Get Purdue Addl Forms

Filling out the Purdue Addl Forms online can seem challenging, but with this guide, you will have clear and concise instructions to complete the process smoothly. This guide aims to support users of all experience levels in navigating the form effectively and gathering the necessary information.

Follow the steps to complete your Purdue Addl Forms online

1. Press the ‘Get Form’ button to access the Purdue Addl Forms. This will allow you to obtain the form and open it in an online editor for filling out.
2. Begin by entering the owner's name in the designated 'Owner Name' field. Ensure that you provide accurate information, as this will be used for identification purposes.
3. Fill out the 'Other ID' field if applicable. This could include any additional identification pertinent to the submission.
4. Provide the owner's address, including city, state, and zip code. This information is essential for correspondence and accurate records.
5. Indicate where the bill should be sent by circling either 'Referring Veterinarian' or 'Other'. If you choose 'Other', please provide the relevant details in the space provided.
6. Input the referring veterinarian's practice or clinic name, and if you selected 'Other', provide any additional necessary information about the referring party.
7. Complete the 'Indiana License No.' field if applicable, along with the veterinarian's name and their contact address.
8. Respond to the questions concerning results by selecting 'Y' for yes or 'N' for no regarding phone and email results. Include phone numbers and email addresses as required.
9. Answer the questions regarding the suspicion of rabies and whether you have sent the brain to SBH. These responses are critical for the lab's records.
10. Fill out species, age, sex, and breed in the respective fields. This information will help in categorizing the submission correctly.
11. Record the number of animals on the farm and the number in the affected group. Also, include counts for sick and dead animals, and specify how many were submitted live versus dead.
12. Document the date and time of death, antibiotics administered, last treatment provided, and vaccination history as required.
13. Provide any relevant history regarding gross lesions, signs, treatment duration, and clinical diagnosis as needed.
14. Fill out the parts regarding specimen submitted, specifying the types of specimens. Include any permissions granted for additional testing.
15. Complete the owner’s certification section by signing and dating it to confirm your role as the owner or authorized agent.
16. Finally, review all entries for accuracy and completeness. You can then save changes, download, print, or share the form as required.

Complete your Purdue Addl Forms online today to ensure efficient processing of your submission.