Name of owner / personFootnote 1 in charge of the animals
Legal name of business (as applicable)
Location address of the holdings where the animals were kept
Mailing address (if different)
Telephone
Facsimile
I, the undersigned, am the person in charge of the animals intended for slaughter for human food. I declare that I have read and understood the requirements of this declaration and that the following is true and accurate.
- No cases of anthrax have been reported from this farm / holdings during the last 20 days prior to shipping the animals for slaughter and these holdings are not subject to prohibition as a result of an outbreak of anthrax during the previous at least 20 days.
- I keep treatment records for these animals and that I will make them available to the Canadian Food Inspection Agency (CFIA) on request.
Name person in charge of the animals
Signature
Place and date