s) for the first time. I am renewing a licence to carry out artificial insemination in the above herd number(s). All the information given by me is true and complete. I have read and understood the Conditions of the Licence attached and I undertake that if I am licensed by the Department of Agriculture Food and the Marine, to carry out artificial inseminations in my own herd, I will comply with the Conditions of the Licence. Signature of herdowner(s): __________________________ Date: ____________ Signature of herdowner(s): __________________________ Date: ____________ Section D: Declaration of Applicant and herdowner where the Applicant is not the Herdowner. Please tick where applicable. I HEREBY DECLARE THAT: I am applying for a licence to carry out artificial insemination in the above herd for the first time. I am renewing a licence to carry out artificial insemination in the above herd number. All the information given by me is true and complete. I have read and understood the Conditions of the Licence attached and I undertake that if I am licensed by the Department of Agriculture Food and the Marine to carry out artificial inseminations in the herdowner’s herd I will comply with the Conditions of the Licence. Signature of Applicant: _________________________ Date: ___________________________ I certify that the applicant named above has been nominated by me to carry out artificial insemination in my herd. I have read and understood the conditions of the licence and I undertake to ensure that the applicant abides by these conditions. Signature of Herdowner: ________________________ Date:____________________________ Signature of Herdowner: ________________________ Date:____________________________ Checklist If a new applicant: 1. 2. Have you completed sections A,B,C & D? Have you enclosed original Training Cert? If a renewal applicant: 1. Have you completed section A,B,C & D. This Application Form should be returned to: Livestock Breeding Production and Trade Section (DIY A.I.) Department of Agriculture Food and the Marine Government Buildings, Farnham Street Cavan. (Tel No: 049 4368295, 049 4368200 Ext. 399 or 049 4368200 Ext. 363, Fax No: 049 4361486). CONDT.1 AN ROINN TALMHAIOCHTA, BIA AGUS MARA - DEPARTMENT OF AGRICULTURE FOOD AND THE MARINE - LIVESTOCK (ARTIFICIAL INSEMINATION) ACT 1947 and LIVESTOCK (ARTIFICIAL INSEMINATION) REGULATIONS 1948 CONDITIONS FOR ARTIFICIAL INSEMINATION OF COWS BY A HERDOWNER OR HIS/HER NOMINATED APPLICANT A licence authorising the carrying out of inseminations by a herdowner (or a nominated applicant on his/her behalf) in his/her own herd with semen from a bull other than his/her own shall be subject to the following conditions: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. No person other than the herdowner or his/her nominated applicant, who has satisfactorily completed an approved programme of training in the practice of Artificial Insemination, shall be approved by the Minister for Agriculture Food and the Marine to carry out the inseminations within that herd. Inseminations by the herdowner or his/her nominated applicant shall be confined to the herd(s) specified in the licence. A licensee can only be nominated to inseminate a maximum of three herds. The licence number and expiry date must be provided to the licensed semen distribution representative when semen is being ordered/purchased. All semen requirements must be obtained through an approved Semen Distribution company and the approved company shall be subject to the overall veterinary and zootechnical control of the Department of Agriculture Food and the Marine Only semen – a. From a donor bull which has been approved by the Department, is standing/has stood at an AI Centre and passed the health tests as specified in the Department of Agriculture Food and the Marine Health Test Programme for bulls at Approved Semen Collection Centres, or b. Which has been approved in accordance with the European Communities (Bovine Breeding) Regulations 2009 S.I. No. 19 of 2009, may be used. The semen shall be stored only on the farm or farms specified in the licence in a cryogenic container. The farm specified must be in the same location as the herd applied for. For animal health traceability requirements the herdowner must keep a record showing particulars of semen obtained, all cows inseminated by him or his nominated applicant, the dates of inseminations including repeat inseminations and the bull used. Each cow inseminated must be identified by the Department approved ear tags at the time of the first insemination. A record shall be kept of all progeny born as a result of the insemination and such progeny must be identified by the Department approved ear tags. Authorised officers of the Minister for Agriculture Food and the Marine shall have access to premises, equipment and records at all reasonable times. The Minister may revoke or vary any of the conditions of this arrangement or any approval issued under this arrangement at any time. Should a licencee cease carrying out artificial insemination for the herdowner specified in the licence, the said licence shall no longer be valid. If any significant licence details change, the licence must be returned to Livestock Breeding Section for amendment. The entitlement to purchase straws may only be granted on one licence at any given time. The licence shall be valid for a period of five years from the date of issue. Any person found to be in contravention of these conditions will be liable to prosecution. Data Protection Act 1988 as amended Please note that DIY AI applications and licences are processed and stored by computer programme, for the purpose of administering the DIY AI licensing system. Under the Data Protection Act 1988 as amended you are entitled to a copy of any information about you kept on computer and you have the right to have any errors rectified. Listings giving details of licences issued are routinely circulated to licensed distributors of bovine semen for the sole purpose of the authentication of orders for semen. Explanatory Note: In the above conditions the term “cows” includes breeding heifers. The term “Minister” means the Minister for Agriculture Food and the Marine The term “Department” means the Department of Agriculture Food and the Marine, The term “Department Approved Ear Tags” refers to the identification of bovine animals as required under the Bovine Tuberculosis (Attestation of the State and General Provisions) – SI 308 of 1989 and subsequent amendments and also under European Communities (Identification and Registration of Bovine Animals and regulations 1999- SI 276 of 1999 and subsequent Amendments.