Annex I

United Kingdom

Application for a contribution to the compensation for the cost of animals compulsorily culled

Outbreak No	Contact with outbreak No	Identification No of holding	Farmer		Location of the holding	Date of slaughter	Method of destruction			Weight on date of destruction	Number of animals by category				Amount paid by category				Other costs paid to the farmer (not including VAT)	Total compensation (not including VAT)	Date of payment
Outbreak No	Contact with outbreak No	Identification No of holding	Surname	First name	Location of the holding	Date of slaughter	Rendering plant	Slaughterhouse	Other (please specify)	Weight on date of destruction	sows	boars	piglets	pigs	sows	boars	piglets	pigs	Other costs paid to the farmer (not including VAT)	Total compensation (not including VAT)	Date of payment