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It records scrapie tagging, animal production type, flock information, and addresses for specimen location. The form captures clinical history, disposition of remains, vaccination history, diagnosis and concerns, specimen types, death details, and submission method. It also includes consent and use statements for investigation, surveillance sharing, and teaching or publication purposes, plus office use fields for receipt, staffing, submission, and payment.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/sheepgoat-necropsy-submission-form-fillable-version-5-please-complete-all-required-fields/338111/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/sheepgoat-necropsy-submission-form-fillable-version-5-please-complete-all-required-fields/338111.png","ImageObject",442,249,{"name":88,"@type":89},"Bintang","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-28","2026-09-21",true,{"@type":98,"interactionType":99,"userInteractionCount":73},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"How are necropsy reports sent to the owner or veterinary clinic?","Question",{"text":108,"@type":109},"All reports are sent via email. 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Additional Reporting Method/Party(s):  \n\n| Animal Identiﬁcation/Name/Ear Tag(s) |  | Species | Breed | Sex | Age | Face Color (sheep) | Weight |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  |  |  |  |  |  |  |\n| Scrapie Tag (Oﬃce use only) |  |  |  |  |  |  |  |\n\nDairy Fiber Meat  \nPet  \n􀀀  \n􀀀  \n􀀀  \n􀀀  \nCircle one: Purchased [OR] Born on farm Number of animals in ﬂock:    \nPrimary breed:    \nOther animals on farm:    \nAddress/location of animal(s): 􀀀 Same as billing address above  \n\n| History and Clinical Summary: |  |  |  |\n| --- | --- | --- | --- |\n| Disposition of Remains: | [ ] Communal Cremation (included in necropsy fee) [ ] Private cremation ‐ crematorium choice:  (additional cost) |  |  |\n| Vaccination History: | [ ] Current/UTD [ ] Not Current/Expired [ ] Not Vaccinated [ ] Unknown |  |  |\n| Clinical Diagnosis / Specific Concerns:\u003Cbr>(Additional fees may apply) | [ ] None [ ] Rabies (Rbx Vx Status: [ ] UTD / [ ] Expired / [ ] Uknown / [ ] Not species approved)\u003Cbr>[ ] Toxicology ([ ] send immediately) [ ] Other:   |  |  |\n| Specimen Information: 􀀀 Dead Animal (fresh) 􀀀 Dead Animal (frozen)\u003Cbr>◻Dead Animal (ﬁxed) 􀀀 Fresh Tissue 􀀀 Fixed Tissue 􀀀 Other   |  | Death | Date & Time of Death |\n|  |  | Natural 􀀀\u003Cbr>Euthanized 􀀀 􀀃 Method   |  |\n|  |  |  |  |\n\nSpecimens and samples submitted to the CVMDL for investigation* become the property of the CVMDL. Samples and specimens may be tested as part of State/Federal surveillance programs. Test results may be shared with relevant Local, State, or Federal agencies as required by law. Anonymized samples, specimens, and test results may be, used in the teaching of students, in professional publications, or in the development of new assays.  \n\n| *Excludes tissues or clinical samples submitted by PIs as part of their research.* |  |  | Pathologist in charge: |\n| --- | --- | --- | --- |\n| Oﬃce Use |  |  |  |\n| Received Date/Time/Staﬀ Initials: |  | Submitted by: [ ]Owner [ ]Veterinarian |  |\n| Payment received: $ | [ ] CC [ ] Check (\\#  ) | [ ]Courier, Specify   [ ] wi |  |\n\nID \\#: 2649  \nPrevious ID: ACCDOC0004  \nVersion \\#: 5  \nEffective Date: 06/24/2024 Page 1 of 1","cbCaiv7l91ZpJ2xj","https://ap.wps.com/l/cbCaiv7l91ZpJ2xj","pdf",185682,"English","# Sheep/Goat Necropsy Submission Form\n## Sender and Routing Details\n## Animal Identification and Farm Information\n## Clinical Summary and Specimen Data\n## Remains, Vaccination, and Diagnosis\n## Specimen Consent and Office Use","[{\"question\":\"How are necropsy reports sent to the owner or veterinary clinic?\",\"answer\":\"All reports are sent via email. The form also lets you choose whether the owner, the veterinary clinic, or both receive the report.\"},{\"question\":\"What information is required for animal identification and specimen selection?\",\"answer\":\"You must provide animal identification/name/ear tags, species, breed, sex, age, face color for sheep, and weight. Specimen type and death date and time are also collected.\"},{\"question\":\"How is the disposition of remains handled after the necropsy?\",\"answer\":\"You select communal cremation (included in the necropsy fee) or private cremation with a crematorium choice, which may add an additional cost.\"}]","Sheep/Goat Necropsy Submission Form - Fillable Version 5 - Please complete all required fields | PDF",1790021986]