IMZA Breeder Certificate
Step 1 of 2: Submit
A Breeder Certificate is Required by the Registered Owner of the Bull in Order to Report the Birth of the Calf
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ATTENTION MEMBERS
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Member use if this form has ended.
Please Log - in to the Member Portal System to use the Breeders Certificate Form found in you personal Member Herd Book.
Examples of Required Submission;
A)
If You Purchased a Registered Cow/Heifer that is Pregnant or Had Been Exposed to a Registered Bull Owned by the Previous Owner, the Owner of the Bull Must Complete and Submit a Breeder Certificate.
B)
If You Are/Were the Registered Owner of the Bull and the Cow/Heifer at the Time of Breeding and Have Sold and Transferred Ownership of the Pregnant Cow/Heifer, You Must Complete and Submit a Breeder Certificate.
C)
If You Are the Registered Owner of the Bull and Have Agreed to and Allowed Your Bull to be Used for Breeding a Registered Cow/Heifer that You Do Not Own, You Must Complete and Submit a Breeder Certificate.
Submission Not Required;
D)
If You are the Registered Owner of the Cow/Heifer and the Registered Owner of the Bull, You Are Not Required to Submit a Breeder Certificate to Report the Birth of the Calf.
This Breeder Certificate
Will Not
be Accepted for Artificial Insemination (AI.) or Embryo Transfers (ET.).
1.) Date:
*
Owner Information:
2.) Name of the Owner of the Cow/Heifer at the time of Breeding or Exposure:
*
3) IMZA Member Number:
*
4.) Name of the Owner of the Bull used for Breeding or Exposure:
*
5) IMZA Member Number:
*
Cow/Heifer Information:
6) Pregnancy Status:
*
Select an option:
Confirmed Pregnant
Exposed (unverified)
7) Registered Name of the Cow/Heifer:
*
5.) IMZA Registration Number:
*
6.) Select the Dates the Cow/Heifer was Naturally Serviced or Exposed.
Serviced or Exposed From:
*
Serviced or Exposed Until:
*
Bull Information:
7.) Registered Name of the Bull Used for Breeding or Exposure:
*
8.) IMZA Registration Number:
*
Person Completing Form
*
Email Address:
*
Phone Number:
*
I Affirm this Information to be True and Accurate to the Best of My Knowledge and/or Records.
*
Comments:
*
indicates required fields