*Indicates required field
Section 1: General Information
Include the date(s) and time(s) the movement(s) will begin and end, name of requestor, shipping company, and number of movements.
Name of Requestor
*
Date of Request
*
Date Movement Started
*
Date Movement End
*
Name of shipping company conducting the movement
*
Number of Conveyances(Number of Movements/Trips)
*
Section 2: Point of Origin
Include location name, address, premise I.D., company name, type of facility, and whether or not it is within the control zone.
Location Name
*
Physical Address
*
City
*
State
*
Zip Code
*
Phone number
*
Email Address
*
Premise ID
Is location within the control zone ?
**
If in a control zone, a bio security plan is required to obtain a permit.
Company Name
*
Type of Facility
*
Biosecurity Plan Implemented? (ATTACH A BIOSECURITY PLAN IN SECTION 7)
Section 3: Point of Destination
Include location name, address, premise I.D., company name, type of facility, and whether or not it is within the control zone
Location Name
*
Physical Address
*
City
*
State
*
Zip Code
*
Phone number
*
Email Address
*
Premise ID
Is location within the control zone ?
Company Name
*
Type of Facility
*
Biosecurity Plan Implemented? (PLEASE ATTACH CURRENT LOG BOOKS WITH DATES/TIMES IN SECTION 7)
Enhanced Biosecurity Plan Implemented? (PLEASE ATTACH IN SECTION 7)
Section 4: Point of Contact (Primary)
Include contact name, title, company name, phone number, and email address.
Contact Name
*
Contact Title
*
Company Name
*
Phone number
*
Email Address to send permit
*
Section 5: Point of Contact (Secondary)
Include contact name, title, company name, phone number, and email address.
Same as Above
Contact Name
*
Contact Title
*
Company Name
*
Phone number
*
Email Address to send permit
*
Section 6: Product/Animal/Feed/Equipment
Include the type of product and quantity.
?
Product Type/Animal
*
Total Number of Units
*
Unit of Measurement
*
Units per Conveyance
Section 7: Upload Documents
Include the appropriate documents as attachments.
For movements within or from a control zone, please submit the following for the origin premises (if applicable):
Test Results
Bio Security Plan from the Origin Premises
Bio Security Plan from the Destination Premises
Additional Documents:
i.e. Log Books
Test Results Document
Bio Security Plan from Origin Premises
Bio Security Plan For Destination Premises
Additional Documents (Log Books)
**
By submitting this request you agree to meet Georgia's movement requirements prior to any movement taking place. Failure to meet Georgia's movement requirements can result in denial of future movement requests as well as civil and/or criminal penalties. Test results should be emailed to Gapermits -
Gapermits@agr.georgia.gov
**
To get more information on Hogs and Hog movement follow these links:
securepork.org
Secure Pork Resources PDF
**
If you would like to reach out to a representative please contact us here:
Phone:
404-656-3667
| Email:
AnimalHealth@agr.georgia.gov
Submit
Clear