Request for contribution to compensation for the cost of animals compulsorily slaughtered and eggs compulsorily destroyed
| Outbreak No | Contact with outbreak | Other | Holding identification number | Farmer | Holding location | Animal owner | Date of slaughter | Slaughter | Method of destruction | Weight on date of destruction | Number of animals per category | Amount paid by category | Other costs paid directly to the farmer(excluding VAT) | Total compensation(excluding VAT) | Date of payment |
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| | | | Surname | Forename | | Surname | Forename | | Farm | Slaughterhouse | Rendering plant | On-site incineration | Other (specify) | | sows | boars | piglets | pigs | sows | boars | piglets | pigs | | | |
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Specify cow category: dairy and/or beef. |
| Outbreak | Contact with outbreak | Other | Holding identification number | Farmer | Holding location | Animal owner | Date of slaughter | Slaughter | Method of destruction | Weight on date of destruction | Number of animals per category | Amount paid by category | Other costs paid directly to the farmer(excluding VAT) | Total compensation(excluding VAT) | Date of payment |
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| | | | Surname | Forename | | Surname | Forename | | Farm | Slaughterhouse | Rendering plant | On-site incineration | Other (specify) | | cowsf1 | heifers | calves | bulls | cows | heifers | calves | bulls | | | |
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| Outbreak | Contact with outbreak | Other | Holding identification number | Farmer | Holding location | Animal owner | Date of slaughter | Slaughter | Method of destruction | Weight on date of destruction | Number of animals per category | Amount paid by category | Other costs paid directly to the farmer(excluding VAT) | Total compensation(excluding VAT) | Date of payment |
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| | | | Surname | Forename | | Surname | Forename | | Farm | Slaughterhouse | Rendering plant | On-site incineration | Other(specify) | | sheep | goats | others | sheep | goats | others | | | |
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| | | | | | | | | | | | | | | | ewes | lambs | rams | goats | billygoats | kids | | ewes | lambs | rams | goats | billygoats | kids | | | | |
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| Outbreak | Contact with outbreak | Other | Holding identification number | Farmer | Holding location | Animal owner | Date of slaughter | Slaughter | Method of destruction | Weight on date of destruction | Number of animals per category | Amount paid by category | Other costs paid directly to the farmer(excluding VAT) | Total compensation(excluding VAT) | Date of payment |
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| | | | Surname | Forename | | Surname | Forename | | Farm | Slaughterhouse | Rendering plant | On-site incineration | Other(specify) | | hens | poultry | Others | hens | poultry | Others | | | |
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| | | | | | | | | | | | | | | | laying hens | broiler hens | breeding hens | ducks | geese | turkeys | | laying hens | broiler hens | breeding hens | ducks | geese | turkeys | | | | |
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| Outbreak | Contact with outbreak | Other | Holding identification number | Farmer | Holding location | Animal owner | Date of slaughter | Slaughter | Method of destruction | Weight on date of destruction | Number of animals per category | Amount paid by category | Other costs paid directly to the farmer(excluding VAT) | Total compensation(excluding VAT) | Date of payment |
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| | | | Surname | Forename | | Surname | Forename | | Farm | Slaughterhouse | Rendering plant | On-site incineration | Other(specify) | | hens | poultry | others | hens | poultry | Others | | | |
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| | | | | | | | | | | | | | | | laying hens | broiler hens | breeding hens | ducks | geese | turkeys | | laying hens | broiler hens | breeding hens | ducks | geese | turkeys | | | | |
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