Forms & Supplies

• Certification of Concrete Quality
• Certification of Construction or Modification of a Livestock Waste Lagoon
• Livestock Waste Lagoon Liner Certification of Construction or Modification
• Livestock Waste Lagoon Registration Application
• Livestock Waste Management Plan Certification
• Non-Lagoon Livestock Waste Handling Facility Application
• Non-Lagoon Livestock Waste Handling Facility Certification of Construction
• Non-Lagoon Livestock Waste Handling Facility Certification of Site Investigation
• Non-Lagoon Livestock Waste Handling Facility Initial Perimeter Drain Sample
• Notice of Intent to Construct Form
  

• Application for Illinois Egg License
  
• Application for Meat & Poultry Brokers License
  
• Application for a License to Operate a Refrigerated Warehouse
• Halal Registration Form
  

• Disclosure Form for Animal Control and Animal Shelters
• Animal Welfare Initial License Application
  
• Disclosure Form for Pet Shop Operators
•  Humane Investigator Annual Report
•  Animal Health and Welfare Complaint Form

Forms supplied by the Bureau of Animal Health and Welfare by request:

Effective 2/15/2024, a flat rate of $30 per box (including forms, tags, etc.) or $19 for a shipment of Tuberculin will be charged due to increased shipping costs.  We encourage you to bundle your orders to reduce the number of shipments.  As always, we will also be able to package and offer pick-up at the IDOA building.  Thank you for your understanding and cooperation.

The following forms can be obtained by completing theAnimal Health Commodity Order Form

• VS-4-26 Brucellosis Vaccination Record
  
• VS-4-33 Brucellosis Test Records
• VS-4-33a Brucellosis Test Record Continuation Sheet
• VS-4-52a Report of Back Tags Applies
• VS-4-54 Brucellosis Test Record (Market Cattle Testing)
  
• VS-6-22 Tuberculosis Test Records
• VS-10-11 EIA Test Record
• M-107 Report of Heifers over 6 months and under 18 months
• M-120 Large Animal Health Certificates​
  

The following forms can be obtained by contacting the Bureau of Animal Health and Welfare at (217)782-4944:

• C-24a Slaughter Certificate
• C-37 Quarantine and Certification of Slaughter or Shipment
• M-85 Notice of Quarantine
• M-89 Livestock Auction Market Report
  
• M-106 Weekly Report of Out of State Cattle Received
• Z-5 Feeder Swine Dealer Report of Sale