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IOWA US SHIP Enrollment Form

  • IPPA
    • About the Iowa Pork Producers Association
    • Board of Directors
    • Membership Benefits
      • Iowa Pork Alliance
    • IPPA Committees
      • Pork in the Pantry
    • IPPA Staff
    • Contact Us
  • News
    • News For Producers
    • IPPA News Releases
    • Publications
      • Iowa Pork Producer Magazine
      • For Advertisers in Iowa Pork Producer
      • Headlines Newsletter
    • Iowa Pork Industry Contribution Study 2020
    • Iowa Pork Facts
    • Calendar
  • Producers
    • Resources and Information
      • Webinars: Livestock & Poultry Rollovers
      • 2018 USDA Market Facilitation Program
      • Production Resources
      • Manure Management Plans
      • Air quality assessment model
      • Foreign Animal Diseases
    • Master Pork Awards Program
      • IPPA Pork Awards Recipients
    • Environmental Steward Program
    • Fact Sheets
    • Quality Assurance Programs
    • Rules and Regulations
      • Environmental Regulations Handbook
    • Seminars and Conferences
    • Iowa Pork Alliance
    • Iowa Pork Leadership Academy
    • SIP
    • Veterinary Feed Directive
    • Helpful Links
  • All About Pork
    • 12 Days of Pork
    • Best Breaded Pork Tenderloin Contest
    • We Dare You to Conquer the Iowa Tenderloin Trail
    • Pulled Pork Madness
    • The We Care® Responsible Pork Initiative
    • Culinary Competitions
      • Student Taste Competition
      • Taste Chef Competition
    • Best Food Facts – Ask the Experts
    • Cooking/Nutrition
    • National Quick Facts About Pork
    • IPPA Product Catalog
    • Resources For Educators
      • Everything but the Oink Flyer
      • High School Swine Curriculum
    • Pork Suppliers
    • porktober22
  • Youth
    • Iowa Pork Youth Leadership Team
    • Scholarships & Internships
    • Youth Swine Judging Contest
    • Bacon Buddies®
    • Pig to Plate Adventure
    • Youth Leadership Team Contest
    • Youth for the Quality Care of Animals
  • IPSC
    • About the Iowa Purebred Swine Council
    • Breeder’s Directory
    • Master Seedstock Producer
    • Verified Iowa Purebred (VIP)
    • Youth Activities and Sponsorship
  • Pork Cash
  • Recipes
  • We Care
  • ChopTalk

Step 1 of 3 - IOWA US SHIP Enrollment Form

33%

US SHIP Participant Information (Swine Owner)

Contact Name(Required)
Mailing Address(Required)
     

Additional Contact Information*

*For US SHIP Participant enrolling multiple sites, Site Owner contact and optional Additional Contact for each site will need to be listed on an attached Multi-Site Enrollment spreadsheet. Download that spreadsheet here.
Site Owner same as Swine Owner
     
Mailing Address
     
     
Preferred Additional Contact
     

Premises (Site) Information

Multiple sites
Accepted file types: xlsx, Max. file size: 256 MB.
     
911 Address of Site
GPS Coordinates (Decimal Degrees), if 911 Address is not provided
Site Type(Required)
Untitled
Untitled
Untitled
Untitled
Untitled
Untitled
These statements apply to all sites listed for multi-site enrollment.

Veterinary–Client–Patient Relationship

Veterinary involvement(Required)
More than one vet
Veterinarian Name(Required)
     

Biosecurity

Garbage feeding(Required)
Site visitors(Required)
Survey completed(Required)
     

Traceability

Records of movements(Required)
IDALS test exercise(Required)
     

Sampling and Testing (Disease Surveillance)

Evolving requirements(Required)
Delegate participation(Required)
Notify IDALS of site changes(Required)
     
Information complete and correct(Required)
Program Participant Name(Required)
MM slash DD slash YYYY

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