IMZA Breeders Certificate
Step 1 of 2: Submit
1.) Date:
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2.) Name of owner of the bred cow, if available:
3.) Name of breeder/owner of the bull:
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4.) Name of Bred Cow:
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5.) IMZA Registration Number:
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6.) If Bred Cow was naturally serviced, list dates the cow was serviced below:
Serviced From:
Serviced Until:
7.) Name of Breeding Sire:
8.) IMZA Registration Number:
9.) If Cow was Artificially Inseminated (AI), please list below the date that occurred.
A.I. Date:
A.I. Certificate Number:
10.) Name of A.I. Bull:
11.) IMZA Registration Number:
Person Completing Form
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indicates required fields