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.pdf

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

Please note that, effective 1/1/2022, fees will be increased to $25 for shipment of supplies, or $15 for a shipment of M119's, VS 9-2 or VS 9-3 forms due to a increase in shipping costs. 

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