Form 30
Producers Name:
LFA:
Contract Number:
Description of Deadstock:
Calf (offspring)
Heifer Calf
Bred Cow < 5 Bred Cow > 5 (less than)
(greater than)
Ewe Lamb
Yearling Ewe
Brand:___________
Open Cow
Open Ewe
Location of Brand:_____________
If Sheep Tag #:__________
# of Deadstock:_________________
Cause of Death:
Did a veterinarian post mortem the animal(s):
Yes
No
3 or more losses in a 10 day period requires a veterinary letter
Date of Inspection or Notification:_________________________
Supervisors Comments: Supervisors Signature: ______________________________________________________