Chronic Wasting Disease Sample Submission Form 2025

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  1. Click ‘Get Form’ to open the Chronic Wasting Disease Sample Submission Form in the editor.
  2. Begin by filling in the 'Date Submitted' field at the top of the form. Ensure that you enter the date clearly.
  3. Next, provide your 'Premises ID' and complete the 'Submitter Information' section, including your name, mailing address, city, state, zip code, and phone number.
  4. In the 'Veterinarian Submissions' section, fill out the veterinarian's name and contact details. Choose how you would like to receive results by checking one of the options provided.
  5. Complete the 'Death Report Information' section by entering details about the sample collector and dates related to sample collection and animal death.
  6. In the 'Sample Information' section, ensure all fields are filled out accurately, including Official ID, species, age, sex, and any additional tags. Check all applicable sample types.
  7. If you have more samples to report, continue on page 2 of the form. Once completed, review all entries for accuracy before submitting.

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