1. FORM MUST BE COMPLETED IN THE
PRESENCE OF A PERSON AUTHORIZED TO ADMINISTER OATHS.
2. FILL IN NAME, ADDRESS AND IDENTIFICATION NUMBER OF APPLICANT.
3. FILL IN NAME, REGISTRATION NUMBER AND BREED OF ANIMAL IF POSSIBLE.
4 TATTOO OF ANIMAL OR COMPLETE COLOUR DESCRIPTION IN THE CASE OF HORSES.
5. STATE WHY THE ORIGINAL CERTIFICATE IS NOT AVAILABLE.
6. SEND DECLARATION TO CANADIAN LIVESTOCK RECORDS CORPORATION,
2417 HOLLY LANE, OTTAWA, ON KIV 0M7 WITH $________________________.
NOTE: DUPLICATE CERTIFICATES CANNOT BE ISSUED WHEN ORIGINALS ARE STILL IN EXISTANCE.