Documentation Forms for Organic Crop and Livestock Producers
Organic Livestock Documentation Forms
37
By George Kuepper, NCAT Agriculture Specialist, Lisa Cone, Waterfall Hollow Farm, Berryville, AR, and Joyce Ford, Organic Independents, Winona, MN August 2003 ORGANIC LIVESTOCK DOCUMENTATION ORMS The Purpose and Use of These orms In order to become certified organic, livestock producers must demonstrate to an accredited certi- fier that their operation complies with National Organic Program regulations. This process is begun by completing an Organic System Plan (OSP)—normally part of the application for certification. The OSP illustrates to the certifier how the producer plans to comply with the regulations by detail- ing the practices, the inputs, and the monitoring procedures that will be used. The Organic System Plan is backed up by on-site inspection to ensure that the producer is, in fact, farming or ranching in the manner outlined in his or her OSP. It is the inspector’s responsibility to look for documentation and indicators that substantiate the producer’s claim to or- ganic status, as well as look for any vio- lations. The forms in this package are pro- vided as tools that livestock producers can use for documenting practices, in- puts, and activities that demonstrate compliance with regulations or that as- sist in other aspects of farm record keep- ing. The forms can be kept anywhere they make recording easy, such as the truck, milk house, or machinery shed. Please note that these are not required forms! Organic livestock producers have more than enough mandatory paperwork to keep them occupied. These forms are merely intended to give you something convenient and organized to record routine things that may be important to document. Use only those forms that suit your operation and recycle the rest. Acknowledgements These documentation forms were developed by the National Center for Appropriate Technology (NCAT) with funds provided by the USDA/National Organic Program (NOP) and the USDA/ CSREES Sustainable Agriculture Research and Education (SARE) Program. Distribution is provided by NCAT’s ATTRA Project, the National Sustainable Agriculture Information Service. ©2003 USDA-NRCS
description
Organic Livestock Documentation Forms
Transcript of Organic Livestock Documentation Forms
By George Kuepper, NCAT Agriculture Specialist, Lisa Cone, Waterfall Hollow Farm, Berryville, AR, and
Joyce Ford, Organic Independents, Winona, MNAugust 2003
����������� ���������� � ���������
������������ ��������������In order to become certified organic, livestock producers must demonstrate to an accredited certi-
fier that their operation complies with National Organic Program regulations. This process is begunby completing an Organic System Plan(OSP)—normally part of the applicationfor certification. The OSP illustrates tothe certifier how the producer plans tocomply with the regulations by detail-ing the practices, the inputs, and themonitoring procedures that will be used.The Organic System Plan is backed upby on-site inspection to ensure that theproducer is, in fact, farming or ranchingin the manner outlined in his or her OSP.It is the inspector’s responsibility to lookfor documentation and indicators thatsubstantiate the producer’s claim to or-ganic status, as well as look for any vio-lations.
The forms in this package are pro-vided as tools that livestock producerscan use for documenting practices, in-puts, and activities that demonstratecompliance with regulations or that as-sist in other aspects of farm record keep-
ing. The forms can be kept anywhere they make recording easy, such as the truck, milk house, ormachinery shed.
Please note that these are not required forms! Organic livestock producers have more thanenough mandatory paperwork to keep them occupied. These forms are merely intended to give yousomething convenient and organized to record routine things that may be important to document.Use only those forms that suit your operation and recycle the rest.
������� ������These documentation forms were developed by the National
Center for Appropriate Technology (NCAT) with funds providedby the USDA/National Organic Program (NOP) and the USDA/CSREES Sustainable Agriculture Research and Education (SARE)Program. Distribution is provided by NCAT’s ATTRA Project,the National Sustainable Agriculture Information Service.
©2003 USDA-NRCS
ORGANIC LIVESTOCK DOCUMENTATION FORMSPAGE 2
The authors wish to acknowledge the contributions of those in the organic community who con-tributed to the creation of these documents including:
• Katherine Adam, NCAT, Fayetteville, AR• Janet Bachmann, NCAT, Fayetteville, AR• Harriet Behar, farmer, organic inspector, and OMRI, Gays Mills, WI• Diane Bowen, IFOAM, Milwaukee, WI• Emily Brown-Rosen, Organic Materials Review Institute, Titusville, NJ• Rex Dufour, NCAT, Davis, CA• John Foster, inspector, OMRI, and Seven Spoke Farm, McMinnville, OR• Lance Gegner, NCAT, Fayetteville, AR• Gail Hardy, NCAT, Fayetteville, AR• Keith Jones, Director of Program Development, National Organic Program• Mark Keating, Agricultural Marketing Service, USDA, Washington, DC• Rose Koenig, Rosie’s Organic Farm and NOSB, Gainesville, FL• Nick Maravell, Nick’s Organic Farm, Potomac, MD• Nancy Matheson, NCAT, Helena, MT• Teresa Maurer, NCAT, Fayetteville, AR• Miles McEvoy, Washington State Department of Agriculture, Olympia, WA• Jim Riddle, Organic Independents and NOSB, Winona, MN• Maria Rosmann, Rosmann Family Farms, Harlan, IA• Kelly Shea, Director of Organic Agriculture, Horizon Organic, Penrose, CO• Francis Thicke, Radiance Dairy, Fairfield, IA• Ann Wells, NCAT, Fayetteville, AR
This set of documentation forms contains thefollowing:
������������� ���������
����������������
A. Pasture / Paddock / Hayfield Activity Log– use to record all practices and equipmentused, as well as the amount of forage pro-duced or hay harvested, for each field.
B. Pasture / Paddock / Hayfield Inputs Log –use to record all materials, seeds and/orsprigs used for each field.
C. Organic Seed and Sprig Record – use fordocumenting source, treatment, and otherinformation on seed and sprigs used.
D. Organic Seed and Sprig Search Record – useto demonstrate attempts made to locate anorganic source when non-organic seed orsprigs are used.
E. Compost Production Record – use to docu-ment your compost production methods inorder to meet National Organic Programregulations.
F. Fertility / Soil Monitoring Log – use todocument monitoring of soil fertility and soilerosion in your pastures, paddocks, and/or hayfields. Monitoring procedures are re-quired to justify the use of most micronu-trient fertilizers.
G. Weed / Pest Monitoring Log – use to docu-ment monitoring of weeds, diseases, and in-sect pests in your pastures, paddocks, and/or hayfields. Monitoring procedures are re-quired to justify the use of most biological,botanical, and allowed synthetic pesticides.
H. Equipment Settings Record – use to recordsettings and adjustments for your fieldequipment, for your convenience and in-creased efficiency year to year.
�������������� �����������������
I. Large Livestock Inventory for Inspection –use to indicate the numbers of each class ofanimal in order to have an accurate tally ofthe livestock on your farm prior to the or-ganic inspector’s arrival.
J. Dairy Livestock Inventory for Inspection –use to tally your total numbers of dairy ani-mals, and whether they are organic,transitioned to organic, transitioning to or-ganic, or conventional, in order to have anaccurate tally of the livestock on your farmprior to the organic inspector’s arrival.
K. Record of Purchased Animals – use to verifythe organic or non-organic status of pur-chased animals.
L. Individual Organic Animal Health Record –use to track the identity of and the health
ORGANIC LIVESTOCK DOCUMENTATION FORMS PAGE 3
care practices and products used for eachorganic animal.
M. Breeding Record – use to track the organicor non-organic status of animals born and/or bred on your farm.
N. Pasture Access Record – use to log the daysyour ruminant livestock had access to pas-ture.
O. Outdoor Access Record – use to log the daysyour non-ruminant livestock had access tothe outdoors.
P. Organic Livestock Sales Record – use torecord sales of live organic animals.
Q. Organic Livestock Slaughter / Product SalesSummary – use to track your organic live-stock slaughter and sales of organic meatproducts.
������������������������
R. Poultry Inventory for Inspection – use thisform to indicate the numbers of each classof poultry in order to have an accurate tallyof the poultry on your farm prior to the or-ganic inspector’s arrival.
S. Organic Poultry Flock Health Record – useto track the numbers of chicks/poultsplaced, mortality numbers, health care ac-tions taken, and total number of birds pro-duced in each individual flock or house.
T. Outdoor Access Record – use to log the daysyour poultry had access to the outdoors.
U. Organic Poultry Sales Record – use to recordsales of live organic poultry.
V. Organic Poultry Slaughter / Product SalesSummary – use to track your organic poul-try slaughter and sales of organic poultryproducts.
W. Monthly Organic Egg Packing Record – useto track monthly organic egg production.
X. Monthly Organic Egg Sales Summary – useto track monthly organic egg sales.
����������
Y. Organic Feed Ration Record – use to listingredients for organic rations.
Z. New Organic Dairy Herd Feed Record – usethis form to calculate percentages of organicand non-organic feed rations for new (“con-verting”) dairy herds only.
AA. Organic Feed Storage Record – use to recorddetails of your organic feed storage.
BB. Pest Control Activities and Inputs for Or-ganic Feed Storage – use to record pest con-
trol activities and inputs in your organic feedstorage.
���������������
CC. Feed Supplements and Additives: ProductInventory – use to track inventory of feedsupplements and additives currently in usefor organic livestock and the date(s) theywere approved by the certifier.*
DD. Health Care Products: Product Inventory –use to monitor inventory of health care prod-ucts and vaccines currently in use for yourorganic livestock and the date(s) they wereapproved by the certifier.*
EE. Sanitizers: Product Inventory – use tomonitor inventory of all detergents, acidwashes, sanitizers, and other cleaning prod-ucts currently in use, and the date(s) theywere approved by the certifier.*
FF. Pest Control Products: Product Inventory– use to monitor inventory of all pest con-trol products used in your organic livestockoperation (e.g. fly control sprays, baits, ma-nure treatments, etc.), and the date(s) theywere approved by the certifier.*
These forms may be copied and distributedfreely. They may be downloaded from theATTRA website at <http://attra.ncat.org>. Ad-ditional hardcopies can also be obtained by writ-ing ATTRA at PO Box 3657, Fayetteville, AR72702, or by calling 1-800-346-9140.
* New product formulations might not be allowed inorganic production. Always consult your certifier about,and record the date of approval for, any new product.
The Electronic version of Organic LivestockDocumentation Forms is located at:PDFhttp:/ /attra.ncat.org/attra-pub/PDF/livestockforms.pdf
By George Kuepper, NCAT AgricultureSpecialist, Lisa Cone, Waterfall HollowFarm, Berryville, AR, and Joyce Ford,Organic Independents, Winona, MN
Formatted by Gail M. Hardy
August 2003IP237/239
ORGANIC LIVESTOCK DOCUMENTATION FORMSPAGE 4
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Org
an
ic F
arm
Do
cum
en
tatio
n F
orm
sP
rovi
de
d c
ou
rte
sy o
f N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Dat
e(s)
Dat
e(s)
Act
ivit
y
Dat
e(s)
Act
ivit
y
Fora
ge(s
):
Pas
ture
/ P
add
ock
/ H
ayfi
eld
Act
ivit
y L
ogA
rec
ord
of th
e pr
acti
ces
and
equi
pmen
t you
use
for
each
pas
ture
or
padd
ock
and
hayf
ield
.
Fora
ge /
Hay
Har
vest
: (e.
g. to
nnag
e, b
ales
, ani
mal
uni
ts, e
tc.)
Farm
Nam
e or
Uni
t:
F
ield
I.D
.:
Acr
es:
Y
ear:
Con
diti
on o
f For
age
or H
ay
Ad
dit
ion
al n
otes
an
d o
bse
rvat
ion
s:
Yie
ld
2A P
astu
re-H
ayfie
ld A
ctiv
ity L
ogM
ay b
e co
pied
and
dis
trib
uted
as
need
ed.
Org
an
ic F
arm
Do
cum
en
tatio
n F
orm
sP
rovi
de
d c
ou
rte
sy o
f N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Dat
eR
ate
/A
mou
ntN
otes
Dat
e
Pas
ture
/ P
add
ock
/ H
ayfi
eld
In
pu
ts L
ogA
rec
ord
of th
e m
ater
ials
you
use
for
each
pas
ture
or
padd
ock
and
hayf
ield
.Fa
rm N
ame
or U
nit:
F
ield
I.D
.:
A
cres
:
Y
ear:
Fert
iliz
ers
/ Pes
t Con
trol
Mat
eria
l App
lied
/B
rand
or
Sour
ce
Ad
dit
ion
al n
otes
an
d o
bse
rvat
ion
s:
See
ds
/ Sp
rigs
(if s
eede
d, in
ters
eede
d, o
r sp
rigg
ed in
cur
rent
yea
r) F
orag
e T
ype
/ Var
iety
Fora
ge(s
):
Seed
ing
/ Spr
iggi
ng R
ate
2B P
astu
re-H
ayfie
ld In
puts
Log
May
be
copi
ed a
nd d
istr
ibut
ed a
s ne
eded
.
Org
an
ic F
arm
Do
cum
en
tatio
n F
orm
sP
rovi
de
d c
ou
rte
sy o
f N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Cod
e(O
,U,F
)Tr
eatm
ent*
Type
/Bra
nd
Con
firm
atio
n of
no
n-G
MO
sta
tus?
(non
-org
anic
onl
y)
See
d a
nd
Sp
rig
Rec
ord
A r
ecor
d of
see
d an
d sp
rigs
you
pur
chas
ed fo
r us
e in
org
anic
fora
ge p
rodu
ctio
n.Sp
ace
is p
rovi
ded
to r
ecor
d w
heth
er s
eeds
/spr
igs
are
cert
ifie
d or
gani
c (O
), un
trea
ted
non-
orga
nic
(U),
or p
rodu
ced
on-f
arm
org
anic
(F);
to li
st s
eed
trea
tmen
ts*
used
; and
to
not
e no
n-G
MO
ver
ific
atio
n an
alys
is, i
f ava
ilabl
e. R
emem
ber
that
if y
ou u
se n
on-o
rgan
ic s
eeds
or
spri
gs, y
ou m
ust d
ocum
ent y
our
sear
ch fo
r th
e or
gani
c eq
uiva
lent
.
Seed
and
Spr
ig In
form
atio
n
Type
Var
iety
S
uppl
ier
L
ot #
* "T
reat
men
t" r
efer
s to
nat
ural
and
syn
thet
ic s
ubst
ance
s in
clud
ed o
n th
e N
atio
nal L
ist O
NLY
.
Farm
Nam
e or
Uni
t:
Cro
p Y
ear:
2C
Seed &
Sprig
Reco
rdM
ay b
e co
pied
and
dis
trib
uted
as
requ
ired.
Org
an
ic F
arm
Do
cum
en
tatio
n F
orm
sP
rovi
de
d c
ou
rte
sy o
f N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Dat
eC
ompa
ny N
ame
Con
tact
Info
rmat
ion
Out
com
e of
Inqu
iry
Dat
eC
ompa
ny N
ame
Con
tact
Info
rmat
ion
Out
com
e of
Inqu
iry
Dat
eC
ompa
ny N
ame
Con
tact
Info
rmat
ion
Out
com
e of
Inqu
iry
Dat
eC
ompa
ny N
ame
Con
tact
Info
rmat
ion
Out
com
e of
Inqu
iry
Fora
ge T
ype
/ V
arie
ty R
equi
red:
Fora
ge T
ype
/ V
arie
ty R
equi
red:
Org
anic
See
d a
nd
Sp
rig
Sea
rch
Rec
ord
Prod
ucer
s m
ay u
se n
on-o
rgan
ic s
eed
only
whe
n or
gani
c se
ed is
not
com
mer
cial
ly a
vaila
ble.
Use
this
form
to d
ocum
ent c
ompa
nies
and
indi
vidu
als
you
cont
acte
d in
you
r se
arch
for
orga
nic
seed
and
spr
igs.
Farm
Nam
e or
Uni
t:
C
rop
Yea
r:
Fora
ge T
ype
/ V
arie
ty R
equi
red:
Fora
ge T
ype
/ V
arie
ty R
equi
red:
2D
Seed &
Sprig
Searc
hM
ay b
e co
pied
and
dis
trib
uted
as
need
ed.
Org
an
ic F
arm
Do
cum
en
tatio
n F
orm
sP
rovi
de
d c
ou
rte
sy o
f N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Dat
esT
empe
ratu
reT
urne
d?
Com
pos
t Pro
du
ctio
n M
eth
od U
sed
:Fe
edst
ock
s U
sed
(in
clu
din
g in
ocu
lan
ts):
Est
imat
ed C
/N R
atio
:
Com
pos
t Pro
du
ctio
n R
ecor
dA
rec
ord
of o
n-fa
rm c
ompo
st p
rodu
ctio
n pr
acti
ces.
Farm
Nam
e or
Un
it:
Pro
du
ctio
n Y
ear:
Com
pos
t Pil
e, W
ind
row
, or
Un
it I
.D.:
Dat
e S
tart
ed:
2E
Co
mp
ost
Pro
du
ctio
n R
eco
rdM
ay b
e co
pied
and
dis
trib
uted
as
need
ed.
Org
an
ic F
arm
Do
cum
en
tatio
n F
orm
sP
rovi
de
d c
ou
rte
sy o
f N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
decr
easi
ngst
able
incr
easi
ngex
cess
ive
not t
este
dde
crea
sing
stab
lein
crea
sing
exce
ssiv
eno
t tes
ted
decr
easi
ngst
able
incr
easi
ngex
cess
ive
not t
este
dde
crea
sing
stab
lein
crea
sing
exce
ssiv
eno
t tes
ted
decr
easi
ngst
able
incr
easi
ngex
cess
ive
not t
este
dde
crea
sing
stab
lein
crea
sing
exce
ssiv
eno
t tes
ted
decr
easi
ngst
able
incr
easi
ngex
cess
ive
not t
este
dde
crea
sing
stab
lein
crea
sing
exce
ssiv
eno
t tes
ted
decr
easi
ngst
able
incr
easi
ngex
cess
ive
not t
este
dde
crea
sing
stab
lein
crea
sing
exce
ssiv
eno
t tes
ted
decr
easi
ngst
able
incr
easi
ngex
cess
ive
not t
este
dde
crea
sing
stab
lein
crea
sing
exce
ssiv
eno
t tes
ted
decr
easi
ngst
able
incr
easi
ng--
---
not t
este
d
P (p
hos
ph
oru
s)
B (b
oron
) C
u (c
opp
er)
Fert
ilit
y / S
oil M
onit
orin
g L
og
Farm
Nam
e or
Uni
t:
Pas
ture
/ P
addo
ck /
Hay
fiel
d ID
:
Acr
es:
Yea
r:
Dat
e of
mos
t rec
ent s
oil t
est:
Whe
n co
mpa
red
wit
h pr
evio
us s
oil t
ests
, are
you
r nu
trie
nt le
vels
(ci
rcle
):
pH
is:
Ca
(cal
ciu
m)
Mg
(mag
nes
ium
)
Fe
(iro
n)
Org
anic
mat
ter
/ H
um
us
leve
lsou
t of o
r m
ovin
g aw
ayfr
om d
esir
ed r
ange
Are
ther
e vi
sibl
e si
gns
of n
utri
ent s
tres
s?
No
Y
esFo
rage
Cro
p M
onit
orin
g:
wit
hin
or a
ppro
achi
ngde
sire
d ra
nge
Ero
sion
Mon
itor
ing:
Is
ther
e ev
iden
ce o
f win
d an
d/or
wat
er e
rosi
on?
No
Y
es
Ad
dit
ion
al N
otes
on
Soi
l an
d F
orag
e M
onit
orin
g:
Fora
ge T
ype:
S (s
ulf
ur)
Na
(sod
ium
)
K (p
otas
siu
m)
Zn
(zin
c) M
o (m
olyb
den
um
)
Mn
(man
gan
ese)
2F P
astu
re-H
ayfie
ld S
oils
Mon
itorin
g Lo
gM
ay b
e co
pied
and
dis
trib
uted
as
need
ed.
Org
an
ic F
arm
Do
cum
en
tatio
n F
orm
sP
rovi
de
d c
ou
rte
sy o
f N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Dat
e W
eed
Pre
ssur
e(L
ow, M
ediu
m, H
igh)
Dat
e D
amag
e A
sses
smen
t(L
ow, M
ediu
m, H
igh)
Dat
e D
amag
e A
sses
smen
t(L
ow, M
ediu
m, H
igh)
Pes
t / W
eed
Mon
itor
ing
Log
Dis
ease
Mon
itor
ing:
Lis
t dat
e, ty
pe o
r de
scri
ptio
n of
dis
ease
, and
ass
essm
ent o
f dam
age.
Fora
ge T
ype:
W
eed
Mon
itor
ing:
Lis
t dat
e, n
ame/
desc
ript
ion
of p
robl
em w
eed,
and
ass
essm
ent o
f wee
d pr
essu
re.
Farm
Nam
e or
Uni
t:
Pa
stur
e /
Padd
ock
/ H
ayfi
eld
ID:
Acr
es:
Y
ear:
Pes
t Mon
itor
ing:
Lis
t dat
e, ty
pe o
f ins
ect o
r pe
st, a
nd a
sses
smen
t of c
rop
dam
age
you
obse
rved
.
Typ
e of
cro
p da
mag
eIn
sect
/Pes
t(n
ote
mon
itor
ing
met
hod
if d
esir
ed)
Typ
e of
cro
p da
mag
eD
isea
se
Wee
d
2G
Past
ure
-Hayf
ield
Pest
Monito
ring L
og
May
be
copi
ed a
nd d
istr
ibut
ed a
s ne
eded
.
Org
an
ic F
arm
Do
cum
en
tatio
n F
orm
sP
rovi
de
d c
ou
rte
sy o
f N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
.
Mac
hine
or
Pie
ce o
f Equ
ipm
ent
Cro
pSe
ttin
gsN
otes
Eq
uip
men
t Set
tin
gs a
nd
Ad
just
men
ts f
or F
ield
Op
erat
ion
s
Farm
Nam
e or
Un
it:
C
rop
Yea
r:
2H
Equip
ment S
etti
ngs
May
be
copi
ed a
nd d
istr
ibut
ed a
s ne
eded
.
Org
an
ic F
arm
Do
cum
en
tatio
n S
eri
es
Pro
vid
ed
co
urt
esy
of N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Live
stoc
kTy
pe
Cat
tle
Hog
s
Shee
p
Goa
ts
Oth
er
Farm
Nam
e or
Un
it:
Dat
e of
In
ven
tory
:
Lar
ge L
ives
tock
In
ven
tory
for
In
spec
tion
Com
plet
e th
is fo
rm p
rior
to th
e ar
riva
l of t
he in
spec
tor
to fa
cilit
ate
the
insp
ecti
on p
roce
ss.
Indi
cate
the
num
bers
of e
ach
clas
s of
ani
mal
pre
sent
on
your
farm
in th
e ap
prop
riat
e sp
ace.
Bree
ding
Fem
ales
O
T
C
* "O
rgan
ic"
indi
cate
s an
imal
s th
at h
ave
been
und
er c
onti
nuou
s or
gani
c m
anag
emen
t beg
inni
ng p
rior
to b
irth
, no
late
r th
an th
e la
st th
ird
of th
e ge
stat
ion
peri
od.
Thi
s is
th
e on
ly c
lass
per
mit
ted
to b
e sl
augh
tere
d or
sol
d as
org
anic
. [§
205.
236]
.**
"Tr
ansi
tion
ed"
bree
ding
sto
ck a
re c
onve
ntio
nally
-bor
n st
ock
that
hav
e be
en u
nder
full
orga
nic
man
agem
ent b
egin
ning
no
late
r th
an th
e st
art o
f the
last
thir
d of
thei
r ge
stat
ing
peri
od, t
hus
prod
ucin
g or
gani
c of
fspr
ing.
The
y ca
nnot
be
sold
or
slau
ghte
red
as o
rgan
ic.
[§20
5.23
6].
Bree
ding
Mal
esO
CN
eute
red
Mal
esO
C
You
ng S
tock
(fem
ale
& m
ale)
O
T
C
Bre
eder
and
Sla
ught
er L
ives
tock
Cod
e:O
- O
rgan
ic*
T - T
rans
itio
ned
to O
rgan
ic (b
reed
ing
stoc
k on
ly)*
*C
- C
onve
ntio
nal
2I L
arg
e L
ivest
ock
Inve
nto
ry fo
r In
spect
ion
May
be
copi
ed a
nd d
istr
ibut
ed a
s ne
eded
.
Org
an
ic F
arm
Do
cum
en
tatio
n S
eri
es
Pro
vid
ed
co
urt
esy
of N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Live
stoc
kTy
pe
Cat
tle
Shee
p
Goa
ts
Neu
tere
d M
ales
O
C
Dai
ry L
ives
tock
In
ven
tory
for
In
spec
tion
Com
plet
e th
is fo
rm p
rior
to th
e ar
riva
l of t
he in
spec
tor
to fa
cilit
ate
the
insp
ecti
on p
roce
ss.
Indi
cate
the
num
bers
of e
ach
clas
s of
ani
mal
pre
sent
on
your
farm
in th
e ap
prop
riat
e sp
ace.
Farm
Nam
e or
Un
it:
Dat
e of
In
ven
tory
:
* "O
rgan
ic fr
om th
e la
st th
ird
of G
esta
tion
" in
dica
tes
anim
als
that
hav
e be
en u
nder
con
tinu
ous
orga
nic
man
agem
ent b
egin
ning
pri
or to
bir
th, n
o la
ter
than
the
last
thir
d of
the
gest
atio
n pe
riod
. T
his
is th
e on
ly c
lass
per
mit
ted
to b
e sl
augh
tere
d or
sol
d as
org
anic
. [§
205.
236]
** "
Org
anic
und
er th
e tw
elve
mon
th c
onve
rsio
n" a
pplie
s to
the
milk
and
milk
pro
duct
s on
ly o
f dai
ry fe
mal
es w
hich
hav
e un
derg
one
the
pres
crib
ed w
hole
-her
d co
nver
sion
to o
rgan
ic p
rodu
ctio
n.
The
ani
mal
s th
emse
lves
can
not b
e so
ld o
r sl
augh
tere
d as
org
anic
. [§
205.
236]
Bree
ding
Mal
esO
C
Dai
ry P
rodu
ctio
n Fe
mal
esO
T'd
T'in
g
C
You
ng S
tock
(fem
ale
& m
ale)
O
T
C
Dai
ry C
ode
:O
- O
rgan
ic*
C
- C
onve
ntio
nal
T'd
- Org
anic
und
er th
e tw
elve
mon
th c
onve
rsio
n ru
le**
T'in
g - T
rans
itio
ning
und
er th
e tw
elve
mon
th c
onve
rsio
n ru
le**
2J
Dairy
Liv
est
ock
Inve
nto
ry fo
r In
spect
ion
May
be
copi
ed a
nd d
istr
ibut
ed a
s ne
eded
.
Org
an
ic F
arm
Do
cum
en
tatio
n S
eri
es
Pro
vid
ed
co
urt
esy
of N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Type
of
Live
stoc
k Pu
rcha
sed
ID#
or
Nam
eD
ate
of
Purc
hase
Purc
hase
So
urce
If c
erti
fied
org
anic
at p
urch
ase,
nam
e of
Cer
tify
ing
Age
ncy
If n
ot c
erti
fied
org
anic
at p
urch
ase,
firs
t dat
e of
full
orga
nic
man
agem
ent
If b
red
at p
urch
ase,
proj
ecte
d or
act
ual
fres
heni
ng d
ate
Rec
ord
of
Pu
rch
ased
An
imal
s: L
arge
Liv
esto
ckU
se to
ver
ify
the
orga
nic
or n
on-o
rgan
ic s
tatu
s of
pur
chas
ed a
nim
als.
[§2
05.2
36]
Farm
Nam
e or
Uni
t: _
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
___
Pro
duc
tion
Yea
r: _
____
____
____
___
2K
Re
cord
of P
urc
ha
sed
An
ima
lsM
ay b
e co
pied
and
dis
trib
uted
as
need
ed.
Org
an
ic F
arm
Do
cum
en
tatio
n S
eri
es
Pro
vid
ed
co
urt
esy
of N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Hea
lth
car
e p
rob
lem
Pra
ctic
e(s)
use
d to
trea
th
ealt
h c
are
pro
ble
mP
rod
uct
(s) u
sed
to tr
eat
hea
lth
car
e p
rob
lem
Dat
e u
sed
/E
ffec
tive
nes
s
Ind
ivid
ual
Org
anic
An
imal
Hea
lth
Rec
ord
: Lar
ge L
ives
tock
Prev
enti
ve h
ealt
h ca
re p
ract
ices
mus
t be
used
, inc
ludi
ng a
ppro
pria
te s
peci
es s
elec
tion
, com
plet
e fe
ed r
atio
n, g
ood
hous
ing,
out
door
acc
ess,
exe
rcis
e, n
eede
d ph
ysic
al
alte
rati
ons,
and
vac
cine
s. S
ynth
etic
med
icat
ions
, inc
ludi
ng p
aras
itic
ides
, mus
t be
on th
e N
atio
nal L
ist.
You
mus
t not
wit
hhol
d m
edic
al tr
eatm
ent t
o pr
eser
ve o
rgan
ic
stat
us; a
ll liv
esto
ck tr
eate
d w
ith
proh
ibit
ed s
ubst
ance
s m
ust b
e cl
earl
y id
enti
fied
. [§
205.
103,
§20
5.23
8, §
205.
603]
Tag
#, ID
#, o
r N
ame
of A
nim
al _
____
____
____
____
____
___
and/
or D
escr
ipti
on o
f Ani
mal
___
____
____
____
____
____
____
____
____
____
____
____
____
___
Bir
th D
ate
___
____
____
_ D
am I.
D.
____
____
____
Sir
e I.D
. __
____
____
__ S
ale
Dat
e _
____
____
___
Buy
er N
ame
___
____
____
____
____
____
____
____
__
If th
e an
imal
die
d, w
hat w
as th
e ca
use
of d
eath
? _
____
____
____
____
____
____
____
____
____
____
____
____
____
_ D
ate
of D
eath
___
____
____
____
____
___
Ph
ysic
al A
lter
atio
n /
Dat
eP
hys
ical
Alt
erat
ion
/ D
ate
Farm
Nam
e or
Uni
t: _
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
__ P
rod
ucti
on Y
ear:
___
____
____
____
____
___
Vac
cin
atio
ns
/ Dat
e A
dm
inis
tere
dV
acci
nat
ion
s / D
ate
Ad
min
iste
red
2L In
div
idual A
nim
al H
ealth
Reco
rdM
ay b
e co
pied
and
dis
trib
uted
as
need
ed.
Org
an
ic F
arm
Do
cum
en
tatio
n S
eri
es
Pro
vid
ed
co
urt
esy
of N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Bred
Fem
ale
IDSi
re IDFr
eshe
ning
D
ate
Off
spri
ngID
Para
siti
cide
Use
?Pr
ovid
e pr
oduc
t nam
e an
d da
te o
f las
t use
, if
app
ropr
iate
Dis
posi
tion
of o
ffsp
ring
(e.g
. kep
t as
repl
acem
ent s
tock
, sol
d as
org
anic
, so
ld a
s no
n-or
gani
c)
Farm
Nam
e or
Uni
t: _
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
___
Pro
duc
tion
Yea
r: _
____
____
____
____
__
Bre
edin
g R
ecor
d: L
arge
Liv
esto
ckK
eep
bree
ding
rec
ords
for
all a
nim
als
used
in th
e pr
oduc
tion
of o
rgan
ic m
eat a
nd d
airy
pro
duct
s, a
nd fo
r st
ock
that
may
be
sold
as
orga
nic
bree
ding
st
ock
or o
rgan
ic s
laug
hter
sto
ck.
Sire
info
rmat
ion
is n
ot r
equi
red.
[§2
05.2
36]
*All
synt
heti
c pa
rasi
tici
des
are
proh
ibit
ed in
sla
ught
er s
tock
. Se
e th
e N
atio
nal L
ist f
or o
ther
use
s.[§
205.
238(
b), §
205.
603(
a)(1
2)]
2M
Bre
edin
g R
eco
rd3
May
be
copi
ed a
nd d
istr
ibut
ed a
s ne
eded
.
Org
an
ic F
arm
Do
cum
en
tatio
n S
eri
es
Pro
vid
ed
co
urt
esy
of N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Bred
Fem
ale
IDSi
re IDFr
eshe
ning
D
ate
Off
spri
ngID
Para
siti
cide
Use
?Pr
ovid
e pr
oduc
t nam
e an
d da
te o
f las
t use
, if
app
ropr
iate
Dis
posi
tion
of o
ffsp
ring
(e.g
. kep
t as
repl
acem
ent s
tock
, sol
d as
org
anic
, so
ld a
s no
n-or
gani
c)
Farm
Nam
e or
Uni
t: _
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
___
Pro
duc
tion
Yea
r: _
____
____
____
____
__
Bre
edin
g R
ecor
d: L
arge
Liv
esto
ckK
eep
bree
ding
rec
ords
for
all a
nim
als
used
in th
e pr
oduc
tion
of o
rgan
ic m
eat a
nd d
airy
pro
duct
s, a
nd fo
r st
ock
that
may
be
sold
as
orga
nic
bree
ding
st
ock
or o
rgan
ic s
laug
hter
sto
ck.
Sire
info
rmat
ion
is n
ot r
equi
red.
[§2
05.2
36]
*All
synt
heti
c pa
rasi
tici
des
are
proh
ibit
ed in
sla
ught
er s
tock
. Se
e th
e N
atio
nal L
ist f
or o
ther
use
s.[§
205.
238(
b), §
205.
603(
a)(1
2)]
2M
Bre
edin
g R
eco
rd4
May
be
copi
ed a
nd d
istr
ibut
ed a
s ne
eded
.
Org
anic
Farm
Docu
menta
tion S
erie
sP
rovi
de
d c
ou
rte
sy o
f N
CA
T's
AT
TR
A P
roje
ct,
1-8
00
-34
6-9
14
0
Mon
th
Janu
ary
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
2930
31
Febr
uary
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
29
Mar
ch1
23
45
67
89
1011
1213
1415
1617
1819
2021
2223
2425
2627
2829
3031
Apr
il1
23
45
67
89
1011
1213
1415
1617
1819
2021
2223
2425
2627
2829
30
May
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
2930
31
June
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
2930
July
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
2930
31
Aug
ust
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
2930
31
Sept
embe
r1
23
45
67
89
1011
1213
1415
1617
1819
2021
2223
2425
2627
2829
30
Oct
ober
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
2930
31
Nov
embe
r1
23
45
67
89
1011
1213
1415
1617
1819
2021
2223
2425
2627
2829
30
Dec
embe
r1
23
45
67
89
1011
1213
1415
1617
1819
2021
2223
2425
2627
2829
3031
Pas
ture
Acc
ess
Use
this
form
to m
ark
the
days
eac
h m
onth
that
you
r liv
esto
ck h
ad a
cces
s to
pas
ture
. R
umin
ant l
ives
tock
mus
t hav
e ac
cess
to p
astu
re.
[§20
5.23
9(a)
(2)]
Farm
Nam
e or
Uni
t:
Prod
ucti
on Y
ear:
Type
of S
tock
:
Day
s on
Pas
ture
2N
Pa
stu
re A
cce
ssM
ay
be c
opie
d a
nd d
istr
ibute
d a
s needed.
Org
anic
Farm
Docu
menta
tion S
erie
sP
rovi
de
d c
ou
rte
sy o
f N
CA
T's
AT
TR
A P
roje
ct,
1-8
00
-34
6-9
14
0
Mon
th
Janu
ary
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
2930
31
Febr
uary
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
29
Mar
ch1
23
45
67
89
1011
1213
1415
1617
1819
2021
2223
2425
2627
2829
3031
Apr
il1
23
45
67
89
1011
1213
1415
1617
1819
2021
2223
2425
2627
2829
30
May
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
2930
31
June
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
2930
July
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
2930
31
Aug
ust
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
2930
31
Sept
embe
r1
23
45
67
89
1011
1213
1415
1617
1819
2021
2223
2425
2627
2829
30
Oct
ober
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
2930
31
Nov
embe
r1
23
45
67
89
1011
1213
1415
1617
1819
2021
2223
2425
2627
2829
30
Dec
embe
r1
23
45
67
89
1011
1213
1415
1617
1819
2021
2223
2425
2627
2829
3031
Ou
tdoo
r A
cces
s: L
arge
Liv
esto
ckU
se th
is fo
rm to
mar
k th
e da
ys e
ach
mon
th th
at y
our
non-
rum
inan
t liv
esto
ck h
ad a
cces
s to
the
out-
of-d
oors
, whi
ch in
clud
es s
hade
, fre
sh a
ir, d
irec
t sun
light
, an
d sp
ace
to e
xerc
ise.
[§2
05.2
39(a
)(1)
]Fa
rm N
ame
or U
nit:
Pr
oduc
tion
Yea
r:Ty
pe o
f Sto
ck:
Day
s w
ith
Out
door
Acc
ess
2O
Ou
tdo
or
Acc
ess
fo
r L
ive
sto
ckM
ay
be c
opie
d a
nd d
istr
ibute
d a
s needed.
Org
an
ic F
arm
Do
cum
en
tatio
n S
eri
es
Pro
vid
ed
co
urt
esy
of N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Dat
e of
Sal
eA
nim
al I.
D.
Org
anic
/T
rans
itio
ned
/C
onve
ntio
nal
Sale
Pri
ceB
ill o
f Sal
e N
umbe
rB
uyer
Rea
son
for
Sale
Org
anic
Liv
esto
ck S
ales
Su
mm
ary
[§20
5.10
3(b)
, §20
5.23
6(c)
]
Farm
Nam
e or
Uni
t:
Prod
ucti
on Y
ear:
Type
of L
ives
tock
Sol
d:
2P
Liv
e S
tock
Sa
les
Su
mm
ary
May
be
copi
ed a
nd d
istr
ibut
ed a
s ne
eded
.
Org
an
ic F
arm
Do
cum
en
tatio
n S
eri
es
Pro
vid
ed
co
urt
esy
of N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Dat
e an
imal
(s)
deliv
ered
to
proc
essi
ng
faci
lity
Ani
mal
IDLo
t #To
tal p
ound
s of
pro
duct
pa
ckag
ed
Fini
shed
pr
oduc
t lot
#Bu
yer
Invo
ice
date
Invo
ice
num
ber
Sale
s to
tal
Use
r fe
es
paid
to
cert
ifie
r
Org
anic
Liv
esto
ck S
lau
ghte
r / P
rod
uct
Sal
es S
um
mar
y: L
arge
Liv
esto
ck[§
205.
103(
b), §
205.
236(
c)]
Farm
Nam
e or
Uni
t:
Prod
ucti
on Y
ear:
Proc
essi
ng F
acili
ty:
Fac
ility
Cer
tifi
ed O
rgan
ic b
y:
2Q
Sa
les,
Sla
ug
hte
r S
um
ma
ryM
ay b
e co
pied
and
dis
trib
uted
as
need
ed.
Org
an
ic F
arm
Do
cum
en
tatio
n S
eri
es
Pro
vid
ed
co
urt
esy
of N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Poul
try
Type
Chi
cken
s
Tur
keys
Duc
ks
Gee
se
Oth
er
Insp
ecti
on I
nve
nto
ry F
orm
: Pou
ltry
Com
plet
e th
is fo
rm p
rior
to th
e ar
riva
l of t
he in
spec
tor
to fa
cilit
ate
the
insp
ecti
on p
roce
ss.
Indi
cate
the
num
bers
of e
ach
clas
s of
pou
ltry
pre
sent
on
your
farm
in th
e ap
prop
riat
e sp
ace.
Farm
Nam
e or
Un
it:
Dat
e of
In
ven
tory
:L
ayer
and
Mea
t P
oult
ry C
ode:
O -
Org
anic
*C
- C
onve
ntio
nal
* "O
rgan
ic"
indi
cate
s po
ultr
y th
at h
ave
been
und
er c
onti
nuou
s or
gani
c m
anag
emen
t beg
inni
ng th
e se
cond
day
aft
er h
atch
. Th
is is
the
only
cla
ss p
erm
itte
d to
be
slau
ghte
red
or s
old
as o
rgan
ic p
oult
ry o
r fo
r pr
oduc
tion
of o
rgan
ic e
dibl
e po
ultr
y pr
oduc
ts.
[§20
5.23
6]
Bree
ding
Mal
esO
CM
eat B
irds
O
C
Layi
ng F
emal
esO
C
2R P
oultr
y In
vent
ory
for
Insp
ectio
nM
ay b
e co
pied
and
dis
trib
uted
as
need
ed.
Org
an
ic F
arm
Do
cum
en
tatio
n S
eri
es
Pro
vid
ed
co
urt
esy
of N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Wee
kD
ay 1
Day
2D
ay 3
Day
4D
ay 5
Day
6D
ay 7
Iden
tifi
ed P
rob
lem
& C
ause
Act
ion
Tak
en(i
nclu
de n
ames
of v
acci
nes,
hea
lth
care
pro
duct
s, &
dat
e gi
ven)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
In c
olum
ns fo
r D
ay 1
thro
ugh
Day
7, r
ecor
d th
e nu
mbe
r of
bir
ds th
at d
ied
each
day
.
Org
anic
Pou
ltry
Flo
ck H
ealt
h R
ecor
dPr
even
tive
hea
lth
care
pra
ctic
es m
ust b
e us
ed, i
nclu
ding
app
ropr
iate
spe
cies
sel
ecti
on, c
ompl
ete
feed
rat
ion,
goo
d ho
usin
g, o
utdo
or a
cces
s, e
xerc
ise,
nee
ded
phys
ical
al
tera
tion
s, a
nd v
acci
nes.
Syn
thet
ic m
edic
atio
ns m
ust b
e on
the
Nat
iona
l Lis
t. Y
ou m
ust n
ot w
ithh
old
med
ical
trea
tmen
t to
pres
erve
org
anic
sta
tus;
all
poul
try
trea
ted
wit
h pr
ohib
ited
sub
stan
ces
mus
t be
clea
rly
iden
tifi
ed.
[§20
5.10
3, §
205.
238,
§20
5.60
3]
Farm
Nam
e or
Uni
t: _
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
__ P
rod
ucti
on Y
ear:
___
____
____
____
____
___
Hou
se #
or
Floc
k ID
: __
____
____
____
____
Dat
e C
hick
s /
Poul
ts P
lace
d:
____
____
____
____
_ T
otal
Num
ber
of C
hick
s /
Poul
ts P
lace
d: _
____
____
____
__
Dat
e of
Sla
ught
er o
r D
ate
Egg
Prod
ucti
on B
egin
s: _
____
____
____
____
____
____
__ T
otal
Num
ber
of B
irds
Pro
duce
d: _
____
____
____
____
____
____
____
2S
Org
anic
Poultr
y H
ealth
Reco
rdM
ay b
e co
pied
and
dis
trib
uted
as
need
ed.
Org
anic
Farm
Docu
menta
tion S
erie
sP
rovi
de
d c
ou
rte
sy o
f N
CA
T's
AT
TR
A P
roje
ct,
1-8
00
-34
6-9
14
0
Mon
th
Janu
ary
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
2930
31
Febr
uary
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
29
Mar
ch1
23
45
67
89
1011
1213
1415
1617
1819
2021
2223
2425
2627
2829
3031
Apr
il1
23
45
67
89
1011
1213
1415
1617
1819
2021
2223
2425
2627
2829
30
May
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
2930
31
June
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
2930
July
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
2930
31
Aug
ust
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
2930
31
Sept
embe
r1
23
45
67
89
1011
1213
1415
1617
1819
2021
2223
2425
2627
2829
30
Oct
ober
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
2930
31
Nov
embe
r1
23
45
67
89
1011
1213
1415
1617
1819
2021
2223
2425
2627
2829
30
Dec
embe
r1
23
45
67
89
1011
1213
1415
1617
1819
2021
2223
2425
2627
2829
3031
Ou
tdoo
r A
cces
s fo
r P
oult
ryU
se th
is fo
rm to
mar
k th
e da
ys e
ach
mon
th th
at y
our
poul
try
had
acce
ss to
the
out-
of-d
oors
, whi
ch in
clud
es s
hade
, fre
sh a
ir, d
irec
t sun
light
, and
spa
ce to
ex
erci
se.
[§20
5.23
9(a)
(1)]
Farm
Nam
e or
Uni
t:
Prod
ucti
on Y
ear:
Type
of S
tock
:
Day
s w
ith
Out
door
Acc
ess
2T
Ou
tdo
or
Acc
ess
fo
r P
ou
ltry
May
be c
opie
d a
nd d
istr
ibute
d a
s needed.
Org
an
ic F
arm
Do
cum
en
tatio
n S
eri
es
Pro
vid
ed
co
urt
esy
of N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Dat
e of
Sal
eFl
ock
or B
ird
I.D.
Org
anic
/C
onve
ntio
nal
Sale
Pri
ceB
ill o
f Sal
e N
umbe
rB
uyer
Pur
pose
of S
ale
Org
anic
Liv
e P
oult
ry S
ales
Su
mm
ary
[§20
5.10
3(b)
, §20
5.23
6(c)
]
Farm
Nam
e or
Uni
t:
Prod
ucti
on Y
ear:
Type
of P
oult
ry S
old:
2U
Liv
e P
oultr
y S
ale
s S
um
mary
May
be
copi
ed a
nd d
istr
ibut
ed a
s ne
eded
.
Org
an
ic F
arm
Do
cum
en
tatio
n S
eri
es
Pro
vid
ed
co
urt
esy
of N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Dat
e po
ultr
yde
liver
ed to
pr
oces
sing
fa
cilit
y
Floc
k ID
Lot #
Tota
l pou
nds
of p
rodu
ct
pack
aged
Fini
shed
pr
oduc
t lot
#Bu
yer
Invo
ice
date
Invo
ice
num
ber
Sale
s to
tal
Use
r fe
es
paid
to
cert
ifie
r
Org
anic
Sla
ugh
ter
/ Pro
du
ct S
ales
Su
mm
ary:
Pou
ltry
[§20
5.10
3(b)
, §20
5.23
6(c)
]Fa
rm N
ame
or U
nit:
Pr
oduc
tion
Yea
r:Pr
oces
sing
Fac
ility
:
F
acili
ty C
erti
fied
Org
anic
by:
2V
Poultr
y S
ale
s, S
laughte
r S
um
mary
May
be
copi
ed a
nd d
istr
ibut
ed a
s ne
eded
.
Org
anic
Farm
Docu
menta
tion S
erie
sP
rovi
de
d c
ou
rte
sy o
f N
CA
T's
AT
TR
A P
roje
ct,
1-8
00
-34
6-9
14
0
Dat
eJu
mb
oE
xLar
geL
arge
Med
ium
Cra
cked
Tot
al F
lats
Pro
cess
ed"B
est B
y" D
ate*
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31T
otal
s*
Con
side
r us
ing
"bes
t by
date
" as
par
t of l
ot #
.
Mon
thly
Org
anic
Egg
Pac
kin
g R
ecor
dFa
rm N
ame
or U
nit:
P
rodu
ctio
n Y
ear:
Pro
duct
ion
Mon
th:
2W
Mo
nth
ly O
rga
nic
Eg
g P
ack
ing
Re
cord
May
be c
opie
d a
nd d
istr
ibute
d a
s needed.
Org
anic
Farm
Docu
menta
tion S
erie
sP
rovi
de
d c
ou
rte
sy o
f N
CA
T's
AT
TR
A P
roje
ct,
1-8
00
-34
6-9
14
0
Dat
eJu
mb
oE
xLar
geL
arge
Med
ium
Cra
cked
Bu
yer
#1
Bu
yer
#2
Invo
ice
#S
ales
Tot
al1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Tot
als
Mon
thly
Org
anic
Egg
s S
ales
Su
mm
ary
Farm
Nam
e or
Uni
t:
Pro
duct
ion
Yea
r:
P
rodu
ctio
n M
onth
:
2X
Month
ly O
rganic
Egg S
ale
s S
um
mary
May
be c
opie
d a
nd d
istr
ibute
d a
s needed.
Org
an
ic F
arm
Do
cum
en
tatio
n S
eri
es
Pro
vid
ed
co
urt
esy
of N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Feed
Ingr
edie
nt:
% T
otal
R
atio
n:Fe
ed In
gred
ient
:%
Tot
al
Rat
ion:
Feed
Ingr
edie
nt:
% T
otal
R
atio
n:Fe
ed In
gred
ient
:%
Tot
al
Rat
ion:
Org
anic
Fee
d R
atio
n R
ecor
dA
ll fe
ed m
ust b
e or
gani
c or
on
the
Nat
iona
l Lis
t (se
e §2
05.6
03(c
) of t
he N
atio
nal O
rgan
ic R
egul
atio
ns) a
nd m
eet t
he n
utri
tion
al r
equi
rem
ents
of t
he
anim
al, i
nclu
ding
vit
amin
s, m
iner
als,
pro
tein
and
/or
amin
o ac
ids,
fatt
y ac
ids,
ene
rgy
sour
ces,
and
fibe
r. F
eed
requ
irem
ents
cha
nge
as a
nim
als
age,
and
the
nutr
itio
nal n
eeds
of d
iffe
rent
type
s of
sto
ck (e
.g. b
reed
ers,
sla
ught
er a
nim
als)
var
y. S
easo
nal c
hang
es in
rat
ion
form
ulat
ion
may
als
o oc
cur.
[§2
05.2
37, §
205.
238(
a)(2
), §2
05.6
03]
Farm
Nam
e or
Uni
t:
Pr
oduc
tion
Yea
r:
* Pu
rpos
e re
fers
to ty
pe o
f ani
mal
, sta
ge o
f gro
wth
, sea
son
of th
e ye
ar, e
tc.
Rat
ion
#:
Pu
rpos
e*:
Rat
ion
#:
Pu
rpos
e*:
Rat
ion
#:
Pu
rpos
e*:
Rat
ion
#:
Pu
rpos
e*:
Tota
l %:
Tota
l %:
Tota
l %:
Tota
l %:
2Y
Org
anic
Feed R
atio
n R
eco
rdM
ay b
e co
pied
and
dis
trib
uted
as
need
ed.
Org
an
ic F
arm
Do
cum
en
tatio
n S
erie
sP
rovi
de
d c
ou
rte
sy o
f N
CA
T's
AT
TR
A P
roje
ct,
1-8
00
-34
6-9
14
0
Feed
(pas
ture
**, h
ay, s
ilage
, cor
n, g
rain
s,pr
oces
sed
feed
s, e
tc.)
% o
f d
aily
rat
ion
Org
anic
(O)
Tra
nsi
tion
al (T
)C
onve
nti
onal
(C)
Sou
rce
of f
eed
(fie
ld ID
for
farm
-gro
wn)
Dat
e yo
u b
egan
fe
edin
g th
is r
atio
n
Dat
e yo
u
dis
con
tin
ued
this
ra
tion
(if a
pplic
able
)
**Pa
stur
e hi
stor
y in
form
atio
n ca
n be
doc
umen
ted
in th
e Pa
stur
e A
cces
s Fo
rm.
New
Org
anic
Dai
ry H
erd
Fee
d R
ecor
dU
se th
is fo
rm to
cal
cula
te p
erce
ntag
es o
f org
anic
and
non
-org
anic
feed
rat
ions
for
new
(con
vert
ing*
) dai
ry h
erds
onl
y. I
nclu
de r
atio
n in
form
atio
n on
feed
su
pple
men
ts a
nd a
ddit
ives
, suc
h as
sal
t or
min
eral
mix
es.
Indi
cate
dat
es r
atio
n w
as fe
d, a
s fe
ed r
atio
ns c
hang
e se
ason
ally
. U
se a
new
form
for
each
cla
ss o
f an
imal
. [§
205.
236(
a)(2
)]Fa
rm N
ame
or U
nit:
Prod
ucti
on Y
ear:
Che
ck ty
pe o
f dai
ry a
nim
al r
ecei
ving
this
rat
ion:
P
rodu
ctio
n fe
mal
es _
____
____
____
____
___
R
epla
cem
ent f
emal
es _
____
____
____
____
___
*Whe
n an
ent
ire,
dis
tinc
t her
d is
con
vert
ed to
org
anic
pro
duct
ion,
the
herd
mus
t be
fed
a m
inim
um o
f 80%
cer
tifi
ed o
r ce
rtif
iabl
e or
gani
c fe
ed fo
r 9
mon
ths,
follo
wed
by
100%
or
gani
c fe
ed fo
r th
e fi
nal 3
mon
ths
of th
e co
nver
sion
per
iod,
and
100
% o
rgan
ic fe
ed th
erea
fter
. Se
e §2
05.2
36(a
)(2)
of t
he N
atio
nal O
rgan
ic R
egul
atio
ns.
2Z
New
Org
anic
Dairy
Herd
Feed R
eco
rdM
ay
be
co
pie
d a
nd
dis
trib
ute
d a
s n
ee
de
d.
Org
an
ic F
arm
Do
cum
en
tatio
n S
eri
es
Pro
vid
ed
co
urt
esy
of N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Dat
e cr
op/f
eed
stor
edTy
pe o
f cro
p/fe
edFi
eld
# if
farm
-gro
wn
Lot #
if p
urch
ased
Qua
ntit
y In
Qua
ntit
y O
utD
ate
of c
lean
out /
by w
hom
*
Org
anic
Fee
d S
tora
ge R
ecor
dU
se th
is fo
rm to
doc
umen
t you
r ha
rves
t of f
arm
-gro
wn
feed
cro
ps, s
tora
ge o
f pur
chas
ed fe
eds,
and
pro
per
hand
ling
of o
rgan
ic fe
eds,
feed
sup
plem
ents
, an
d fe
ed a
ddit
ives
in s
plit
sto
rage
to p
reve
nt c
omm
ingl
ing
or c
onta
min
atio
n. [
§205
.237
(a)]
Farm
Nam
e or
Uni
t:
Prod
ucti
on Y
ear:
Stor
age
Uni
t I.D
.:
O
rgan
ic o
nly?
* Pe
rson
who
con
duct
s th
e cl
eano
ut s
houl
d si
gn o
r in
itia
l.
2A
A O
rga
nic
Fe
ed
Sto
rag
e R
eco
rdM
ay b
e co
pied
and
dis
trib
uted
as
need
ed.
Org
an
ic F
arm
Do
cum
en
tatio
n F
orm
sD
eve
loped a
nd d
istr
ibute
d b
y th
e A
TT
RA
Pro
ject
.
Dat
eP
est
Con
trol
Act
ivit
y / I
nput
By
Who
m*
Pes
t Con
trol
Act
ivit
ies
and
In
pu
ts f
or O
rgan
ic F
eed
Cro
p S
tora
geA
rec
ord
of th
e ac
tion
s an
d m
ater
ials
you
use
to p
reve
nt/c
ontr
ol p
ests
in s
tore
d or
gani
c fe
ed c
rops
.Fa
rm N
ame
or U
nit:
C
rop
Yea
r:St
orag
e U
nit I
.D.:
L
ocat
ion
(if o
ff-f
arm
):
* Pe
rson
who
con
duct
s th
e pe
st c
ontr
ol s
houl
d si
gn o
r in
itia
l.
2BB
Sto
rage
Pes
t Inp
uts
May
be
copi
ed a
nd d
istr
ibut
ed a
s ne
eded
.
Org
an
ic F
arm
Do
cum
en
tatio
n S
eri
es
Pro
vid
ed
co
urt
esy
of N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Feed
sup
plem
ent/
addi
tive
Sour
ce o
r br
and
Dat
e of
firs
t us
eO
rgan
ic?
Item
on
Nat
iona
l Li
st*?
App
rove
d by
ce
rtif
icat
ion
agen
t?(i
nclu
de d
ate
appr
oved
)
Rea
son
for
use
Dat
e di
scon
tinu
ed
use
Feed
Su
pp
lem
ents
an
d A
dd
itiv
es: P
rod
uct
In
ven
tory
Trac
k yo
ur c
urre
nt in
vent
ory
of fe
ed s
uppl
emen
ts a
nd a
ddit
ives
wit
h th
is fo
rm.
The
prod
ucer
kee
ps th
is o
ngoi
ng li
st to
doc
umen
t spe
cifi
c pr
oduc
ts
curr
entl
y in
use
for
orga
nic
lives
tock
and
the
date
they
wer
e ap
prov
ed b
y th
e ce
rtif
ying
age
nt, i
f nee
ded.
Kee
p co
pies
of l
abel
s on
file
. [§
205.
237]
Farm
Nam
e or
Uni
t:
Prod
ucti
on Y
ear:
* T
he N
atio
nal L
ist o
f syn
thet
ic s
ubst
ance
s al
low
ed fo
r us
e as
feed
sup
plem
ents
and
feed
add
itiv
es in
org
anic
live
stoc
k pr
oduc
tion
can
be
foun
d un
der
§205
.603
(c) a
nd §
205.
603(
d).
2C
C F
eed S
upple
ments
-Additi
ves
- P
roduct
Inve
nto
ryM
ay b
e co
pied
and
dis
trib
uted
as
need
ed.
Org
an
ic F
arm
Do
cum
en
tatio
n S
eri
es
Pro
vid
ed
co
urt
esy
of N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Hea
lth
car
e pr
oduc
tSo
urce
or
bran
dD
ate
of fi
rst
use
Org
anic
?It
em o
n N
atio
nal
List
*?
App
rove
d by
ce
rtif
icat
ion
agen
t?(i
nclu
de d
ate
appr
oved
)
Rea
son
for
use
Dat
e di
scon
tinu
ed
use
Hea
lth
Car
e P
rod
uct
s: P
rod
uct
In
ven
tory
Use
this
rec
ord
to m
onit
or in
vent
ory
of h
ealt
h ca
re p
rodu
cts
and
vacc
ines
use
d in
you
r or
gani
c liv
esto
ck o
pera
tion
, and
to d
ocum
ent t
he h
ealt
h ca
re
prod
ucts
and
vac
cine
s th
at a
re in
cur
rent
use
. Y
ou s
till
need
to k
eep
indi
vidu
al a
nim
al o
r fl
ock
reco
rds
to s
how
spe
cifi
c da
tes
of u
se o
n sp
ecif
ic a
nim
als.
K
eep
copi
es o
f lab
els
on fi
le.
[§20
5.23
8]Fa
rm N
ame
or U
nit:
P
rodu
ctio
n Y
ear:
* T
he N
atio
nal L
ist o
f syn
thet
ic s
ubst
ance
s al
low
ed fo
r us
e as
hea
lth
care
pro
duct
s in
org
anic
live
stoc
k pr
oduc
tion
can
be
foun
d un
der
§205
.603
(a)(
5)-
(14)
and
§20
5.60
3(b)
(1)-
(6).
2D
D H
ealth
Care
Pro
duct
s -
Pro
duct
Inve
nto
ryM
ay b
e co
pied
and
dis
trib
uted
as
need
ed.
Org
an
ic F
arm
Do
cum
en
tatio
n S
eri
es
Pro
vid
ed
co
urt
esy
of N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Sani
tati
on p
rodu
ct a
nd b
rand
nam
eR
easo
n fo
r us
e
App
rove
d by
ce
rtif
ying
age
nt?
(inc
lude
dat
e ap
prov
ed)
Dat
e of
firs
t use
Dat
e di
scon
tinu
ed u
se
San
itiz
ers:
Pro
du
ct I
nve
nto
ryU
se th
is r
ecor
d to
mon
itor
inve
ntor
y of
all
dete
rgen
ts, a
cid
was
hes,
san
itiz
ers,
and
oth
er c
lean
ing
prod
ucts
use
d in
org
anic
live
stoc
k ho
usin
g, th
e m
ilkho
use,
and
oth
er p
rodu
ctio
n ar
eas,
and
to d
ocum
ent t
he s
anit
atio
n pr
oduc
ts c
urre
ntly
in u
se.
Kee
p co
pies
of l
abel
s on
file
.[§
205.
603(
a)]
Farm
Nam
e or
Uni
t:
P
rodu
ctio
n Y
ear:
* T
he N
atio
nal L
ist o
f syn
thet
ic s
ubst
ance
s al
low
ed fo
r us
e as
san
itiz
ers
in o
rgan
ic li
vest
ock
prod
ucti
on c
an b
e fo
und
unde
r §2
05.6
03(a
).
2E
E S
aniti
zers
- P
roduct
Inve
nto
ryM
ay b
e co
pied
and
dis
trib
uted
as
need
ed.
Org
an
ic F
arm
Do
cum
en
tatio
n S
eri
es
Pro
vid
ed
co
urt
esy
of N
CA
T's
AT
TR
A P
roje
ct, 1
-80
0-3
46
-91
40
Pest
con
trol
pro
duct
Sour
ce o
r br
and
Dat
e of
firs
t us
eO
rgan
ic?
Item
on
Nat
iona
l Li
st*?
App
rove
d by
ce
rtif
icat
ion
agen
t?(i
nclu
de d
ate
appr
oved
)
Rea
son
for
use
Dat
e di
scon
tinu
ed
use
Pes
t Con
trol
Pro
du
cts:
Pro
du
ct I
nve
nto
ryU
se th
is r
ecor
d to
mon
itor
you
r in
vent
ory
of a
gent
s us
ed in
pes
t man
agem
ent (
e.g.
fly
cont
rol s
pray
s, b
aits
, man
ure
trea
tmen
ts, e
tc.),
and
to d
ocum
ent
thos
e pr
oduc
ts th
at a
re in
cur
rent
use
. K
eep
copi
es o
f lab
els
on fi
le.
[§20
5.23
8]Fa
rm N
ame
or U
nit:
P
rodu
ctio
n Y
ear:
* T
he N
atio
nal L
ist o
f syn
thet
ic s
ubst
ance
s al
low
ed fo
r us
e in
org
anic
live
stoc
k pr
oduc
tion
can
be
foun
d un
der
§205
.603
.
2F
F P
est
Contr
ol P
roduct
Inve
nto
ryM
ay b
e co
pied
and
dis
trib
uted
as
need
ed.
