Attachment_5_-_Death_Report.pdf
PDF 99 KB Posted
- Attached to
- PARADISE VALLEY VET CONTRACT Federal contract opportunity
- Solicitation number
- 140L0123R0006
About this file
This document contains a template for reporting wild horse and burro deaths. The template requires information including the identification number, herd area, sex, age, and cause of death of the animal. Causes of death include gather injuries, chronic poor condition, broken limbs, lameness, spinal or head injuries, colic, gelding complications, undiagnosed, blindness, strangles, liver/kidney/lipemia issues, rabies, neglect/abuse, foaling complications, old age, myopathy, congenital defects, inflicted trauma, equine infectious anemia, hemorrhage, being a dangerous/safety hazard, cancer/tumors, having no teeth, being struck by lightning, or being unadoptable. The person completing the form must provide comments and sign and date the report.
The related federal contract opportunity is for veterinary services related to wild horses and burros located in Paradise Valley. The solicitation was issued by the Bureau of Land Management National Office within the Department of the Interior. The solicitation number is 140L0123R0006 and is titled the Paradise Valley Vet Contract.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140L0123R0006_Amd_0001.pdf | ||
| Attachment_2_-_BLM_Furnsihed_Supplies.docx | DOCX document | |
| Attachment_1_-_CAWP.docx | DOCX document | |
| Attachment_4_-_EIA_Test_Form.pdf | ||
| Sol_140L0123R0006.pdf | ||
| B08_-_140L0123R0006_Combined_Synopsis_Solicitation.pdf | ||
| Attachment_3_-_Animal_Inspection_Report.pdf |
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Text version
Wild Horse and Burro Death Report
Date:_______________________ (complete this side if animal unmarked)
ID Number:__________________ Herd area:________________________
____ H-Horse, B-Burro, M-Mule
____ (Sex: F – Female, M- Male) ____ (Age)
Cause of Death:
____ GI Gather Injury Complica�ons ____ PC Chronic Poor Condi�on
____ BF Broken Limb ____ LM Lameness
____ SH Spinal/Head Injury ____ CL Colic
____ GC Gelding Complica�ons ____ UD Undiagnosed
____ BL Blindness ____ ST Strangles
____ LK Liver/Kidney/Lipemia ____ CN Rabies – Central Nervous System
____ NA Neglect/Abuse ____ FC Foaling Complica�ons
____ OA Old Age ____ MY Myopathy
____ CD Congenital Defect ____ IT Inflicted Trauma
____ EI Equine Infec�ous Anemia ____ HM Hemorrhage
____ PS Dangerous/Safety Hazard ____ CT Cancer/Tumors
____ NT No Teeth ____ ST Struck by Lightning
____ UN Unadoptable ____ RI Respiratory Illness
____ Euthanized _____ Found Dead
Comments (Required):
Signature/Date: ______________________________ Printed Name:____________________
File details come from the government source that posted it. Updated .