application for processing and storage of semen

advertisement
APPLICATION FOR PROCESSING AND STORAGE OF SEMEN
Owners Name:
______________________________________________________________
Address:
______________________________________________________________
___________________________ Phone:
No straws required:
__________________________
NZ: __________ Export:______________________________________
(Important note; please specify which countries are required)
Bull Name:
______________________________________________________________
Breed:
___________________________ Country of Origin: __________________
Date of Birth/Place:
___________________________ ID: ______________________________
_________________________
SIRE: __________________________
___________________________
___________________________
DAM: __________________________
___________________________
Last date of natural service was: ____/_____/_____
DNA PROFILE OF BULL: Is a DNA Profile required?
 YES
 NO
CONDITIONS
1.
2.
3.
The owner or signatory to this form agrees to pay the charges for the processing of semen as
detailed. Any semen unpaid for 30 days from invoice remains the property of Xcell Breeding
Services Ltd.
While undertaking to exercise all due care, Xcell Breeding Services Ltd does not accept
responsibility for any livestock, semen or equipment which may come into its charge.
Livestock, semen or equipment delivered to, or received by Xcell Breeding Services Ltd is accepted
at the sole risk of the owner. It is a condition of the use or supply of the Company’s services that
Xcell Breeding Services shall not be liable for loss or damage of any kind, however occurring to
livestock, semen or equipment in Xcell Breeding Services Ltd’s care or in transit to or from the
Company’s Centres. We recommend clients insure all semen.
I understand and agree to abide by the conditions under which Xcell Breeding Services Ltd accepts all and
any livestock, semen or equipment delivered to or received by the Company now and in the future.
Signed:
________________________________________________ Date:
Xcell Breeding Services Ltd Bovine Application Form and Pre-Entry Certificate
12/02/2016
-1-
_______________
Status:
________________________________________________
FOR OFFICE USE ONLY
Bull Arrived: ________________________
Bull Departed: __________________________
Date of 1st Collection: ____________Inspected by Centre vet prior to first collection__________
Approved by Centre Vet to move to ‘On Centre Side’. Date_______ Signed_________________
CHARGES
No. Straws:
________________________ at $ ______________________ / straw
Grazing:
________________________ days at $ __________________ / day
Health Test Charges:
$ __________________________
Blood Typing Charges:
$ __________________________
Miscellaneous Charges:
$ __________________________
TOTAL: $ _______________________
Invoice Number:
______________________
Date:
______________________
PROCESSING CHARGES
Export Projects Carry Special Charges, Apply for Details
On Farm Domestic Projects $4.00 per straw - On Centre $3.50 200 - 250 doses
$3.25 251 - 500 doses
$3.00 501 - 1000 doses
Projects over 1000 P.O.A.
Project Minimum $600.00 (200 doses)
If the project fails, grazing charges plus a fee of $250.00 will be charged.
GRAZING CHARGES
*Semen collected on farm will only be
despatched back to the premise of
collection & will not be distributed to
other client’s storage or destinations
All Bulls $6.50 per day
Health Testing Fees $350.00 per set
DNA Profile $100.00 (optional)
Storage Charges- @$0.07 cents per straw per month. (includes full material damage insurance covering
semen at a value of $10 per straw) We still recommend clients insure their own semen.
PACKAGING AND FORWARDING CHARGES WITHIN NEW ZEALAND
a.Fees will be charged for the despatch of semen within New Zealand. A late notice fee applies when 3
working days or less notice is given. Liquid nitrogen will be charged at $6.50 a litre, and freight at cost.
Xcell Breeding Services Ltd Bovine Application Form and Pre-Entry Certificate
12/02/2016
-2-
All prices G.S.T. exclusive.
BOVINE PRE-ENTRY DISEASE TEST CERTIFICATE
Veterinary Certificate
I ________________________________________ Veterinary Surgeon certify that the animal
below has been subjected to the below tests with the results shown. The animal was examined by
me on __________________________ and was found to be free of clinical signs of infectious
disease and showed no signs of hereditable defects.
Bulls Name: __________________________________ Breed: __________________________
ID:
__________________________________ Date of Birth: ____/____/____
Date Isolation commenced:________/______/_________ Place of Birth: ____________________
Owners Name: __________________________________ Phone: __________________________
Address:
____________________________________________________________________
Note: Serology requires 10mls plain
*ALL SEROLOGICAL TESTING TO BE COMPLETED AT GRIBBLES PALMERSTON NORTH,
please request serum to be stored with GRIBBLES for 24 months under the Xcell Breeding Services
account.
Birth
Ident
Date
TB
Brucella
CFT
DAM IDENT:
IBR
Elisa
Pom
Cop
Lepto
Har
Johnes
CFT
BVD
Antigen
Elisa
EBL
Agit
If bull less than 24 months old EBL DAM
Bull treatment for internal and external parasites:
Date: ____/____/____
Product: __________________
Dose: ______________
Bull treatment with Streptomycin is required @ 25mg/kg if Lepto Titre positive on 2 occasions, 24
hours apart. Times and dates are critical.
Date: ____/____/____
Date: ____/____/____
Product: __________________
Product: __________________
Dose: ______________
Dose: ______________
PROPERTY OF ORIGIN: To the best of my knowledge and after due inquiry:
Xcell Breeding Services Ltd Bovine Application Form and Pre-Entry Certificate
12/02/2016
-3-
(Property of origin questions below reflect breeding centre export requirements)
Johne’s Disease - No case of clinical Johne’s disease has been diagnosed or suspected during the
five years preceding collection and vaccination against Johne’s disease is not practised:1.
On the farm of origin.
2.
On any premises where bulls have been located during the two years prior to
collection.
Brucellosis and Tuberculosis - All premises where the donor bulls have been resident
during the two years prior to the first collection have been officially declared free of tuberculosis
and bovine brucellosis for the previous three years.
All properties where the donor bulls have been resident during the 12 months prior to entry of the
AB centre have not had:
1.
A clinical diagnosis made of campylobacteriosis (vibriosis), enzootic bovine leucosis or
trichomoniasis on the premises during the previous two years.
2.
A clinical diagnosis made of infectious bovine rhinotracheitis made on the premises during
the previous 12 months.
3.
A clinical diagnosis of leptospirosis made on the premises during the previous six months.
After due inquiry and to the best of my knowledge and belief, the donors of semen to which this
certificate applies are neither animals which have been resident in the UK/ Republic of Ireland since
1 January 1982 or are not first generation progeny of such animals or are derived from reproductive
material of UK/ Republic of Ireland since 1 January 1982.
The animal has been continuously resident in New Zealand or Australia since birth:
 YES
 NO
Please emphasise to clients the importance of bulls being isolated after testing until they enter the
AB Centre.
I certify that _________________________________ was kept in isolation and shipped according
to MAF standards and between testing and entry to the AI Centre.



The information that I have provided is true, correct and complete in every particular.
I am aware that this declaration is made for the purposes of supporting export certification under the Animal
Products Act 1999.
I am aware that section 127 of the Animal Products Act 1999* makes it an offence for a person to make a false
declaration under that Act.
*Section 127 of the Animal Products Act 1999
A person commits an offence who, with intent to deceive and for the purpose of obtaining any material benefit or
avoiding any material detriment, falsifies, alters, or misapplies any certificate or declaration or other statutory
form attached or relating to any animal material or animal product that is required or authorised to be used
under this Act,or any official assurance, or tampers with any animal material or animal product that is subject to
such a certificate, declaration, form or assurance.
Xcell Breeding Services Ltd Bovine Application Form and Pre-Entry Certificate
12/02/2016
-4-
Signature of Veterinarian:
____________________________________________
Date:
____________________________________________
Practice Name:
____________________________________________
Phone:
________________________ Fax: ____________________
Xcell Breeding Services Ltd Bovine Application Form and Pre-Entry Certificate
12/02/2016
-5-
Notes on Bovine Pre-Entry Disease Certificates
The owner should arrange for his Veterinarian to have the bull disease tested and this certificate
must be in the hands of Xcell Breeding Services Ltd before the bull can be unloaded at the AB
Centre.
This testing must be done prior to entry to the AB Centre.
Bulls will not be accepted from herds that are not officially tuberculosis free.
Tests required are:
(a)
(b)
(c)
(d)
(e)
(f)
Caudal fold intradermal tuberculin test.
Brucella abortus CFT.
IBR Elisa.
Leptospiral MAT.L.pomona L.copenhagen L.hardjo.
Johnes CFT.
Enzootic Bovine Leucosis Agit.
For EBL (f) only please note: If the bull is under 24 months of age, the dam must also be
tested. In the case of animals derived by embryo transfer, ‘dam’ means the recipient of the
embryo. If the dam cannot be tested, then semen cannot be traded until the bull can be tested
at two years of age.
(g)
BVD Elisa antigen.
The bull must be treated for internal and external parasites within the testing period.
Bull’s positive to Leptospirosis must be treated twice at a 24 hour interval with streptomycin at a
dose rate of 25mg/kg body weight. The bull can then be accepted at the AB Centre.
Bulls with a positive IBR Elisa will be accepted. Bull’s positive to other tests will not be accepted.
Please ensure that the bull is isolated during and after testing.
Precondition the bull with hay at least 7 days prior to departure to the AB Centre.
Xcell Breeding Services Ltd Bovine Application Form and Pre-Entry Certificate
12/02/2016
-6-
CHECK LIST FOR PRE-ENTRY HEALTH REQUIREMENTS
TO XCELL BREEDING SERVICES LTD SOUTH ISLAND BREEDING CENTRE
Following request from a client for a pre-entry test, contact Xcell Breeding Services Ltd for a
current form specifying species (bovine, ovine, cervine or caprine). We prefer to send forms on
request so we know what is happening.

















Completed certificate must be with Xcell Breeding Services Ltd before animals come on
centre (see sample).
Veterinarians name.
Date of examination - please ensure they are examined and appear to be reproductively
sound.
Animals name.
Identification - ear tag, tattoo, photograph, etc.
Breed.
Owners name and/or syndicate name.
Owners address.
Test panel - ensure complete - NB: no need for TB test if within previous 60 days.
Requires min 10mls plain.
Treated for internal and external parasites.
EBL - If bull is under 24 months of age and dam is unable to be tested, then bull’s semen is
ineligible for trade until the bull can be tested at 24 months of age.
Property of origin questions “After due inquiry” means that the questions are asked,
response confirmed and that there is compliance with the requirements of the certificate.
Continuously resident in NZ or Australia since birth.
Isolation - In my opinion, this is critical and I feel that it is the testing veterinarians
responsibility to ensure the animal is isolated during pre-entry (ie ask the owner to point
out the isolation paddock and impress on him the importance of isolation).
Signature of Veterinarian.
Date.
Practice name, phone, fax - this is really helpful to us if we need to confirm details or
request additional tests.
Finally, hay feeding will help pre conditioning of animals during the pre-entry isolation period.
Xcell Breeding Services Ltd Bovine Application Form and Pre-Entry Certificate
12/02/2016
-7-
Remember, the pre-entry certificate is part of Xcell Breeding Services Ltd’s health records which
are subject to audit by MAF and exporting country regulatory authorities.
Xcell Breeding Services Ltd Bovine Application Form and Pre-Entry Certificate
12/02/2016
-8-
Download