Premises ID Application
Utah Department of Agriculture and Food
Farm / Ranch / Business Name
*
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
555-123-4567
Physical Location (where the animals are)
Type in your address as well as the GPS Coordinates: latitude and longitude in decimal notation. Do *not* use a PO Box for the physical address.
Address of the Premises Physical Location
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County
*
Beaver
Box Elder
Cache
Carbon
Daggett
Davis
Duchesne
Emery
Garfield
Grand
Iron
Juab
Kane
Millard
Morgan
Piute
Rich
Salt Lake
San Juan
Sanpete
Sevier
Summit
Tooele
Uintah
Utah
Wasatch
Washington
Wayne
Weber
Select the physical location's County
Latitude
*
Longitude
*
Type of Livestock on Premises?
*
Cattle
Equine
Sheep
Goat
Swine
Poultry
NOTES
Submit
Should be Empty: