Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to acquire the form and open it in the editor.
2. Begin by entering the facility name, phone, and fax numbers in the corresponding fields. Ensure that all information is current and accurate.
3. Provide the facility address, including city, county, state, and zip code, in the designated areas.
4. Fill in the contact person's name, phone number, and email address. This individual will be contacted for any follow-ups regarding the application.
5. In the ‘Directions to facility’ section, ensure clear and concise instructions are provided to guide applicants to your location.
6. If the mailing address differs from the facility address, complete the mailing address section.
7. Enter your Domesticated Deer Permit License Number in the indicated field.
8. Specify the program anniversary date and the previous monitoring level, including years of CWD status.
9. Select the requested monitoring level by indicating your preference in the appropriate section.
10. Gather and submit the required documentation mentioned in the application, including Herd Inventory and certificates of veterinary inspection.
11. Complete the certification statement confirming the accuracy of the herd inventory and history. It’s essential to ensure these statements reflect true information.
12. Have the Herd Owner or Authorized Agent sign and date the application. If applicable, the Herd Veterinarian can also sign, but it is optional.
13. Finally, review all entries for completeness and accuracy. Once satisfied, you can save changes, download, print, or share the application as needed.

Complete your application for the Chronic Wasting Disease Program online today.