DUPLICATE C0Rs

Duplicate CoR

Certificate of Registration
MEMBER ID*
Don't have member ID

Go to Membership Form
HSSR REGISTRATION #*
From CoR. Example: 1234-F1
Do you need a duplicate CoR?*

Yes, new Ear Tag appliedYes, my copy was Lost/DamagedYes, I want to add Genetic Test results on the CoRYes, I want to add a microchip # to the CoRNo, I just want the Genetic Test results added to the recordNo, I just want the microchip # added to the record
New Ear Tag #*
If applicable
Add Microchip #
if applicable
If MICROCHIP # is added and you would like a new CoR reflecting this information.

YesNo
Add Genetic Testing Results ONLY - NO New CoR

Codon 171Codon 136OPPJohne's Disease
Codon 171
Codon 136

OPP and/or Johne's Disease

	Positive	Negative
OPP
Johne's Disease

If GENETIC TESTING results are added and you would like a new CoR reflecting this information.

YesNo
Total Amount

Payable

USDDescription

Duplicate CoR