SOP_NUMBER: 409.03.01-att-2
TITLE: Animal Death Certificate
REFERENCE_CODE: IVM01-0001
DIVISION: Executive
TOPIC_AREA: 409 Policy-GCI Facility Farms
EFFECTIVE_DATE: 2004-09-01
WORD_COUNT: 126
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105465
URL: https://gps.press/sop-data/409.03.01-att-2/

SUMMARY:
This attachment provides a standardized form for documenting animal deaths at GCI facility farms. The form requires staff to record details about the deceased animal (type, identification, age, sex), the immediate cause of death, significant medical conditions, and remarks. The form must be signed by both farm and security staff, with veterinary examination documentation when circumstances warrant, and retained for four years before destruction.

KEY_TOPICS: animal death, farm animals, death certificate, GCI farms, cause of death, veterinary examination, animal records, facility farms, farm staff documentation

ATTACHMENTS:
  1. Livestock Sale-Transfer Agreement (Form IVM01-0001)
     URL: https://gps.press/sop-data/409.03.01-att-1/
  2. Animal Death Certificate
     URL: https://gps.press/sop-data/409.03.01-att-2/
  3. Weigh Bill and Receiving Report for Farm Products
     URL: https://gps.press/sop-data/409.03.01-att-3/
  4. Beef Monthly Livestock Report
     URL: https://gps.press/sop-data/409.03.01-att-4/
  5. Dairy Monthly Livestock Report
     URL: https://gps.press/sop-data/409.03.01-att-5/
  6. Poultry Monthly Livestock Report (Attachment 6)
     URL: https://gps.press/sop-data/409.03.01-att-6/
  7. Swine Monthly Livestock Report (Attachment 7)
     URL: https://gps.press/sop-data/409.03.01-att-7/
  8. Monthly Farm Production Report (Attachment 8)
     URL: https://gps.press/sop-data/409.03.01-att-8/

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FULL TEXT:
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**IVM01-0001**
**Attachment 2**
**9/01/04**


**Institution_______________________**
**Date____________________________**






|AREA|EAR TAG # OR MARKINGS|DATE OF DEATH|Col4|
|---|---|---|---|
|** TYPE OF**<br>** ANIMAL**<br>|<br>**DESCRIPTION**|** SEX**|** AGE**|



**IMMEDIATE CAUSE OF DEATH**
**______________________________________________________________**
**______________________________________________________________**

**SIGNIFICANT CONDITIONS**
**______________________________________________________________**
**_**
**______________________________________________________________**
**_**

**REMARKS**
**______________________________________________________________**
**_**

**To the best of my knowledge, death occurred on the date, place and due to the causes stated**
**above.**

**_____________________________           ________________________________**
**Farm Staff Member                     Security Staff Member**





**Note: Use only if circumstances warrant.**

**On the basis of examination and/or investigation, I find the following:**
```
RETENTION SCHEDULE:
This form, upon completion, will be kept in a filing area for four years, one
year active and three years inactive, then destroyed.

```

**_____________________________________________________________________________**
**_____________________________________________________________________________**
**Veterinarian's Signature**

```
RETENTION SCHEDULE:
This form, upon completion, will be kept in a filing area for four years, one
year active and three years inactive, then destroyed.

```