F9-01 Department of Economic Development, Jobs, Transport and Resources Application to enrol in the Victorian bovine Johne’s disease Test and Control Program (TCP3) for Cattle Herds This application form must be completed for herds currently participating in the TCP2 program and wishing to continue in the new TCP3 program, along with any new herds wishing to join the TCP3. Herds wishing to participate in the TCP3 program must be enrolled in the Johne’s disease Calf Accreditation Program (JDCAP) and have a current Certificate of Compliance. Any Victorian dairy herd can participate in the JDCAP irrespective of its bjd status without participating in the TCP3 program. Beef herds are exempt from participation in JDCAP. The TCP3 is a voluntary program operating with the support of the beef and dairy industries and administered by the Department of Economic Development, Jobs, Transport and Resources (DEDJTR). Please refer to the Rules of the TCP3. In order to participate in this funded program, the applicant is required to complete this application form and sign the declaration acknowledging they understand and will comply with the rules of the program. Return application form to: TCP3 Admin Officer, Biosecurity, DEDJTR Bendigo, PO Box 2500, Bendigo Delivery Centre, VIC 3554. Applicant details Property Identification Code (PIC): 3 ............................ Herd Owner:.................................................................................................... Herd Manager (if different to above): ............................................................ Land Owner (if different to herd owner): ....................................................... Herd Owner / Manager Contact details: Phone: ......................................... Fax: ............................. Mobile: ........................................ Email: ....................................................................................................................................... Property Address: …………………………………………………………………………. ……………..………………………………………………………………………………… Postal Address (if different to above): ....................................................................................... Nominated Veterinary Practice / Veterinarian: ..................................................................... Page 1 of 3 Version Date: 18 June 2015 F9-01 Department of Economic Development, Jobs, Transport and Resources Dairy / Beef Herd details Numbers of Milking (or beef) Cows (total): ............................... Number of Milking (or beef) Cows 4 years and older: .............................. JDCAP Certificate No: VC ................... Date of last JDCAP vet audit: ................. BJD herd Prevalence status (strike out non-applicable statuses if known): Tested High Prevalence / Tested Medium Prevalence / Tested Low Prevalence / RD1 / RD2 Date of last bjd herd test: ....................................... Number of tested positive animals at last test. ........................................ Number of clinical animals in the last 12 months. .................................. Number of high-risk animals culled for slaughter in the last 12 months. .......................... Number of high-risk animals remaining in the herd. ........................ Introduced cattle Number of cattle introduced into the herd in the last 2 years? Cows/Heifers ......... Bulls. ..... Were all these introduced cattle the equivalent or higher bjd status? Yes / No / Unknown Herd owners / managers must ensure that the NLIS database is notified within 7 days of the introduction of cattle including bulls directly from another property with a different PIC. The Applicant Declaration on following page must be completed. Page 2 of 3 Version Date: 18 June 2015 F9-01 Department of Economic Development, Jobs, Transport and Resources Applicant declaration I (applicant’s full name) ..................................................................…………… participate in the voluntary TCP3 program administered by DEDJTR. apply to I acknowledge that the previous TCP2 program agreement (if herd was participating in TCP2) will cease on 30th September 2010. I have read and understand the rules of the new TCP3 program and I agree to comply with these rules, including the conditions of disposal of test positive animals within 30 days of receipt of written notification of test results from my veterinarian, and the disposal of Primary High-Risk animals for slaughter only within 12 months, and disposal of Secondary Risk animals for slaughter only. Please note the TCP3 program will be reviewed mid 2011 and the conditions associated with the operation of the program may change after consultation with industry stakeholders. I understand that I will be responsible to engaged a ‘DEDJTR approved’ veterinarian (a list is available from DEDJTR if required) to perform the herd testing and I will be responsible for any additional veterinary fees (if applicable) over and above the program funded fees as administered by DEDJTR. Applicant Name: ................................................................... Applicant Signature: ............................................................. Witness Name: ...................................................................... Witness Signature: ................................................................ Date: ................................ DEDJTR Approved: .......................... Date: .................... Page 3 of 3 Version Date: 18 June 2015