STATE BRAND BOARD
209 W Dakota Ave
Pierre, SD 57501
Conditions for use as per ARSD12:10:02:35 and ARSD12:10:02:36
1. The cows and calves are inspected for ownership at branding time.
2. The calves ar e branded with the owner’s registered brand and/or proof of ownership is provided to inspector.
3. The calves are less than three months old.
OWNER INFORMATION:
________________________________________________________________ ( ____ ) ____________________
Print all owners’ names
Telephone Number
_______________________________________ __________________________ ___________ ____________
Address City State Zip+4
BRAND INFORMATION:
The above named hereby request permission to brand __________ head of calves/yearlings with the brand shown below:
Number (Circle One)
________________________
Brand Image
_________________________
Brand Location
________________________
State of Registration
LIVESTOCK INFORMATION: (If livestock are at multiple locations, list all locations. Use separate page if necessary.)
__________________________________________________
Ranch/Feedlot
_________________________________
City
_______________
Zip Code
_________________________________
County
(_____) ________________________
Telephone Number
Directions from nearest town (i.e., 2 miles N, 3 miles E)
The cattle will be branded within 20 days from date of approval of this application.
I, the undersigned, represent (mark the box that applies) :
[ ] That the livestock are calves less than three months old, born to cows imported for grazing purposes .
[ ] That the livestock are yearling stocker cattle imported or purchased for feeding purposes .


I agree to abide by South Dakota livestock ownership laws, rules and requirements if allowed to use my registered out of state brand in South Dakota. Branding with an out of state brand not authorized by the State Brand Board is a Class 1 misdemeanor.
________________________________________
Signature of Brand Owner
_______________________________
Date
Revised 10/2008