Embryo Transfer Certificate

By clicking submit I hereby certify that the facts below are true and correct concerning the Embryo Transfer of the cow described.

Owner's Name *

TLBAA Member No. *

Registered Name of Cow *

Cow's TLBAA No. *

Cow's P.H. No. *

Cow's P.H. No. Location *

Cow Owner's TLBAA No. *

ex. R Hip, L Hip

Cow Owner's Name *

Cow Owner's Address

Registered Name of Certified Sire

Sire's TLBAA No.

Sire's A.I. No.

Sire's P.H. No.

Date of Embryo Transfer *

Name of Transfer Technician *

Address of Transfer Technician *

Signature of Transfer Technician *

Entering your name here is officially signing the document

If Embryo Transfer is a result of natural service, please complete the following:

Registered Name of Sire

Natural Sire's TLBAA No.

Natural Sire's A.I. No.

Natural Sire's P.H. No.

Natural Sire P.H. No. Location

ex. R Hip, L Hip

Natural Sire Owner's Member No.

Natural Sire Owner's Name

Natural Sire Owner's Address

Natural Sire Owner's Signature

Entering your name here is officially signing the document

For rules regarding Embryo Transfer, please refer to Section 7 of your TLBAA Handbook.