United States Department of Agriculture

RE: AWA REGISTRATION APPLICATION PACKET

Dear Applicant: 

Enclosed you will find an application (APHIS Form 7011A) and tax 

identification (APHIS Form 7030) for registration under the Animal 

Welfare Act (AWA). 

Included with the application is a copy of the AWA regulation and 

standards for your information. If you plan to engage in an activity that 

requires you to be registered under the AWA please complete the 

enclosed information and return it to the address or email address above. 

In order for your application to be considered complete, blocks 10 and 11 

of the form should be signed by the legally responsible official of the 

facility. The name and address of that person should be listed in block 1, 

where the corporate officers are located. 

Upon receipt of the completed application, a registration certificate will be 

issued, and a field inspector will be assigned to inspector your facility. 

We hope this information is helpful, and we look forward to hearing from 

you. Contact this office at 970-494-7478 if you have any questions 

regarding this letter or the Animal Welfare Act.

Sincerely,

Elizabeth Goldentyer, D. V. M. 

Deputy Administrator 

USDA, APHIS, Animal Care 

Animal and Plant

Health Inspection

Service

Animal Care

Fort Collins Office 

2150 Centre Avenue

Building B, 3W11 

Fort Collins, CO 80526

Phone: 970-494-7478

AnimalCare@usda.gov
This Packet is for: Registration Application for 

Registrations Other Than Dogs and Cats

This packet includes information needed to submit your application. Some 

forms are required, some forms are optional, and some forms are to be kept 

on-hand at your facility.

After you sign and submit, you can expect to hear from Animal Care in 

approximately 15 business days. 

If you have questions regarding the submission process, please contact 

Animal Care via email: AnimalCare@usda.gov

Required forms:

• Registration Application: APHIS Form 7011A

• Federal Debt Collection Form: APHIS Form 7030

Optional forms:

• Animal Welfare Forms Order

Additional information enclosed for your reference only:

• Animal Welfare Act Factsheet (November 2012)

• Animal Welfare Act Research Facilities Factsheet (February 2012)

• Compliance Inspections Factsheet (February 2012)

• Daily Observation Tech Note (December 2017)

Additional forms to be kept on-hand at your facility and prepared in advance of 

your inspection:

• APHIS Form 7002: Program of Veterinary Care for Dogs

• APHIS Form 2019: Record of Animals on Hand

• APHIS Form 7020: Record of Acquisition, Disposition or Transport of 

Animals
ACCORDING TO THE PAPERWORK REDUCTION ACT OF 1995, AN AGENCY MAY NOT CONDUCT OR SPONSOR, AND

A PERSON IS NOT REQUIRED TO RESPOND TO, A COLLECTION OF INFORMATION UNLESS IT DISPLAYS A VALID

OMB CONTROL NUMBER. THE VALID OMB CONTROL NUMBER FOR THIS INFORMATION COLLECTION IS 0579-

0036. THE TIME REQUIRED TO COMPLETE THE INFORMATION COLLECTION IS ESTIMATED TO AVERAGE 15 

MINUTES PER RESPONSE, INCLUDING THE TIME FOR REVIEWING INSTRUCTIONS, SEARCHING EXISTING DATA

SOURCES, GATHERING AND MAINTAINING THE DATA NEEDED, AND COMPLETING AND REVIEWING THE

COLLECTION OF INFORMATION.

USDA USE ONLY OMBAPPROVED 0579-0036

APPLICANT SHOULD SEND COMPLETED FORM TO THIS ADDRESS:

USDA/APHIS/AC 

2150 Centre Ave. 

Building B, Mailstop 3W11 

Fort Collins, CO 80526-8117

CERTIFICATE NO./CUSTOMER NO: RENEWAL DATE:

UNITEDSTATES DEPARTMENTOF AGRICULTURE ANIMAL AND PLANT HEALTH INSPECTION SERVICE

APPLICATION FOR NEW REGISTRATION

(TYPE OR PRINT)

EVERY RESEARCH FACILITY, CARRIER, AND INTERMEDIATE HANDLER NOT REQUIRED TO BE LICENSED UNDER SECTION 7 U.S.C. 2133 OF THE ANIMAL WELFARE ACT, SHALL REGISTER WITH THE USDA (7 U.S.C. 2136). 

1. TYPE OF REGISTRATION REQUESTED:

☐ INTERMEDIATE HANDLER ☐ CARRIER ☐ RESEARCH FACILITY ☐ FEDERAL RESEARCH FACILITY ☐ AGRICULTURAL RESEARCH FACILITY ☐ VETERANS’ ADMINISTRATION

2. TYPE OF ORGANIZATION:

☐ INDIVIDUAL ☐ CORPORATION ☐ PARTNERSHIP ☐ UNIVERSITY ☐ LLC ☐ SOLE PROPRIETOR ☐ TRUST ☐ OTHER____________________________

3. TYPE OF PUBLIC: (Select one)

☐ STATE, LOCAL, TRIBAL GOVERNMENT ☐ BUSINESS OR OTHER FOR-PROFIT ☐ NOT-FOR-PROFIT INSTITUTION ☐ FARM ☐ FOREIGN OR DOMESTIC FEDERAL GOVERNMENT 

☐ INDIVIDUAL OR HOUSEHOLD

4. NAME OF REGISTRANT AND MAILING ADDRESS: (SEE INSTRUCTIONS) 9. ALL BUSINESS NAMES AND LOCATION ADDRESSES HOUSING ANIMALS:

INCLUDE DIRECTIONS TO EACH LOCATION (P.O. BOX NOT ACCEPTABLE)

☐ CHECK THIS BOX IF ADDITIONAL LOCATIONS ARE LISTED ON AN ADDITIONAL SHEET.

5. COUNTY: 10. COUNTY:

6. TELEPHONE: 11. TELEPHONE NUMBER AT THIS LOCATION:

7. ☐ RESIDENTIAL ADDRESS ☐ NON-RESIDENTIAL ADDRESS 12. OPTIMAL HOURS FOR INSPECTION AT THIS LOCATION: (DAYS OF THE WEEK AND TIMES OF 

DAY) 

8. EMAIL: 13. WEBSITE:

14. IF INDIVIDUAL, IDENTIFY EACH OWNER; IF PARTNERSHIP IDENTIFY EACH PARTNER OR OFFICER; IF CORPORATION, IDENTIFY PRINCIPAL OFFICERS; IF A RESEARCH FACILITY, IDENTIFY THE INSTITUTIONAL OFFICIAL. ☐ CHECK THIS BOX IF ADDITIONAL PERSONS ARE LISTED ON AN ADDITIONAL SHEET.

NAME TITLE ADDRESS (FULL ADDRESS INCLUDING ZIP CODE)

CERTIFICATION

I HEREBY REGISTER AS A RESEARCH FACILITY, CARRIER, OR INTERMEDIATE HANDLER UNDER THE ANIMAL WELFARE ACT, 7 U.S.C. 2131 ET SEQ. AND I CERTIFY THAT THE

INFORMATION PROVIDED HEREIN IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I HEREBY ACKNOWLEDGE RECEIPT OF AND AGREE TO COMPLY WITH ALL THE 

REGULATIONS AND STANDARDS CONTAINED IN 9 CFR, SUBPART A, PARTS 1, 2 AND 3. I CERTIFY THAT ALL LISTED PERSONS ARE 18 YEARS OF AGE OR OLDER.

15. SIGNATURE 16. NAME AND TITLE (TYPE OR PRINT) 17. DATE SIGNED

APHIS FORM 7011A

NOV 2020
PLEASE CONTACT THE OFFICE AT 970-494-7478 IF YOU HAVE ANY QUESTIONS

INSTRUCTIONS – APPLICATION FOR REGISTRATION – APHIS FORM 7011A

GENERAL INSTRUCTIONS:

• Original applications with original signatures must be submitted.

• All required blocks must be completed in blue or black ink for the application to be processed. If a block does not

apply, write “N/A”.

• Incomplete or incorrect applications will be returned for correction which can cause delays in the registration process.

• Tax Identification Sheets (APHIS FORM 7030) must be completed and submitted with an application for the

application to be considered complete.

APHIS FORM 7011A INSTRUCTIONS:

Block 1: Select only one box of the regulated activity you will be conducting. For more information on determining the type 

of registration please see Part 2, subpart A of the Animal Welfare Act regulations.

Block 2: Check the one box which best describes your type of organization; if “Other”, please identify. 

Block 3: Select the one type of public which best fits your organization. 

Block 4: “Registrant” means ‘business name’ or ‘name of owner(s)’. If “Individual” is checked in block 7, write the name 

and mailing address of the owner (only one name may appear). If “Corporation" or “Other” is checked in block 7, 

write the entity’s full business name and mailing address. If “Partnership” is marked in block 7, all partners’ names 

or their business name must be entered and one mailing address. 

Block 5: List the county that the mailing address (listed in Block 4) is located in. 

Block 6: List the telephone number.

Block 7: Select if the address listed in Block 4 is a residential (home) or non-residential (business) address.

Block 8: Write the email address in which this registration is associated to.

Block 9: List ALL D/B/A names and physical addresses where regulated animals and/or transport vehicles are located. A 

post office box is not acceptable. Please attach additional sheets if there is more than one site location to be 

identified in this block. Do not leave blank. 

Block 10: List the county that the physical address (listed in Block 9) is located in.

Block 11: List the telephone number for each physical located.

Block 12: List the days and times of the week in which there is an optimal hour(s) for inspection.

Block 13: List the website that the registration is associated with.

Block 14: If applying as an individual, list the owner and any individuals you would like listed as authorized contacts. If 

applying as a “Partnership,” Corporation,” or “Other,” enter the names and titles of all partners or corporate officers 

authorized to conduct business. Attach additional sheets, if necessary. All persons listed on the application must 

be 18 years of age or older. If applying as a research facility, you must identify the “Institutional Official” as 

defined in the Animal Welfare Regulations Part 1 – Definition of Terms.

Read the CERTIFICATION statement before signing this application.

Block 15: The signature must be of the owner in block 1 for “Individual” applicants or an authorized person shown in 

block 8 for a “Partnership,” “Corporation,” or “Other” applicant. 

Block 16: Print the name and title of the person who signed the form in Block 15. 

Block 17: Enter the date the application is signed. 
Privacy Act Notice

Authority: The Animal Welfare Act (AWA), 7 U.S.C. 2131 et seq., and the regulations issued thereunder, 9 CFR parts 1 through 4; and the Horse Protection 

Act (HPA), 15 U.S.C. 1821 et seq., and the regulations issued thereunder, 9 CFR parts 11 and 12. 

Purpose: This system supports APHIS’ administrative activities and enforcement of the AWA and HPA. 

Routine Uses: 

In addition to those disclosures generally permitted under 5 U.S.C. 552a (b) of the Privacy Act, records maintained in the system may be disclosed outside 

USDA as follows: 

(1) APHIS may disclose the name, city, State, license or registration type and/or status, or change of a license or registrant to any person pursuant to 9 CFR 

2.38(c) and 2.127; 

(2) APHIS may disclose annual reports submitted to APHIS by licensees and research facilities to any person pursuant to 9 CFR 2.7 and 2.36; 

(3) APHIS may disclose inspection reports and other regulatory correspondence issued to licensees and registrants [from the agency] to any attending 

veterinarian in order to carry out duties under the AWA pursuant to 9 CFR 2.33 and 2.40; 

(4) APHIS may disclose the name, telephone number and other contact information, location, inspection reports, and regulatory and other correspondenceof 

licensees, registrants, permitees, and applicants for the same, to appropriate Federal, foreign, State, local, Tribal, or other public authority agencies or officials, 

in order to carry out duties under the AWA or State, local, Tribal or other public authority on the same subject pursuant to 7 U.S.C. 2145(b); 

(5) APHIS may disclose inspection reports of licensees and registrants, and permit status, to any pet store or other entity that is required under State, 

local,Tribal, or other public authority to verify a licensee, registrant, or permitee’s compliance with the AWA; 

(6) APHIS may disclose information to the National Academies of Sciences, Engineering, and Medicine, and any other research institution engaged or approved 

by the Department, to the extent APHIS deems the disclosure necessary to complete research and/or compile a report in furtherance of the Department’s 

mission; 

(7) APHIS may disclose final adjudicatory AWA and HPA decisions or orders by an appropriate authority to any person; 

(8) APHIS may disclose to any person the name, city, and State or other information to the extent necessary for proper identification of persons (referred to as 

“Designated Qualified Persons” or “DQPs”) that are or have been qualified to detect and diagnose a horse that is sore or otherwise inspect horses for purposes 

of enforcing the HPA and of horse industry organizations or associations (referred to as “HIOs”) that have currently or have had in the past DQP programs 

certified by the USDA; 

(9) APHIS may disclose to any regulated horse owner, HIO, and other entities responsible for licensure or required to verify compliance with the HPA, HPA 

inspection findings and regulatory and other correspondence issued to persons or entities regulated under the HPA; 

(10) APHIS may disclose to any person the name, city, and State or other information to the extent necessary for proper identification of any person or entity 

who has been disqualified, suspended, and/or otherwise prohibited from showing or exhibiting any horse, or judging or managing any horse show, horse 

exhibition, horse sale, or horse auction under the HPA and the terms of such action; 

(11) APHIS may disclose to any person the name, city, and State or other information to the extent necessary for proper identification of any regulated individual 

or entity whose license or permit has been suspended, revoked, expired, terminated, or denied under the AWA and the terms of such action; 

(12) APHIS may disclose to appropriate law enforcement agencies, entities, and persons, whether Federal, foreign, State, local, or Tribal, or other public 

authority responsible for enforcing, investigating, or prosecuting an alleged violation or a violation of law or charged with enforcing, implementing, or complying 

with a statute, rule, regulation, or order issued pursuant thereto, when a record in this system on its face, or in conjunction with other records, indicates a 

violation or potential violation of law, whether civil, criminal, or regulatory in nature, and whether arising by general statute or particular program statute, or by 

regulation, rule, or court order issued pursuant thereto, if the information disclosed is relevant to any enforcement, regulatory, investigative, or prosecutive 

responsibility of the receiving entity; 

(13) APHIS may disclose to the Department of Justice when the agency, or any component thereof, or any employee of the agency in his or her official capacity, 

or any employee of the agency in his or her individual capacity where the Department of Justice has agreed to represent the employee, or the United States, in 

litigation, where the agency determines that litigation is likely to affect the agency or any of its components, is a party to litigation or has an interest in such 

litigation, and the use of such records by the Department of Justice is deemed by the agency to be relevant and necessary to the litigation; provided, however, 

that in each case, the agency determines that disclosure of the records to the Department of Justice is a use of the information contained in the records that is 

compatible with the purpose for which the records were collected; 

(14) APHIS may disclose information in this system of records to a court or adjudicative body in administrative, civil, or criminal proceedings when: (a) The 

agency or any component thereof; or (b) any employee of the agency in his or her official capacity; or (c) any employee of the agency in his or her individual 

capacity where the agency has agreed to represent the employee; or (d) the United States Government, is a party to litigation or has an interest in such litigation, 

and by careful review, the agency determines that the records are to be for a purpose that is compatible with the purpose for which the agency collected the 

records; 

(15) APHIS may disclose information from this system of records to appropriate agencies, entities, and persons when: (a) USDA suspects or has confirmed that 

there has been a breach of the system of records; (b) USDA has determined that as a result of the suspected or confirmed breach there is a risk of harm to 

individuals, USDA (including its information systems, programs, and operations), the Federal Government, or national security; and (c) the disclosure made to 

such agencies, entities, and persons is reasonably necessary to assist in connection with USDA’s efforts to respond to the suspected or confirmed compromise 

and prevent, minimize, or remedy such harm; 

(16) APHIS may disclose information from this system of records to another Federal agency or Federal entity, when the USDA determines that information from 

this system of records is reasonably necessary to assist the recipient agency or entity in (a) responding to a suspected or confirmed breach or (b) preventing, 

minimizing, or remedying the risk of harm to individuals, the recipient agency or entity (including its information systems, programs, and operations), the Federal 

Government, or national security, resulting from a suspected or confirmed breach; 

(17) APHIS may disclose information in this system of records to USDA contractors and other parties engaged to assist in administering the program, analyzing 

data, developing information management systems, processing Freedom of Information Act requests, and conducting audits. Such contractors and other parties 

will be bound by the nondisclosure provisions of the Privacy Act; 

(18) APHIS may disclose information in this system of records to USDA contractors, partner agency employees or contractors, or private industry employed to 

identify patterns, trends, or anomalies indicative of fraud, waste, or abuse; 

(19) APHIS may disclose information in this system of records to a Congressional office from the record of an individual in response to any inquiry from that 

Congressional office made at the written request of the individual to whom the record pertains; 

(20) APHIS may disclose information in this system of records to the National Archives and Records Administration or to the General Services Administration for 

records management activities conducted under 44 U.S.C. 2904 and 2906; and 

(21) APHIS may disclose information in this system of records to the Treasury Department as necessary to carry out any and all functions within their 

jurisdiction, including but not limited to, processing payments, fees, collections, penalties, and offsets. 

Disclosure: Furnishing this information is voluntary; however, failure to furnish this information may impede your ability to comply with the requirements of the 

Animal Welfare Act, regulations, and standards. 
Additional Locations, Facilities, Premises, or Sites

If you checked “Additional locations are listed on an additional sheet” in box 

9, then please use this template to provide the supplemental information. 

P.O. Box addresses are not acceptable. Applications listing P.O. boxes will be returned.

Additional Site 1:

Site Name

Address Line 1

Address Line 2

Address Line 3

City 

State 

County

Zip Code

Phone

Optimal Hours for Inspection

Residential Address Non-Residential Address 

Additional Site 2:

Site Name

Address Line 1

Address Line 2

Address Line 3

City 

State 

County

Zip Code

Phone

Optimal Hours for Inspection

Residential Address Non-Residential Address 
 

Additional Site 3: 

Site Name

Address Line 1

Address Line 2

Address Line 3

City 

State 

County

Zip Code

Phone

Optimal Hours for Inspection

Residential Address Non-Residential Address 

Additional Site 4: 

Site Name

Address Line 1

Address Line 2

Address Line 3

City 

State 

County

Zip Code

Phone

Optimal Hours for Inspection

Residential Address Non-Residential Address 

Additional Site 5: 

Site Name

Address Line 1

Address Line 2

Address Line 3

City 

State 

County

Zip Code

Phone

Optimal Hours for Inspection

Residential Address Non-Residential Address 
 

Additional Site 6: 

Site Name

Address Line 1

Address Line 2

Address Line 3

City 

State 

County

Zip Code

Phone

Optimal Hours for Inspection

Residential Address Non-Residential Address 

Additional Site 7: 

Site Name

Address Line 1

Address Line 2

Address Line 3

City 

State 

County

Zip Code

Phone

Optimal Hours for Inspection

Residential Address Non-Residential Address 

Additional Site 8: 

Site Name

Address Line 1

Address Line 2

Address Line 3

City 

State 

County

Zip Code

Phone

Optimal Hours for Inspection

Residential Address Non-Residential Address 
 

Additional Site 9: 

Site Name

Address Line 1

Address Line 2

Address Line 3

City 

State 

County

Zip Code

Phone

Optimal Hours for Inspection

Residential Address Non-Residential Address 

Additional Site 10: 

Site Name

Address Line 1

Address Line 2

Address Line 3

City 

State 

County

Zip Code

Phone

Optimal Hours for Inspection

Residential Address Non-Residential Address 

Additional Site 11: 

Site Name

Address Line 1

Address Line 2

Address Line 3

City 

State 

County

Zip Code

Phone

Optimal Hours for Inspection

Residential Address Non-Residential Address 

Check if additional locations are listed on a separate sheet.
 

Additional Persons

If you checked “Additional persons are listed on an additional sheet” in box 

14, then please use this template to provide the supplemental information. 

Box 14. Separate Sheet for Listing Additional Persons

Additional Person 1:

Person’s Name

Person’s Title

Address Line 1

Address Line 2

Address Line 3

City 

State 

County

Zip Code

Additional Person 2: 

Person’s Name

Person’s Title

Address Line 1

Address Line 2

Address Line 3

City 

State 

County

Zip Code

Additional Person 3: 

Person’s Name

Person’s Title

Address Line 1

Address Line 2

Address Line 3

City 

State 

County

Zip Code

Additional Person 4: 

Person’s Name

Person’s Title

Address Line 1

Address Line 2
 

Address Line 3

City 

State 

County

Zip Code

Additional Person 5: 

Person’s Name

Person’s Title

Address Line 1

Address Line 2

Address Line 3

City 

State 

County

Zip Code

Additional Person 6: 

Person’s Name

Person’s Title

Address Line 1

Address Line 2

Address Line 3

City 

State 

County

Zip Code

Additional Person 7: 

Person’s Name

Person’s Title

Address Line 1

Address Line 2

Address Line 3

City 

State 

County

Zip Code

Check if additional persons are listed on a separate sheet.
APHIS Form 7030 

OCT 2018

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is

not required to, a collection of information unless it displays a valid OMB control number. The valid OMB 

control number for this information collection is 0579-0036. The time required to complete this information

collection is estimated to average .25 hours per response, including the time for reviewing instructions,

searching existing data sources, gathering and maintaining the data needed, and completing and reviewing

the collection of information.

OMB Approved 

0579-0036

United States Department of Agriculture

Animal and Plant Health Inspection Service

Animal Care

Federal Debt Collection Form

1: State 2: Customer Number:

3. Certificate Number:

The Federal Debt Collection Act of 1996 requires APHIS to obtain your Federal Taxpayer Identification Number.

This would be either your Federal Employer Identification Number (EIN) or your Social Security Number(s)

(SSN). This number is for the purpose of collecting and reporting any delinquent amounts arising out of a 

relationship with the Federal Government. Your SSN or EIN is required to process your license/registration 

application.

New license/registration applications: You must submit your SSN or EIN using this form.

Renewing license/registration applications:

• You must resubmit your SSN or EIN number using this form.

• If the number submitted does not match your previously submitted EIN or SSN, your application for

license/registration renewal will be returned with instructions and your renewal delayed.

• If your SSN, EIN, and/or type of organization changes, you may have to apply for a new

license/registration.

If the license/registration certificate is issued to a corporation or partnership, all partners’ names and SSN or EIN 

must be listed.

4: Business Name or Individual Name or Partner

Name:

5: Federal Taxpayer Identification Number

Name: EIN or SSN:

Name: EIN or SSN:

Name: EIN or SSN:

Name: EIN or SSN:

Name: EIN or SSN:

Name: EIN or SSN:

Name: EIN or SSN:

Name: EIN or SSN:
APHIS Form 7030 

OCT 2018

Instructions: Federal Debt Collection Form

• Please read all instructions before completing the Federal Debt Collection form.

• Contact your USDA APHIS Animal Care office before mailing your application.

• Corrections and/or clarifications will delay the processing of your application.

• All blocks must be completed; if one does not apply please put “N/A”.

• Mail in all original documents. We cannot accept applications that are copied, e-mailed, or

faxed.

• Complete the application in Blue or Black ink.

• Mail in with the application and appropriate fees.

Block 1: Insert the State of the business address of the licensee/registrant.

Block 2: Insert the customer number.

Block 3: Insert the certificate number.

Block 4 and 5: Insert the name of the individual, business, partnership, corporation, or other i.e.

John Smith; John Smith Kennels; JS Kennels; JS Kennels, Inc.

(a) If an Individual; write the individual’s Social Security Number.

(b) If a Partnership; write either all partner’s names and Social Security Numbers or

the business name and Employee Identification Number.

(c) A Corporation or Other; write the business name and Employee Identification Number.
ANIMAL WELFARE FORMS ORDER

This is an optional document. You may access all forms and publications 

free of charge on our website: USDA APHIS | Publications, Forms and 

Guidance Documents. If you would like to request that Animal Care email 

or mail documents directly to you, please complete the information below.

Customer Information

Name: _______________________________________________________________

Business Name: _______________________________________________________

USDA Certificate or Customer Number, if applicable: __________________________

Address: _____________________________________________________________

City, State, Zip: ________________________________________________________

Area Code & Phone #: __________________________________________________

Distribution Preference (select one): Email Mail

Animal Care Forms:

Form # Name of Form # Requested

7002 Program of Vet Care- Other than Dogs and Cats ___________

7002A Program of Vet Care- For Dogs and Cats ___________

7005 Record of Dogs & Cats on Hand ___________

7006 Record of Disposition of Dogs and Cats ___________

7006A Continuation Sheet of Disposition of Dogs and Cats ___________

7019 Record of Animals on Hand- Other than Dogs and Cats ___________

7020 Record of Disposition of Animals- Other than Dogs and Cats ___________

7020A Continuation Sheet of Record of Disposition of Animals ___________

7013 Exercise Plan for Dogs ___________

7010 Itinerary of Exhibition for Overnight Travel ___________

- Animal Welfare Act and Regulations (Blue Book) ___________

- Live Animal Stickers for Pet Transportation ___________

Animal Care Publications:

Publication Name # Requested

Animal Welfare Act Factsheet ___________

1979 Marine Mammal Final Rule ___________

Animal Care Creates New Process for Appeal Animal Welfare Act Inspection 

Reports

___________

Daily Observation of Regulated Animals ___________

Upholding the Animal Welfare Act ___________

Questions and Answers: Dog Activities Requiring a USDA 

License/Registration

___________

Using Cage Cards to Identify Puppies and Kitties ___________

Temperature and Humidity in Dog Kennels ___________

Minimum Space Requirements for Dogs ___________

Options for Identification of Dogs & Cats ___________

Submission of Itineraries Factsheet ___________
The Remaining Sheets are for Your Reference 

Please note that the documentation on the following pages is not required 

to submit your application.

The documents listed below are included only for additional information:

• Animal Welfare Act Factsheet (November 2012)

• Animal Welfare Act Research Facilities Factsheet (February 2012)

• Compliance Inspections Factsheet (February 2012)

• Daily Observation Tech Note (December 2017)

The forms listed below should be kept on-hand at your facility. Each form 

contains detailed instructions that should be read carefully. You should plan 

to prepare all forms before your inspection. 

To access these forms, you may print this packet, download fillable 

versions from our website, or complete the Animal Welfare Forms order in 

this packet to request these forms be mailed to you.

• APHIS Form 7002: Program of Veterinary Care for Dogs

• APHIS Form 2019: Record of Animals on Hand

• APHIS Form 7020: Record of Acquisition, Disposition or Transport of 

Animals
	


	






			

	




	

					
	


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APHIS Factsheet

Animal Care February 2012

The Animal Welfare Act:

Research Facilities

The U.S. Congress passed the Animal Welfare Act 

(AWA) in 1966. Since then, the U.S. Department of 

Agriculture’s (USDA) Animal and Plant Health Inspection Service (APHIS) has vigilantly enforced this Act 

to ensure the well-being of animals used in laboratory 

research. APHIS enforces standards for animal husbandry, recordkeeping, the review of research protocols, and veterinary care.

The AWA covers nearly all species of warmblooded 

animals used in research. An amendment to the AWA 

in 2002 excluded birds, mice of the genus Mus, and 

rats of the genus Rattus bred for use in research. The 

AWA does not regulate animals used in elementary or 

secondary education or farm animals used in agricultural research.

Animal Husbandry

Research facilities using regulated animals must 

register with APHIS and provide their animals with 

proper treatment and a healthy and safe environment. 

Research facilities must provide their animals with 

water and a balanced diet of wholesome food, clean 

and structurally sound housing that affords enough 

space for the animals to move comfortably, and protection from extremes of temperature and weather.

The AWA places additional requirements on facilities 

housing animals with special needs. For example, 

facilities with nonhuman primates must provide environmental enrichment, such as swings, toys, and regular 

interaction with other primates or a familiar caregiver. 

This enrichment enhances the primates’ psychological 

well-being. Facilities must also provide dogs with an 

opportunity for exercise and follow guidelines for the 

care and use of farm animals in nonagricultural studies.

Veterinary Care

To ensure that research facilities provide their animals 

with proper veterinary care, APHIS requires that they 

employ an attending veterinarian who is located on 

the premises or who makes regularly scheduled visits. 

The facility must also establish a program of veterinary 

care that includes procedures for the administration of 

vaccines, regular examinations, and the care of sick 

animals. Researchers using regulated animals must 

follow professionally accepted standards of humane 

treatment and use, which includes administering painrelieving medication or anesthesia for procedures that 

cause more than momentary pain or distress, unless 

withholding those agents is scientifically justified. Further, 

the program must include provisions for the humane 

euthanasia of animals, in accordance with American 

Veterinary Medical Association recommendations.

Recordkeeping

To ensure that cats and dogs used in research are 

obtained legally, APHIS requires that all dealers who 

sell animals to research facilities must breed the animals themselves or obtain them from other licensed 

dealers, pounds, or shelters. APHIS also requires 

research facilities and dealers to maintain detailed 

records indicating the source of their dogs and cats.

Review of Research Protocols

The AWA requires that each research facility establish an 

Institutional Animal Care and Use Committee (IACUC) 

to oversee the humane care and use of regulated 

animals. It is important that the IACUC consider the 

general public’s concerns for the welfare of animals 

used in research, as well as the needs of the facility. 

Therefore, the committee must be composed of at least 

three members, including a person unaffiliated with the 

facility and a veterinarian familiar with laboratory animal 

medicine.

One of the IACUC’s functions is to review research protocols to ensure that they comply with the AWA requirements. These requirements state that researchers must 

consider alternatives to procedures that may cause 

more than momentary or slight pain or distress to the 

animals. The IACUC must also ensure that activities do 

not unnecessarily duplicate previous experiments. 

Enforcement

APHIS officials inspect research facilities at least annually to ensure compliance with the AWA. On these 

unannounced inspections, APHIS officials review the 

facility’s animal enclosures and husbandry practices, 

programs of veterinary care, animal acquisition records, 

research protocols, and IACUC records. If the officials 

find any items that are not in compliance with the law, 

they document the items and give the facility a timeframe for correction, or, in cases of severe neglect or 

repeat violations, immediately initiate enforcement 

action. Such action can include monetary penalties, 

corrective cease-and-desist orders, or confiscation 

of the animals. APHIS may also consider innovative 
settlements for facilities that show an interest in improving conditions for their animals. 

Cooperative Efforts

The AWA stipulates that all laboratory personnel 

involved in research projects must receive training and 

instruction in humane care and handling of the species 

they work with, aseptic surgical techniques, the proper 

uses of anesthetics and tranquilizers, and the use of 

services available to provide information on alternatives 

to animal research.

To assist research facilities in this endeavor, Congress 

established the Animal Welfare Information Center (AWIC) 

at the National Agricultural Library in Beltsville, MD. 

AWIC conducts literature search workshops several 

times a year to educate researchers. The Web site is 

located at www.nal.usda.gov.awic. APHIS’ relationship 

with AWIC and the research community is a broadly 

supported effort to produce a searchable Internet database source on alternatives to animal experimentation. 

The Johns Hopkins University Center for Alternatives 

to Animal Testing manages the Web site, http://altweb.

jhsph.edu, to assist researchers.

USDA is an equal opportunity provider and employer. 

United States Department of Agriculture • Animal and Plant Health Inspection Service • Safeguarding American Agriculture

Additional Information

For additional information on APHIS’ oversight of 

animals used in research, contact APHIS’ Animal Care 

headquarters at:

Animal Care, APHIS-USDA

4700 River Road, Unit 84

Riverdale, MD 20737-1234

Phone: (301) 851-3751

Fax: (301) 734-4978

Email: ace@usda.gov

Web page: www.aphis.usda.gov/animal_welfare
APHIS Factsheet

Animal Care February 2012

Compliance Inspections

The U.S. Department of Agriculture’s (USDA) Animal 

and Plant Health Inspection Service (APHIS) administers the Animal Welfare Act (AWA). This law provides 

for the humane care and treatment of animals bred for 

commercial sale, transported in commerce, used in 

biomedical research, and exhibited to the public.

 

APHIS’ Animal Care program enforces the AWA primarily through inspections of regulated facilities. To 

ensure that compliance with the AWA is continually 

maintained, all facilities that keep animals regulated 

under the Act must be licensed or registered with 

APHIS. APHIS officials—veterinarians or qualified 

animal care inspectors employed by APHIS and 

trained to identify potential violations of the AWA and 

its regulations—conduct unannounced inspections 

of every licensed or registered facility in the country. 

APHIS inspectors receive special training in the 

proper care of marine mammals, exotic animals, and 

animals used in research. Inspectors also receive 

extensive training in how to conduct inspections at airport terminals, zoos, and commercial animal breeding 

facilities, among others. 

Inspection Procedures

During an inspection, the APHIS inspector must be 

given full access to all areas where regulated animals 

are kept as well as to all records required under the 

AWA and regulations. A responsible adult must be 

available to accompany the APHIS inspector. All regulated animals must be shown to the inspector, who 

may examine any animals. The inspector may also 

observe how the animals are handled by their caretakers. Dealers, exhibitors, breeders, caretakers, or 

researchers who interfere with the inspector’s duties 

are in violation of the AWA.

During the inspection, the APHIS inspector examines 

and documents all areas of care and treatment that 

are covered under the AWA. This includes observing 

regulated animals; inspecting the facilities, including 

enclosure or housing materials and space, as well as 

food storage; and reviewing records, such as animal 

acquisition records, medical records, and necropsy 

reports. If the inspector observes that the facility is 

not in full compliance with the AWA requirements, 

he or she will explain to the owner or manager all 

deficiencies noted.

Once the inspection is completed, the inspector 

documents any noncompliant items or issues that 

require correction in an inspection report and takes 

photographs as needed. For each issue that requires 

correction, the specific applicable regulation is cited, 

along with a description of the problem and a deadline 

by which the issue must be corrected. If deficiencies 

remain uncorrected at subsequent inspections, APHIS 

considers legal action.

Repeat noncompliances and serious incidents may 

warrant enforcement actions such as letters of warning, monetary penalties, license suspensions and 

revocations, and confiscations of animals. 

AWA Standards

APHIS requires all owners and managers of licensed 

and registered facilities to comply with certain standards, which vary depending on the species and type 

of facility. The following are examples:

• Housing—Animals must be housed in a structurally sound facility in good repair. The facility must 

contain the animals and protect them from other 

animals or extreme weather and temperatures. 

Drainage systems must also be in good repair.

• Ventilation—Animals must be provided with cool 

air or increased ventilation if the ambient temperature is above 85 degrees Fahrenheit or heat if the 

temperature falls below 45 degrees Fahrenheit. 

• Lighting—Facilities must be lit well enough to 

allow safe and easy access for feeding, cleaning, 

and complete inspection.

• Interior Surfaces—The interior of a facility must 

be substantially impervious to moisture and be 

able to be easily cleaned and sanitized.

• Primary Enclosures—Animals must be housed 

in structurally sound enclosures that are in good 

repair and meet APHIS’ minimum space requirements. The floors must protect the animals from 

injury. The cages must be dry and clean and allow 

animals easy access to food and water. 

• Sanitation—Animal waste must be removed and 

disposed of regularly and as necessary. Primary 

cages or enclosures should be sanitized at least 

once every 2 weeks. Facilities must not allow 

trash to accumulate.
• Pest Control—Facility managers must have an 

effective program to control insects, ectoparasites, 

and avian and mammalian pests.

• Feeding and Watering—Animals must be provided 

with nutritious, palatable food that is free from 

contamination, properly stored, and served in a 

clean receptacle. Potable water must be made 

available twice daily for 1 hour if it is not available 

all the time.

• Outdoor Shelter—Animals must be protected 

from sunlight, precipitation, and extreme 

temperatures.

• Compatibility—Female animals in heat must be 

separated from male animals except for breeding 

purposes. Animals with vicious dispositions should 

be housed apart from other animals. Puppies and 

kittens should be separated from adult animals 

other than their mothers. Different species of 

animals should not be housed together unless 

compatible.

• Recordkeeping—Facility managers must maintain 

accurate and complete records of the sources 

of all animals that come into their possession. 

Managers are also required to keep records of the 

dates of acquisition and disposition and to properly 

identify the animals on the premises. These 

records must be made available for inspection 

whenever necessary.

• Adequate Veterinary Care—Programs of disease 

control and prevention, euthanasia, and veterinary 

care must be established and maintained under 

the supervision and assistance of a veterinarian. 

A caretaker also must observe the animals daily. 

• Handling—Every licensee is required to handle 

animals properly at all times whether he or she is 

petting, working, feeding, crating, performing, or 

transferring them.

• Transportation—Licensees and registrants are 

required to provide animals with adequate space, 

ventilation, and shipping containers during transportation. Most animals transported must be 

weaned and at least 8 weeks old.

Additional Information

For more information, contact:

Eastern Region

Animal Care, APHIS-USDA

920 Main Campus Drive, Suite 200

Raleigh, NC 27606-5210

Phone: (919) 855-7100

Fax: (919) 855-7125 

Email: aceast@aphis.usda.gov

Western Region

Animal Care, APHIS-USDA

Building B, Mailstop #3W11

2150 Centre Avenue

Fort Collins, CO 80526-8117

Phone: (970) 494-7478

Fax: (970) 494-7461

Email: acwest@aphis.usda.gov

Headquarters

Animal Care, APHIS-USDA

4700 River Road, Unit 84

Riverdale, MD 20737-1234

Phone: (301) 851-3751

Fax: (301) 734-4978

Email: ace@aphis.usda.gov

Web page: www.aphis.usda.gov/animal_welfare

USDA is an equal opportunity provider and employer. 

United States Department of Agriculture • Animal and Plant Health Inspection Service • Safeguarding American Agriculture
	






 

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APHIS FORM 7002

APR 2018 

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information 

unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0579-0036. The time required to complete this 

information collection is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and 

maintaining the data needed, and completing and reviewing the collection of information.

OMB APPROVED

0579-0036

UNITED STATES DEPARTMENT OF AGRICULTURE

ANIMAL AND PLANT HEATH INSPECTION SERVICE 

ANIMAL CARE

PROGRAM OF VETERINARY CARE

INSTRUCTIONS

For use of this form, see 9 CFR 2.40 (Animal Welfare Regulations, Title 9, Subchapter A, Part III, Subpart D, Section 2.40)

The attending veterinarian shall establish, maintain, and supervise programs of disease control and prevention, pest and parasite control, preprocedural and post-procedural care, nutrition, euthanasia, and adequate veterinary care for all animals on the premises of the licensee/registrant. A 

written program of adequate veterinary care between the licensee/registrant and the doctor of veterinary medicine shall be established. By law, such 

programs must include regularly scheduled visits to the premises by the veterinarian. Scheduled visits are required to monitor animal health and 

husbandry.

This optional form or an equivalent format may be used to meet the requirement for a written Program of Veterinary Care. This form may be used as a 

guideline for developing and writing the veterinary care plan for your animals.

Pages or blocks which do not apply to the facility should be marked N/A. If the space provided is not adequate for a specific topic, additional sheets 

may be added. Ensure the additional sheets include Section and Item Numbers.

PAGE

 1 of

SECTION I. PROGRAM ESTABLISHMENT

A. LICENSEE/REGISTRANT B. VETERINARIAN

1. NAME 1. NAME

2. BUSINESS NAME 2. CLINIC NAME

3. USDA LICENSE/REGISTRATION NUMBER 3. STATE LICENSE NUMBER

4. STREET MAILING ADDRESS 4. BUSINESS ADDRESS

5. CITY, STATE, AND ZIP CODE 5. CITY, STATE, AND ZIP CODE

6. HOME TELEPHONE 7. BUSINESS TELEPHONE 6. BUSINESS TELEPHONE

We have read and completed this Program of Veterinary Care and understand our responsibilities.

Regularly scheduled visits by the veterinarian will occur at the following frequency: __________________________. 

C. NOTES:
APHIS FORM 7002

APR 2018

check if not applicable SECTION II. DOGS AND CATS PAGE

 2 of

A. VACCINATIONS – SPECIFY THE FREQUENCY OF VACCINATION FOR THE FOLLOWING DISEASES

CANINE FELINE

JUVENILE ADULT JUVENILE ADULT

PARVOVIRUS PANLEUK

DISTEMPER RESP. VIRUSES

HEPATITIS RABIES

LEPTOSPIROSIS OTHER (specify)

RABIES

BORDETELLA

OTHER (specify)

B. PARASITE CONTROL PROGRAM – DESCRIBE THE FREQUENCY OF SAMPLING OR TREATMENT FOR THE FOLLOWING

1. ECTOPARASITES (fleas, ticks, mites, lice, flies)

2. BLOOD PARASITES (heartworm, Babesia, Ehrlichia, other)

3. INTESTINAL PARASITES (fecals, deworming)

C. EMERGENCY CARE – DESCRIBE PROVISIONS FOR EMERGENCY, WEEKEND, AND HOLIDAY CARE

D. EUTHANASIA

1. SICK, DISEASED, INJURED, OR LAME ANIMALS SHALL BE PROVIDED WITH VETERINARY CARE OR EUTHANIZED. LICENSEES AND REGISTRANTS, IN 

CONSULTATION WITH THEIR ATTENDING VETERINARIANS, CAN USE METHODS OF EUTHANASIA THAT MEET THE DEFINITION OF EUTHANASIA IN THE ANIMAL 

WELFARE REGULATIONS, WHICH ALLOWS FOR THE USE OF HUMANE METHODS THAT EITHER:

o PRODUCE RAPID UNCONSCIOUSNESS AND SUBSEQUENT DEATH WITHOUT EVIDENCE OF PAIN OR DISTRESS, OR

o UTILIZE ANESTHESIA PRODUCED BY AN AGENT THAT CAUSES PAINLESS LOSS OF CONSCIOUSNESS AND SUBSEQUENT DEATH.

APPROPRIATE METHODS MAY INCLUDE, BUT ARE NOT LIMITED TO, THOSE DESCRIBED IN THE “AVMA GUIDELINES FOR EUTHANASIA OF ANIMALS”.

EUTHANASIA WILL BE CARRIED OUT BY THE: VETERINARIAN LICENSEE/REGISTRANT

2. METHOD(S) OF EUTHANASIA

E. ADDITIONAL PROGRAM TOPICS – THE FOLLOWING TOPICS HAVE BEEN DISCUSSED IN THE FORMULATION OF THE PROGRAM OF VETERINARY CARE:

CONGENITAL CONDITIONS EXERCISE PLAN (dogs)

QUARANTINE CONDITIONS PROPER HANDLING OF BIOLOGICS

NUTRITION VENEREAL DISEASES

ANTHELMINTIC ALTERNATION PEST CONTROL AND PRODUCT SAFETY

OTHER (specify) ________________________________________________________ PROPER USE OF ANALGESICS AND SEDATIVES
APHIS FORM 7002

APR 2018

check if not applicable SECTION III. WILD AND EXOTIC ANIMALS PAGE

 3 of

A. VACCINATIONS – LIST THE DISEASES FOR WHICH VACCINATIONS ARE PERFORMED AND THE FREQUENCY OF THE VACCINATIONS (enter N/A if not applicable)

CARNIVORES

HOOFED STOCK

PRIMATES

ELEPHANTS

MARINE MAMMALS

OTHER (specify)

B. PARASITE CONTROL PROGRAM – DESCRIBE THE FREQUENCY OF SAMPLING OR TREATMENT FOR THE FOLLOWING

1. ECTOPARASITES (fleas, ticks, mites, lice, flies)

2. BLOOD PARASITES

3. INTESTINAL PARASITES

C. EMERGENCY CARE

1. DESCRIBE PROVISIONS FOR EMERGENCY, WEEKEND, AND HOLIDAY CARE

2. DESCRIBE CAPTURE AND RESTRAINT METHOD(S)

D. EUTHANASIA

1. SICK, DISEASED, INJURED, OR LAME ANIMALS SHALL BE PROVIDED WITH VETERINARY CARE OR EUTHANIZED. LICENSEES AND REGISTRANTS, IN 

CONSULTATION WITH THEIR ATTENDING VETERINARIANS, CAN USE METHODS OF EUTHANASIA THAT MEET THE DEFINITION OF EUTHANASIA IN THE ANIMAL 

WELFARE REGULATIONS, WHICH ALLOWS FOR THE USE OF HUMANE METHODS THAT EITHER:

o PRODUCE RAPID UNCONSCIOUSNESS AND SUBSEQUENT DEATH WITHOUT EVIDENCE OF PAIN OR DISTRESS, OR

o UTILIZE ANESTHESIA PRODUCED BY AN AGENT THAT CAUSES PAINLESS LOSS OF CONSCIOUSNESS AND SUBSEQUENT DEATH.

APPROPRIATE METHODS MAY INCLUDE, BUT ARE NOT LIMITED TO, THOSE DESCRIBED IN THE “AVMA GUIDELINES FOR EUTHANASIA OF ANIMALS”.

EUTHANASIA WILL BE CARRIED OUT BY THE: VETERINARIAN LICENSEE/REGISTRANT

2. METHOD(S) OF EUTHANASIA

E. ADDITIONAL PROGRAM TOPICS – THE FOLLOWING TOPICS HAVE BEEN DISCUSSED IN THE FORMULATION OF THE PROGRAM OF VETERINARY CARE:

PEST CONTROL AND PRODUCT SAFETY ENVIRONMENT ENHANCEMENT (primates)

QUARANTINE PROCEDURES WATER QUALITY (marine mammals)

ZOONOSES SPECIES-SPECIFIC BEHAVIORS

OTHER (specify) ________________________________________________________ PROPER STORAGE AND HANDLING OF DRUGS AND BIOLOGICS

PROPER USE OF ANALGESICS AND SEDATIVES

F. LIST THE SPECIES SUBJECTED TO TUBERCULOSIS TESTING AND THE FREQUENCY OF SUCH TESTS
APHIS FORM 7002

APR 2018

check if not applicable SECTION IV. OTHER WARMBLOODED ANIMALS PAGE

 4 of

A. INDICATE SPECIES

B. VACCINATIONS – LIST THE DISEASES FOR WHICH VACCINATIONS ARE PERFORMED AND THE FREQUENCY (enter N/A if not applicable)

C. PARASITE CONTROL PROGRAM – DESCRIBE THE FREQUENCY OF SAMPLING OR TREATMENT FOR THE FOLLOWING

1. ECTOPARASITES (fleas, ticks, mites, lice, flies)

2. INTERNAL PARASITES (Helminths, Coccidia, other)

D. EMERGENCY CARE – DESCRIBE PROVISIONS FOR EMERGENCY, WEEKEND, AND HOLIDAY CARE

E. EUTHANASIA

1. SICK, DISEASED, INJURED, OR LAME ANIMALS SHALL BE PROVIDED WITH VETERINARY CARE OR EUTHANIZED. LICENSEES AND REGISTRANTS, IN 

CONSULTATION WITH THEIR ATTENDING VETERINARIANS, CAN USE METHODS OF EUTHANASIA THAT MEET THE DEFINITION OF EUTHANASIA IN THE 

ANIMAL WELFARE REGULATIONS, WHICH ALLOWS FOR THE USE OF HUMANE METHODS THAT EITHER:

o PRODUCE RAPID UNCONSCIOUSNESS AND SUBSEQUENT DEATH WITHOUT EVIDENCE OF PAIN OR DISTRESS, OR

o UTILIZE ANESTHESIA PRODUCED BY AN AGENT THAT CAUSES PAINLESS LOSS OF CONSCIOUSNESS AND SUBSEQUENT DEATH.

APPROPRIATE METHODS MAY INCLUDE, BUT ARE NOT LIMITED TO, THOSE DESCRIBED IN THE “AVMA GUIDELINES FOR EUTHANASIA OF ANIMALS”.

EUTHANASIA WILL BE CARRIED OUT BY THE: VETERINARIAN LICENSEE/REGISTRANT

2. METHOD(S) OF EUTHANASIA

F. ADDITIONAL PROGRAM TOPICS – THE FOLLOWING TOPICS HAVE BEEN DISCUSSED IN THE FORMULATION OF THE PROGRAM OF VETERINARY CARE:

PASTEURELLOSIS SPECIES SEPARATION

PODODERMATITIS MALOCCLUSION/OVERGROWN INCISORS

CANNIBALISM PEST CONTROL AND PRODUCT SAFETY

WET TAIL HANDLING

OTHER (specify) ________________________________________________________
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number 

for this information collection is 0579-0036. The time required to complete this information collection is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and 

maintaining the data needed, and completing and reviewing the collection of information.

This record is required by law (7 U.S.C. 

2131-2156). Failure to maintain this record 

can result in suspension or revocation of 

license.

OMB APPROVED

0579-0036 

UNITED STATES DEPARTMENT OF AGRICULTURE

ANIMAL AND PLANT HEALTH INSPECTION SERVICE

RECORD OF ANIMALS ON HAND

(Other than Dogs and Cats)

1. USDA LICENSE NUMBER 2. NAME AND ADDRESS OF DEALER 3. BUSINESS YEAR 4. PAGE

FROM (Mo., Day, Yr.) TO (Mo., Day, Yr.) NUMBER

AGE - SEX ARRIVAL AT PREMISES DISPOSITION

CONTAINER 

TAG 

NUMBER 

CRATE OR 

PEN 

NUMBER

NUMBER 

ANIMALS

INDIVIDUAL 

IDENTIFICATION 

TATTOOS OR 

TAG NUMBERS

(if applicable) 

SPECIES NUMBER

YOUNG

NUMBER 

ADULT

INVOICE 

NUMBER

DATE

(Mo., Day, Yr.) 

FROM

(Name and Address) 

(Give License Number, if Licensee) 

DATE SOLD, EXCHANGED, OR 

DONATED

DATE DIED

(Mo., Day, Yr.) INVOICE NUMBER Mo., Day, Yr. 

A B C D E F G H I J K M F M F

M F M F

M F M F

M F M F

M F M F

M F M F

M F M F

M F M F

M F M F

M F M F

APHIS Form 7019 

OCT 2018

INSPECTOR’S INITIALS DATE
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it 

displays a valid OMB control number. The valid OMB control number for this information collection is 0579-0036. The time required to complete this information collection is 

estimated to average .1 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and 

completing and reviewing the collection of information. 

OMB APPROVED

0579-0036 

UNITED STATES DEPARTMENT OF AGRICULTURE

ANIMAL AND PLANT HEALTH INSPECTION SERVICE

RECORD OF ACQUISITION, DISPOSITION OR TRANSPORT OF ANIMALS

(Other Than Dogs and Cats)

SALE EXCHANGE OR TRANSFER DONATION

1. INVOICE NUMBER 2. PAGE

3. DATE OF DISPOSITION

This record is required by law (7 U.S.C. 2131-2156). (9 CFR, Subchapter A, Parts 1, 2, and 3). 

Failure to maintain this record can result in a suspension or revocation of license and/or 

imprisonment for not more than 1 year, or a fine of not more than $1,000, or both.

4. DEALER’S LICENSE NUMBER

INSTRUCTIONS: Complete applicable items 1 through 13. Original and one copy to accompany animals. When delivery is made – Items 14 through 20 must be completed by Buyer 

(Receiver) and copy one returned to Dealer (Seller or Donor). Copy two to be retained by Dealer (Seller or Donor). Attach Continuation Sheet (APHIS Form 7020A), as needed. 

5. SELLER OR DONOR (Name and Address, include ZIP Code) 6. BUYER OR RECEIVER (Name and Address, include ZIP Code)

7. USDA LICENSE NUMBER (If any)

8. IDENTIFICATION OF ANIMALS BEING DELIVERED

A.

CONTAINER 

TAG NUMBER, 

CRATE OR 

PEN NUMBER

B.

NUMBER 

ANIMALS

C.

PREVIOUS 

INVOICE 

NUMBER 

(if any)

D.

INDIVIDUAL 

IDENTIFICATION

TATTOOS, TAG 

NUMBERS 

(if applicable)

E.

SPECIES

AGE - SEX H.

EST. 

WEIGHT 

(lbs.) 

I.

REMARKS

(Condition, etc.)

RECEIVER’S USE

F.

NUMBER

YOUNG

G.

NUMBER

ADULT

J. K.

M F M F

M F M F

M F M F

M F M F

M F M F

M F M F

M F M F

M F M F

M F M F

M F M F

M F M F

M F M F

DELIVERY BY COMMERCIAL CARRIER 

9. DELIVERY BY (“X” one)

Buyer’s Truck Dealer’s Truck 

 (Seller or Donor)

10. TRUCK LICENSE NUMBER 11. BILL OF LADING NUMBER

12. NAME AND ADDRESS OF COMPANY OR FIRM (Include ZIP Code) 13. NAME AND ADDRESS OF TRUCK DRIVER (Include ZIP Code)

DELIVERY RECEIPT – TO BE COMPLETED BY BUYER OR RECEIVER

14. ANIMALS DELIVERY WERE (“X” one)

IN APPARENT GOOD CONDITION POOR CONDITION REJECTED (Attach explanation for rejection)

15. TOTAL NUMBER RECEIVED 16. NUMBER DEAD 17. NUMBER ALIVE

18. BY (Signature) 19. TITLE 20. DATE

APHIS FORM 7020

JUL 2012