Get Specimen Submission Form Vs 10-4 - Aphis - Aphis Usda

This guide provides a clear and supportive walkthrough for completing the Specimen Submission Form VS 10-4. By following the steps outlined below, users can efficiently fill out the form online, ensuring accuracy and compliance with the required information.

Follow the steps to fill out the form with ease:

1. Click ‘Get Form’ button to obtain the Specimen Submission Form VS 10-4 and open it in the appropriate editor.
2. Enter the submitter name, including the business name where applicable. Provide a valid email address for report delivery.
3. Fill in the NVSL submitter ID if you have one. If you don't know your ID, be sure to contact the NVSL for assistance.
4. Complete the owner's information, ensuring to include the full name of the animal owner and their location.
5. Specify the location of the animals, including the county and state abbreviation, along with the premises ID if available.
6. Select the payment method for billable cases and include the necessary information for processing, such as credit card details or user fee account number.
7. Indicate the herd/flock size by entering the total number of animals present.
8. Provide the number of animals in the herd/flock that are affected and the number that are deceased.
9. List the examinations requested by entering the relevant program name or disease to be tested.
10. Include the name of the individual who collected the specimens and the date of collection.
11. Enter the name of the person authorizing the submission, ensuring they have the authority to do so.
12. Specify the purpose of the submission, choosing from the defined categories related to interstate movement, export, or diagnostics.
13. Indicate the country of origin or destination for the animals or products.
14. Fill in the referral number for your records, especially useful in Foreign Animal Disease cases.
15. Select all applicable options regarding the preservation of specimens.
16. Check the boxes corresponding to the types of specimens being submitted.
17. Provide the total number of specimens submitted, ensuring it does not exceed 250 samples.
18. Choose only one species or source for the samples, using separate forms for multiple species.
19. Record the total number of animals sampled.
20. Detail the identification of samples, including sample IDs and animal IDs, breeds, ages, and sexes.
21. Include any additional data that may assist the laboratory in making a diagnosis.
22. Ensure the form is signed and dated by the submitter.

Start completing the Specimen Submission Form VS 10-4 online today for efficient management of your submissions.