ADDL BAR C ODE PREMISE ID BARCODE - Purdue University 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the veterinarian's information, including name, address, and contact details. Ensure accuracy for seamless communication.
3. Fill in the animal's details such as name, site/farm/unit, Indiana license number, and address. This section is crucial for identifying the specimen.
4. Indicate the condition of the animal by checking the appropriate box (Good, Broken Jar, Leaked) and provide the owner's information.
5. Complete the Premise ID and barcode sections accurately to ensure proper tracking of your submission.
6. In the history section, detail any clinical problems observed and provide relevant dates and times related to the animal's condition.
7. Finally, review all entries for accuracy before signing at the bottom of the form. Your signature certifies that all provided information is true.

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