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

This guide provides detailed instructions on completing the VS Form 10-4 Specimen Submission - Continuation Sheet for diagnostic testing submissions to the USDA-APHIS-VS National Veterinary Services Laboratories. Following these steps carefully will help ensure a smooth and correct submission process.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the form and open it in your preferred platform.
2. Begin by providing your submitter name, including your business name, email address, phone number, fax number, and mailing address in the relevant fields.
3. Enter your NVSL submitter ID in the specified section.
4. Complete the owner's name, city, and state/country for the animal owner.
5. Fill in the location of the animals, including premises ID if available, and specify the county and state/country where the samples were collected.
6. Select the appropriate payment method for the testing fees and provide necessary payment details. Do not send cash.
7. Indicate the herd/flock size, number of affected animals, and number of deceased animals exhibiting clinical signs.
8. Specify the examinations requested, being detailed about the required tests or clinical signs.
9. Provide the name of the person who collected the samples and the date of collection in the specified format.
10. Authorize the submission if necessary, especially for program diseases, by providing details of the Area Veterinarian-in-Charge.
11. Select the purpose of submission from the provided options which includes purposes like interstate movement, export, import, etc.
12. Indicate the country of origin or destination of the animals as required.
13. Enter the referral number if applicable, or leave it blank if not.
14. Check the preservation methods and mark all specimen types being submitted.
15. Note the total number of specimens submitted and select the species or source for each specimen.
16. Indicate the number of animals sampled and ensure accurate identification for each sample, including sample IDs, animal IDs, breed, age, and sex.
17. Provide any additional data that may assist the diagnostician, including history or tentative diagnoses.
18. Complete the submission with your signature and date to finalize the form.

Complete your VS Form 10-4 submission online to ensure timely diagnostic testing.