Ear Tag No.
Or
Flock No.
A Division of Dawn Meats (UK)
Lancaster Road, Carnaby,
Telephone:
01262 607727
Bridlington,
Fax:
01262 607747
East Yorkshire YO15 3QY
St,Hf,Bull
Cow.
Lambs/Ewes
DOB
Prev. F/A nos.
Nos of
movements
Organic Livestock Movement Form
Organic Registration Nos: ……………………………………
Organic Certification UK: ………………………….………...
Name: ……………………………………………………………………
Address: …………………………………………………………………
…………………………………………………………………….……...
……………………………………………………………………….……
Holding Nos: ……….……………………. Farm Ass. No : ………….………...
Nos of cattle: ……………….……...…….. Nos. of sheep: ……….….…………
Haulier: …………………………………………..………………………………
Registration No: ……………………...…. Trailer ID: …………………………
First Animal Loaded: Date: …..………...…. ….. Time: ………….……………
Last Animal Unloaded: Date:….………...…….. Time: ………..………………
Declarations:

Is the holding under movement restrictions for Bovine Tuberculosis (TB)?

Is the holding under movement restrictions for any other animal disease or public health reasons (excluding a 6 day standstill)?

Are any of the animals stated above still within a withdrawal period for any veterinary treatments administered to the animals while on this holding and previous holdings?

To the best of your knowledge, are any of the animals stated above suffering from any disease or condition that could affect the safety of meat derived from them?
Yes
Yes
Yes
Yes
No
No
No
No
If you have answered YES to any of the above statements, please provide additional information on the Additional Food Chain Information Sheet (on the back)





The above cattle have not been fed any antibiotic growth promoters/digestive enhancers since 1ST January 2001
This delivery note certifies that the stock detailed below have been reared to Organic Standards approved by The Advisory Committee on Organic Standards (DEFRA).
The ovine/bovine animals delivered have been on a Farm Assured Holding for the minimum period of time required by the Farm Assurance Standards and all ovine animals delivered have also been resident
on the final holding for a minimum of 30 days.
I have correlated all ear tags with the passports supplied therefore I hold all responsibility for any animals delivered with incorrect passports or missing ear tags.
I declare that none of the animals on this consignment are either cloned or progeny of cloned animals.
Signed: …………………………..……………….
Sign as Agent: ………………………..….……….
Print: ………….……………………….
Date: ……………………………………..
Print: ………..………………………….
Date: ……………………………………..
Sector: Lairage Records
Ref. Number : LAR005R
Issue Date: 27/11/2014
Revision Number: 002
Issued By: Martina Moloney
Approved By: Ken Gladstone/Stephen Powers
Page
1 of 2
ADDITIONAL FOOD CHAIN INFORMATION
Livestock without this form filled in correctly cannot be slaughtered
Details of Holding Restrictions for Animal Health or Other Reasons
Information about Animals Believed to be Suffering from Disease or Conditions that
may Affect the Safety of Meat Derived from these animals Or Affect the Welfare of the
Animal
Fill in Ear Tag Numbers of Affected Animals
Describe the disease or condition, or diagnosis if a veterinary surgeon has examined the
animal(s)
Record all veterinary medicines and other treatments with a withdrawal period greater than zero administered within
the previous 60 days
Name of Medicine or Product
Date of Administration
Withdrawal Period
Details of analysis of samples taken from animals on the holding or other samples
that have shown that the animals in this consignment may have been exposed to
any disease or condition that may affect the safety of meat, or to substances likely to
result in residues in meat
To the best of my knowledge, the details stated above are correct.
Signed:
Printed:
Sector: Lairage Records
Ref. Number : LAR005R
Issue Date: 27/11/2014
Revision Number: 002
Issued By: Martina Moloney
Approved By: Ken Gladstone/Stephen Powers
Date:
Page
2 of 2