Pre-mating health certificate Female details Name Date of birth Number of pups born at Date of last last whelping whelping Number of live pups Microchip Gender (today) number Breed Coat colour Actions/recommendations regarding proposed mating Date of veterinary check ______________________ Veterinary practitioner name health General comments about bitch’s Practice name and address Contact phone Declaration number I ,________________________________, conducted a pre-mating Breeding examination of the above female dog. I have noted comments about the business name health and management of this dog for the certificate is owner’s records. This Proprietor Domestic Animal valid from 4 weeks of the date of signature Business Number (issued by Council) Signed: ______________________________ Date: ________________ Litter number Age at time of veterinary check
Pre-mating health certificate Female details Name Date of birth Microchip number Gender Breed Coat colour Date of veterinary check ______________________ General comments about bitch’s health Declaration I ,________________________________, conducted a pre-mating examination of the above female dog. I have noted comments about the health and management of this dog for the owner’s records. This certificate is valid from 4 weeks of the date of signature Signed: ______________________________ Date: ________________ Age at time of veterinary check Litter number Number of pups born at last whelping Date of last whelping Number of live pups (today) Actions/recommendations regarding proposed mating Veterinary practitioner name Practice name and address Contact phone number Breeding business name Proprietor Domestic Animal Business Number (issued by Council)
24_Toolkit-Pre-mating-Health-Check-certificate-July-2015-040615.docx