Western Australian Consolidated RegulationsForm No. 1
Cattle Industry Compensation Act 1965
TO (Owner of Cattle)
.............................................................................................
Address
..................................................................................................................
I hereby give you notice that a Veterinary Surgeon authorised by the Chief
Inspector of Stock will visit your property on
..................................................... 20............. at
....................................... o’clock for the purpose of
inspecting and conducting a tuberculin test of your cattle and you are hereby
required to muster and yard such cattle at the time and date mentioned and
submit them to such inspection and test and to render all reasonable
assistance in connection with the handling of the animals.
Take notice also that you are required to provide a crush or other suitable
means of restraint for the purpose of such inspection or tuberculin testing,
and that failure or neglect by you so to do may render you liable to a penalty
not exceeding $100.
Date ................................................
..................................................
Chief Inspector of Stock.
Note. — “Cattle” refers to any bull, cow, ox,
steer, heifer or calf.
Form No. 2
Western Australian Department of Agriculture
Cattle Industry Compensation Act 1965
No. .......................................
|
Chief Inspector of Stock Department of Agriculture |
Practitioners Reference No. ........................ |
I hereby certify that the following cattle belonging to (NAME)
...........................
............................................ of
(PROPERTY) .......................................................
were
subjected to the single intradermal tuberculin test on
...................................
20 .................... and all positive
reactors identified by numbered tags as required.
|
Beef/Dairy* |
Part Herd □ |
Whole Herd □ |
Premise No. □ |
|
Bulls ................... |
Test Type: |
Check □ |
Identification of Reactors |
|
Cows ................... | |
Eradication □ |
..................................... |
|
Oxen ................... | |
Survey □ |
..................................... |
|
Steers ................... | |
Movement □ |
..................................... |
|
Calves ................... | |
Other □ |
..................................... |
|
Total ................... |
No. Reactors ................ No. with Lesions
.................... | ||
Signed .................................. (Veterinary Surgeon)
Date......................
*Delete not required.
I hereby certify that the above cattle were tuberculin tested by
.............................. Veterinary Surgeon, on the date shown and that
the positive reactors were identified as described.
Signed .............................................. (Owner)
Date .....................
CLAIM FOR PAYMENT FOR TUBERCULIN TESTING Account
Code
|
PAY: |
Creditor’s Name: |
| |
Address: |
| |
Town/Suburb: Postcode: |
|
Date of | |
FOR THE FOLLOWING SERVICES | |||
|
Quantity |
Particulars |
Rate |
Amount $ c | ||
|
Testing | | | | ||
| |
Travel | | | | |
| |
Autopsies | | | | |
| | | |
Total | | |
I hereby certify that the above expenditure was incurred for work authorised
by the Department of Agriculture, Western Australia.
Signed .................................... (Veterinary Surgeon) Date
...............................
OFFICE USE ONLY
|
I certify that this Account as regards computations castings and rates is
correct and the service has been faithfully performed. Officer incurring the expense , 20 |
I certify that this Account is correct within the meaning of section 33
of the Audit Act 1904 3 . Certifying Officer , 20 |
Form 2A
[Reg. 8A]
Cattle Industry Compensation Act 1965
ORDER FOR THE DESTRUCTION OF INFECTED CATTLE
(Section 14B)
To 1
........................................................................................................................
You are hereby notified that 2
................................................................................
........................................................... situated at
3 .................................................
................................................................................................................................
shall be destroyed in accordance with this order.
4
.............................................................................................................................
................................................................................................................................
Chief Inspector of Stock.
Date.................................
1 Name of names and address(es) of owner(s) of
cattle.
2 Description of cattle to be destroyed.
3 Description of property.
4 Brief description of the manner in which, the
time within which and by whom the cattle shall be destroyed.
Form No. 3
Regulations 6 and 9
Cattle Industry Compensation Act 1965
CLAIM FOR COMPENSATION
To Chief Inspector of Stock.
*I/WE .............................................. of
.................................................................
DO SOLEMNLY AND SINCERELY declare that *I am/we are the owner(s) of the cattle
described in the Schedule hereunder and that the information contained therein
is to the best of *my/our knowledge and belief correct in every particular and
*I/we make this solemn declaration by virtue of section 106 of the
Evidence Act 1906 .
AND
*I/We accept the valuation set out in the
Schedule hereunder and apply for payment of compensation.
Declared at ...................... this .................. day of
................................., 20..........
Before me ..................... (witness). Signature of owner(s)
............... ...............
SCHEDULE OF PARTICULARS OF POSITIVE REACTORS TO TEST
* Delete as required.
|
Metal Reactor tag |
Brand or Ear tag |
Sex |
Colour |
Breed |
Age |
Valuation |
|
|
Total Claimed ............................
DISEASE TYPE:
1 □ TUBERCULOSIS
2 □ BRUCELLOSIS
3 □
..........................................
...................................................
If
disease is not 1 or 2 above state type at 3.
Signature of Stock Inspector.
Form No. 3AA
Cattle Industry Compensation Act 1965
CLAIM FOR COMPENSATION
AND CERTIFICATE OF INSPECTOR
To: Chief Inspector of Stock.
*I/We ................................................ of
................................................................
DO SOLEMNLY AND SINCERELY declare that *I am/we are the owner(s) of the cattle
described in the Schedule hereunder and that the information contained therein
is to the best of *my/our knowledge and belief correct in every particular and
*I/we make this solemn declaration by virtue of section 106 of the
Evidence Act 1906 .
AND
* I/We accept the valuation set out in the Schedule hereunder and apply for
payment of compensation.
Declared at ...................... this
.................. day of .................................. 20..........
Before me ............................................................
(witness)
Signature of owner(s)
............................................................................................
* Delete as required.
SCHEDULE OF PARTICULARS OF CATTLE/CARCASSES
FOR WHICH COMPENSATION IS CLAIMED
|
Brand or Ear tag |
Sex |
Colour |
Breed |
Age |
Died/ |
Valuation |
|
|
Disease causing death for which cattle/carcasses destroyed
..................................................................................................
After due enquiry I have no reason to doubt the correctness of the above
declaration in any particular and certify that in my opinion the
stock/carcasses are eligible for compensation, having died from/were destroyed
because of ............................, a disease specified by notice in
the Government Gazette dated .............................., and being located
in the area specified, namely
.......................................................
.......................................................
Inspector or other
authorised person.
........................................................
Date
Form No. 3A
Cattle Industry Compensation Act 1965
Practitioners Reference No.
Departmental File No.
Chief Inspector of Stock,
Department of Agriculture,
South Perth.
I hereby certify that blood samples were collected from each of the following
cattle on the property of
.........................................................................................
of .......................................................... on
............................................................ 20......... These
animals were individually identified as per data sheets forwarded together
with the samples to the Animal Health Laboratory/Regional Veterinary
Laboratory for serological testing.
|
Licensed |
|
|
Bulls
Cows
Heifers
Total
Date ...........................................
...................................................................
Veterinary Surgeon.
I hereby certify that blood samples were collected
and animals identified by ....................................................
Veterinary Surgeon on the date shown.
Date ...........................................
...................................................................
Owner of Cattle.
Note: “Cattle” refers to any bull, cow or heifer over the age of
6 months.
Form 3B
[Reg. 9A]
Cattle Industry Compensation Act 1965
CLAIM FOR COMPENSATION
To the Chief Inspector of Stock
1
I/We......................................................................................................................
of.............................................................................................................................
1 am/are the 1 owner(s) of 2
...................................................................................
situated at 3
.............................................................................................................
the subject of an order under section 14B of the Act.
1 I/We accept
the valuation of $ 4
................................................................... and
hereby apply for payment of compensation for that amount.
Signature of 1
owner(s).................................................................................
Date .............................................................
1 Delete as required.
2
Number and description of cattle to be destroyed.
3
Description of property.
4 The value
of the destroyed cattle determined by agreement under section 17 of the
Act.
Form No. 4
Cattle Industry Compensation Act 1965
NOTICE TO REMOVE DISEASED CATTLE
To (owner of cattle) ............................................ of
..............................................
The diseased cattle described in the Schedule hereunder must he removed from
your herd for slaughter.
You are required to isolate and *destroy/yard these cattle on or before
.................................................... 20.............
Yarded cattle are to be consigned by *rail/road for slaughter and sale of
carcasses at the ............................................................
abattoir on the above date.
.........................................................
....................................
For
the Chief Inspector Date
of Stock.
* Delete as required.
|
Metal Reactor tag |
Brand or Ear tag |
Sex |
Colour |
Breed |
Age |
Valuation |
|
|
DISEASE TYPE:
1 □ TUBERCULOSIS
2 □ BRUCELLOSIS
3 □
..........................................
If disease is not 1 or 2 above state type at 3.
![]()
[Form 5 deleted in Gazette 26 May 1971 p. 1805.]
Form No. 6
Cattle Industry Compensation Act 1965
Chief Inspector of Stock,
Department of Agriculture,
South Perth.
I, ...................................................... of
............................................................. in the State of
Western Australia, hereby make application for payment of compensation for the
carcasses or portions of carcasses condemned on ....................... day of
............................... 20.......... at
..........................................
Schedule of Particulars of Carcasses or portions of Carcasses
|
Date of Slaughter |
Description, Weight and Tail‑tag Number |
Disease |
Portion |
Market Value |
|
|
And I, the said .......................................... do solemnly and
sincerely declare that I am the owner of the carcasses or portions of
carcasses described in the above Schedule and that the information contained
therein is to the best of my knowledge and belief correct in every particular
and I make this solemn declaration by virtue of section 106 of the
Evidence Act 1906 .
Declared at ..................................................
in the State of Western Australia the
.............. day of ...........................
20..............
........................................................
(Signature of Owner.)
(To be completed by the person who issued the condemnation order.)
I certify that the statements made in the foregoing claim are correct.
........................................................
Meat Inspector.
Form No. 7
The Manager
.........................................
Abattoir
Cattle Industry Compensation Act 1965
NOTICE OF CONSIGNMENT OF DISEASED CATTLE FOR SLAUGHTER
Owner’s Name .......................................... Address
..............................................
The diseased cattle described in the Schedule hereunder have been removed from
the owner’s herd and *destroyed/yarded for consignment on the
............... .................................... 20......... by *rail/road
for slaughter and sale of carcasses at the ..........................
abattoir.
For Chief Inspector of Stock .................... on
.............................. 20..........
* Delete as required.
SCHEDULE OF PARTICULARS OF POSITIVE REACTORS TO TEST
|
Metal Reactor |
Brand |
Sex |
Colour |
Breed |
|
|
Gen. |
Loc. |
NVL |
|
|
DISEASE TYPE: ABATTOIR STOCK INSPECTOR
1 □ TUBERCULOSIS
Lairage in Date .......................... 20 .........
2 □
BRUCELLOSIS
3 □
.................................. Slaughter Date
............................20 ..........
If disease is not 1 or 2 above state type at 3.
.........................................................
(Abattoir Stock
Inspector)
Form No. 8
Cattle Industry Compensation Act 1965
NOTIFICATION OF NET VALUE OF CARCASSES
|
The Director | |
Owner’s
name:........................................................................................................
Address:..................................................................................................................
PARTICULARS OF CATTLE SLAUGHTERED
|
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 | ||||
|
Tag No. |
Carcass weight |
Gross value |
Value |
Total gross |
Net | ||||||
|
Condemned |
Sold |
Rate | |||||||||
| | | | | | | | | | | | |
| | | | | | | | | | | | |
| | | | | | |
| |||||
|
Totals: | | | | | | | | | | | |
The abovementioned cattle were slaughtered at
................................................... abattoir on
.................................20 ........, in accordance with the
requirements of the Cattle Industry Compensation Act 1965 .
The Net Value of the carcasses $.............................................
forwarded herewith represents the proceeds from the sale of the abovementioned
cattle, after deducting slaughtering charges and other expenses incurred.
.........................................................
..............................................................
Date
O.I.C. Abattoir.