Free QH Embryo Transfer Application 8.5 color - Indiana


File Size: 75.7 kB
Pages: 3
Date: February 15, 2008
File Format: PDF
State: Indiana
Category: Government
Author: jbrown
Word Count: 668 Words, 4,120 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.state.in.us/icpr/webfile/formsdiv/53498.pdf

Download QH Embryo Transfer Application 8.5 color ( 75.7 kB)


Preview QH Embryo Transfer Application 8.5 color
Quarter Horse
Embryo Transfer
State Form 53498 (2-08)

For Office Use Only:

Mare Registration Application for Foaling Year
Recipient Mare Papers Complete Donor Mare Papers Complete

Applications postmarked after the deadline will not be accepted.

Name of Donor Mare Owner of Donor Mare Address of Donor Mare City Telephone number(s) Home State Business Date will arrive at farm

Age

Zip

Name of Recipient Mare Breed of Horse Date will arrive at farm

Age

Type of Identification:

Horse papers(copy attached)

Tattoo

Color Photographs

Microchip (paperwork attached)

Breed Development identification form (attached)

Name and address of veterinarian where Embryo Transfer was performed

Date of transfer

Date Donor Mare was bred

Continued

Name of farm where mares will foal Owner or manager of farm Address of Farm City State Zip Telephone # of farm

Specific directions to farm from nearest interstate or state road:

I, represent that all information above is true and accurate and agree that registration of said mare may be revoked or denied for misstatement or omission in the foregoing application. Owner signature Owner printed name
The owner of the Donor Mare is responsible for deciding which foal is eligible to be registered as an Indiana bred.

Date

Mail or fax signed form with a copy of the AQHA Certificate to: Indiana Horse Racing Commission ISTA Center - Suite 530 150 West Market Street Indianapolis, IN 46204 Phone: (317) 233-0187 Fax: (317) 233-4470 Attention: Jacki Brown Quarter Horse Breed Development Director www.in.gov/hrc [email protected]

ALL MARES (RECIPIENT AND DONOR) IN FOAL MUST BE REGISTERED WITH THE INDIANA HORSE RACING COMMISSION EVERY YEAR.

Continued

EMBRYO TRANSFER RULE:
71 IAC 14.5-2-1.5 Embryo transfer registration Authority: IC 4-31-3-9 Affected: IC 4-31 Sec. 1.5. (a) In order to be eligible to register quarter horse embryo transfer foals as Indiana bred, foals must be: (1) foaled in Indiana; (2) the donor mare; and (3) recipient mare must be registered with the commission. (b) The donor mare and recipient mare must be: (1) registered and have entered Indiana by November 1, 2008 and by July 1, 2009 and each year thereafter; and (2) both mares must remain in Indiana continuously until foaling. (c) The donor mare and the recipient mare are limited to register one (1) foal each per foaling year as an Indiana bred. (d) In the event there is more than one (1) recipient mare: (1) one (1) recipient foal will be eligible to be registered as an Indiana bred. (2) it is the sole responsibility of the owner of the donor mare to choose and register the foals that are to be eligible to the Indiana bred program. (e) A copy of the donor mare registration papers and all lease agreements must accompany the application for identification and ownership purposes. (f) All foals resulting from an embryo transplant or from the donor mare that will be eligible to be registered as an Indiana bred must be: (1) microchipped (125 mhz) by a licensed Indiana veterinarian within thirty (30) days of foaling or before leaving the state whichever would be first. (2) this shall be done at the owner's expense with a microchip approved by the breed development advisory committee. (g) The recipient mare must be able to be identified by: (1) Indiana Breed Development identification form; (2) AQHA Certificate of Registration; or (3) microchip (125 mhz), (must be done by a licensed veterinarian at the owner's expense), copies must accompany the application. (h) The donor mare may leave the state to participate in: (1) stakes; (2) medical care; or (3) a mare leaving the state for an advertised public sale may: (A) be gone for the interval of the sale, but must return to Indiana within fifteen (15) days of her sale; and (B) written documentation of the sale is required. (i) The director of breed development must be notified in writing within fifteen (15) days of the departure and return of the advertised public sale. (j) All mares in foal must be registered every year. (Indiana Horse Racing Commission; 71 IAC 14.5-2-1.5; emergency rule filed January 24, 2008)