Register: Small Flock Egg Producer Salmonella Testing Program

Please fill out and submit this form. Upon receipt, someone from the Big Red Biosecurity Program will contact you to arrange an appointment to collect samples.

Please note: Payment of $25 is due prior to the appointment date. Details will be provided once a date is set.

Contact Information

Your name Required

Email Required

Telephone number Required

Business Information

Name of business/farm

Address of business/farm (test results will be mailed to this address) Required

Your affiliation to business Required

Owner/Operator

Manager

Other

Please specify your role

Are you authorized to receive the test results? Required

Yes

No

Size of operation Required

500-1,000 birds

250-499 birds

Fewer than 250 birds

DO YOU HAVE A BIOSECURITY PROGRAM? Required

Yes

No