4-H Project Prohibited Feed Affidavit

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4-H show committee name _________________________________________________________
.
4-H member’s name _________________________________________________________________

4-H club name _______________________________________________________________________

Lot # _______________________________________________________________________________

I, ___________________________________ (please print), of the ____________________________________________
4-H Club, attest that to the best of my knowledge, the ration fed to cattle under my authority, direction or ownership and which are supplied to any packer in Canada have not been fed "prohibited material" as defined in the Mammalian to Ruminant Feeding Ban SOR/97-362 (Amendments to the Regulations Respecting the Health of Animals, SOR/91-52S), made pursuant to the Health of Animals Act S.C. 1990, c21

This certificate will terminate on December 15, 200____ or upon the delivery of my written revocation hereof. The certificate must be signed by the "owner" described on the Livestock Manifest regarding the livestock to be sold.

I agree that authorized officials from the packers may conduct reasonable inspection of feed records and feed facilities at location from which cattle under my direction or ownership are fed.

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Signature of 4-H member

________________________________________________________________________________________
Address

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Town or city..........................................................................Province..........................Postal code

________________________________________________________________________________________
Phone number

________________________________________________________________________________________
Date

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Signature of parent or guardian

Health of Animals Regulations
Part XIV – Food for Ruminants, Livestock and Poultry
Prohibited Material

162

(1) In this Part, "prohibited material" means anything that is, or that contains any, protein that originated from a mammal, other than a porcine or an equine. It does not include milk, blood, gelatin, rendered animal fat or their products.
(2) Prohibited material that has been treated in a manner approved by the Minister to inactivate the agents that cause transmissible spongiform encephalopathies is no longer prohibited material. SOR/97-362, s. 4.
.

163

(1) A person who identifies prohibited material by means of adding to it a marker or tracer substance that has been approved by the Minister in the manner specified in that approval, is not required to keep the records referred to in subsections 165(2) and 166(2) and section 171.
(2) Every person who identifies prohibited material in accordance with subsection (1) shall maintain a record of manner in which the marker or tracer substance was added to the prohibited material. SOR/97-362, s. 4.

27/01/02

4-H Project Prohibited Feed Affidavit

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