Movement of Animal Form

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Email *

Reporting Facility

Facility License #:

This form will now allow you to report Movement for up to 5 animals. How many animals will you be reporting on this form? *

Species of FIRST Animal *

Date

YYYY

Sex

Male

Female

Clear selection

ID Tag *

Animal Name

Age *

Animal Coming In

BIRTH - report within 10 days of tagging

PURCHASED From *

TRANSFERRED From *

ACCEPTED For a Temporary Hold From *

Clear selection

Import Number - * Required for Import

Animal Going Out

NATURAL Death

EUTHANASIA Death

HUNTING Death (if Cervid, send CWD results to Commercial Parks, Durango, CO)

ESCAPE - report as specified by regulation

SOLD To

TRANSFERRED To

TRANSFERRED For Temporary Hold To

Clear selection

Name of Involved Facility or Individual:

Comments

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This form was created inside of State.co.us Executive Branch.

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