Wyoming Livestock Board

Matthew H. Mead Governor

Wyoming Livestock Board

"Safeguarding Wyoming's Livestock Industry Today and for the Future' 1934 Wyott Drive, Cheyenne, Wyoming 82002-0051

Phone: (307) 777-7515 ? Fax: (307) 777-6561 U Web Site: Jim Logan, DVM-State Veterinarian

Adjacent State Border Property Movement Permit

(Revised 10-12-15) This permit is good for any and all livestock types

Steve True

Director-Chief Executive Officer

Date:

Permit Number

Name of Herd Owner:

Mailing Address:

Street

Town

Telephone Number:

Fax:

Legal Description of Ranch in Home State:

Legal Description of Ranch in Neighbor State:

County

State

E-mail:

Destination: Nearest road address and town in the state where your land is contiguous with Wyoming property

Type & number of livestock owned:

Name of your Veterinarian:

Phone:

Lip

Brand/Location

The undersigned certifies that the herd in question is an established breeding herd and has not been assembled within the last six (6) months and agrees that the conditions listed below will be met and adhered to.

Conditions of Agreement: 1) This permit is for the movement of animals back and forth across a state line on land contiguous to both sides. All animals are to stay on property described above. 2) If animals are moved off the property within one (1) month of entry into Wyoming they shall be treated as imported animals and shall be examined by a Federally Accredited veterinarian and a Certificate of Veterinary Health Inspection written to ensure they meet all import requirements.

Land Owner Signature (or agent):

Date:

----Office use only---

Signature of Wyoming Livestock Board Official:

Date:

Title:

***This permit does not negate brand requirements*** Owner: Please mail this form to the Wyoming Livestock Board Office.

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