Commuter Permit For A Beef Breeding Herd

Commuter Permit For A Beef Breeding Herd

Utah Department of Agriculture and Food, Division of Animal Industry, 4315 S 2700 W, TSOB STE 2200, Taylorsville, UT 84129 (385) 228-2268, statevet@utah.gov
This agreement is for one pasture grazing season for the cattle, duration, and premises described. Permits are issued on a case-by-case basis. Requests should be submitted to the Utah Department of Agriculture and Food Division of Animal Industry at least 14 days before the move. A copy of the approved permit will be sent to the applicant.
Requested By:*

First NameLast Name
Return approved permit to me by:*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Fax Number
Please enter a valid fax number.Format: (000) 000-0000.
Email*
example@example.com

SHIPPER/ORIGIN INFORMATION
Ranch Name*
Physical Address*

Street Address

Street Address Line 2

CityState

Zip Code
County*
GPS Coordinates
Latitude
Longitude
Same as physical address
Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code
Property Owner*

First NameLast Name
Property Owner Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Manager

First NameLast Name
Manager Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

DESTINATION INFORMATION
Ranch Name*
Physical Address*

Street Address

Street Address Line 2

CityState

Zip Code
County*
GPS Coordinates
Latitude
Longitude
Same as physical address
Destination Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code
Property Owner *
Property Owner Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Manager

First NameLast Name
Manager Phone
Please enter a valid phone number.Format: (000) 000-0000.

HERD INFORMATION
Brand Description or Brand #*
Brand Location*
Second Brand Description
Second Brand Location
Other Identification
Approx date cattle leaving*

MonthDayYear
Date
Approx date of return*

MonthDayYear
Date
# Cows*
# Bulls*
# Calves*
# Heifers*
12-24 month olds
# Steers*
# Working Horses*
Total Number of Cattle
# years cattle moved to above destination*
YesNo
YesNo
If yes, with whom?

HERD HEALTH INFORMATION
Herd Veterinarian*
Veterinarian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
YesNo
YesNo
YesNo
Test Date*

MonthDayYear
Date
Number tested*
Upload Trich Test Results*

Cancelof
YesNo
Upload EIA (Coggins) Test Results

Cancelof

CONDITIONS OF AGREEMENT
1. Cattle are from a valid beef breeding herd, established more than six months, moving for grazing purposes without change of ownership.
2. I will account for all animals on this agreement.
3. This agreement is subject to change if the risk of disease changes.
4. Failure to comply with the provisions of this agreement may result in the revocation of this permit and/or loss of use of any future
pasture-to-pasture permits.
5. Cattle must return within 8 months.
6. All cattle must have official identification.
7. No trader or recently assembled cattle are in the origin herd of the animals moving.
8. All female cattle over 12 months of age entering or returning to Utah must be officially brucellosis vaccinated and bear a legible official
brucellosis tattoo as evidence of the vaccination.
9. A brand certificate, certificate of veterinary inspection (CVI), and valid commuter permit are required for all cattle within the 30 days prior
to entering the destination state. Cattle returning to Utah must meet the brand inspection requirements of the state they are grazing in.
10. Copies of the brand certificate, CVI and the Commuter Permit shall accompany each load or part of a shipment of cattle entering Utah.
11. All cattle included on this permit are to return to Utah. If planning to sell cattle in the state of destination they must move on a Certificate
of Veterinary Inspection (health certificate) and meet all import requirements for the destination state.
Yes, I have read and agree to the conditions above
Name of Herd Owner or Legal Representative*

First NameLast Name
Signature*
Date*

MonthDayYear
Date
Comments

Approval (For Official Use Only)
Name of State Official at Origin:
Title:
Date:

MonthDayYear
Date
Name of State Official at Destination:
Title:
Date:

MonthDayYear
Date
Issued By:
Permit #:
Should be Empty:

Commuter Permit For A Beef Breeding Herd

SHIPPER/ORIGIN INFORMATION

DESTINATION INFORMATION

HERD INFORMATION

HERD HEALTH INFORMATION

FOR CATTLE GRAZING IN IDAHO AND WYOMING

Click on the map below. Put in the coordinates or address for where the cattle are grazing to determine if you are grazing within the Brucellosis Designated Surveillance Area (DSA).

CONDITIONS OF AGREEMENT

Approval (For Official Use Only)