Get Vs Form 10-4 - Iowa Department Of Agriculture And Land Stewardship - Agriculture State Ia

Filling out the VS Form 10-4 is a crucial step for users submitting specimens to the Iowa Department of Agriculture and Land Stewardship. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently online.

Follow the steps to fill out the VS Form 10-4 online

1. Press the ‘Get Form’ button to access the VS Form 10-4 online and open it in your preferred editor.
2. In Section 1, enter the name of the person submitting the specimen.
3. In Section 2, provide the name of the owner or broker along with their complete mailing address, including street, city, state, and zip code.
4. Fill out the location of the animals in Section 3, specifying the state and county, as well as providing a contact phone number and fax number.
5. Choose a payment method in Section 4 by marking the applicable option with an ‘X’. If using a credit card, enter the number; if paying by check or money order, indicate that it's enclosed and made payable to 'USDA'.
6. Indicate the herd or flock size in Section 5 and the number affected in Section 6, as well as the number dead in Section 7.
7. Specify the examinations requested in Section 8 and the name of the individual who collected the samples in Section 9.
8. Provide the date the samples were collected in Section 10 and confirm the name of the authorized person in Section 11.
9. State the purpose of submission in Section 12 by marking the appropriate option(s) related to diagnostic testing.
10. For Section 13, indicate the country of origin or destination by selecting the correct option.
11. Mark the applicable preservation method in Section 15, if any, regarding how the samples are being preserved.
12. In Section 16, identify the specimens submitted by checking the relevant boxes.
13. Fill out Section 17 with the total number of specimens submitted and Section 19 with the number of animals sampled.
14. Input any additional data in Section 21 that may assist in the evaluation, including history and clinical signs.
15. Finally, sign and date the form in Section 22, ensuring all provided information is accurate.
16. Once completed, save your changes, download the form, print it, or share it as needed.

Complete your VS Form 10-4 online today for a smooth submission process.