Movement Record Sample
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2Movement record number
Movement record
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Special designated animals only
Please note this movement record is a guide only. You may keep a movement record in any
format that captures the required information. Examples include but are not limited to
diaries, log books, emails, or other industry documents (that are species specific) such
as National Vendor Declarations (NVDs), horse health declarations, or Pig Passes.
Proposed movement date
Person completing movement record
Full name of the person completing the movement record.
First name/s
Last name
Origin of designated animal
Address (including “Name of place” if applicable) of the holding, saleyard or place of departure of the designated animal/s.
Name of place
Address
Postcode
Destination details
Full name of the person taking recievng the designated animal/s.
First name/s
Last name
Organisation/trading name
Address of the destination (including “Name of place” if applicable”)
Name of place
Address
Postcode
Mobile
Business hours telephone
After hours telephone
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Special designated animals include: cattle, sheep, goats, pigs, bison, buffalo, alpacas, llamas.
BQ/2016/2659 BQ0083 v2.02 (07/2016)
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Parent category: Business