DAIRY HERD INFORMATION FORM

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DAIRY HERD INFORMATION FORM 1 Farm Name Date Owner Name Cell # Address City State Zip E-mail Account # Office # Fax # Home # OTHER DAIRY CONTACTS 1) Manager/Herdsperson Email Cell# Office # 2) Name_ Cell# Office # OTHER LOCATIONS WHERE LIVESTOCK ARE KEPT (FILL OUT COMPLETELY) 1) Group Description Address City State Zip 2) Group Description Address City State Zip DAIRY HERD PROFILE CALF PROFILE WHERE ARE HEIFERS RAISED? # Cows Milking Birth to weaning # Cows Dry Weaned to 1 year Xs Milked Daily 1 year to Springers age at calf raiser age returned Do you purchase replacements (number of animals)? Cows Heifers Bulls PRODUCTION Avg lbs / Cow / Day in Bulk Tank RHA lbs Milk %Fat % Protein EQUIPMENT Herringbone Parallel Swing Flat Barn Rotary # Stalls # Units Pipeline # of Units How do you milk fresh cows and treated cows?

HOUSING 2 HOUSING TYPE (Check appropriate box) Freestall Stanchion/ Tie-Stall Pasture Loose Housing BEDDING TYPE (Check all that apply) Sand Mattress/Rubber Mat Straw/ Shavings/ Stalks Manure Solids Other (describe) MILKING FAR-OFF DRY CLOSE-UP DRY HEIFERS DRUG STORAGE / HANDLING Where are drugs stored? Are lactating and dry cow drugs stored separately? Who examines and treats sick cows? How are treatments recorded? How are withdrawals recorded? Do you have treatment protocols? If YES, please provide copies. Call us if you do not have access to a copy machine. How do you deworm cows heifers Have you had any drug residue violations during the last 6 months? How did violation occur? VACCINATION PROGRAMS Is this herd on a specific vaccination protocol? If yes, please provide copies. Which vaccines are currently given? Product Used When Given BVD-IBR-PI3-BRSV E. coli scours and Rota-Corona Lepto 5-way Lepto hardjo bovis Clostridial Hemophilus E. coli mastitis vaccines Salmonella other Pasteurella Other:

DISEASE INFO Retained Placenta (RP) Estimated Annual Incidence Metritis Ketosis Diarrhea Hairy Heel Warts Footrot Pneumonia Hoof Lameness (Abcesses) Cystic Ovaries Milk Fever Percent of cows assisted with calving Abortions Other Does a Protocol Exist? Are you on a Johnes control program? Estimated Treatment Success How you treat this condition? 3

MILKING PROCEDURE Number the order in which these procedures are performed (leave blank if you don t do): Clean Strip Dip Wipe Attach Approximate time between start of prep and unit attachment: seconds OR list number of cows prepped before start of unit attachment 4 Type of PREDIP: Chlorhexidine base POSTDIP: Chlorhexidine base Iodine base Iodine base Other Other Are gloves worn? BULK TANK CULTURES DATE: GOALS Strep Ag 0 Staph aureus 0 Strep sp. <700 Coliforms <100 Staph sp. <300 Mycoplasma Negative CLINICAL MASTITIS CULTURES Individual Cow Results BULK TANK DATA From most recent creamery slips available SCC Average Minimum Maximum Bacteria count Average Minimum Maximum Last DHIA bulk tank SCC Is individual SCC data available? CLINICAL MASTITIS INFORMATION Do you perform on-farm milk culturing? Estimate the # of clinical cases of mastitis in the last month Any death loss from mastitis At what stage of lactation do most clinical cases occur? Early Middle Late All stages List farm treatment protocols: Estimate the success of current mastitis treatment protocols: Who decides treatments: How do you mark treated cows? Which DRY COW therapies are currently used? Quartermaster CefaDri / Tomorrow Spectramast DC Orbeseal Albadry Orbenin DC / Dryclox Other ne Approximately what percent of cows/heifers experience udder edema? <5% 5-25% Severity is usually: Minor Moderate Severe

REPRODUCTION & CALVING Type of calving area: Calving Pen Calve in freestalls Pasture Calve in tie-stalls/stanchions Group bedded pack How often area is cleaned Are special needs cows kept in the calving areas? Never Seldom Often Always FRESH COW DISEASE INFORMATION 5 What is fresh cow protocol Prostaglandin injection At what avg days in milk? Intrauterine infusion or bolus At what avg days in milk? Oxytocin Injection What is the Voluntary Waiting Period on this farm? days Who does the breeding on the farm (by percentage of cows bred): % AI technician % AI by employees/owner % Bull Who does the estrus detection? Owner/Family AI technician Employee Bull heat detection What estrus detection aids are utilized? K-Mar Tail chalk/paint Pedometers Marker animal ne Describe breeding programs: Who performs pregnancy checks? At what days carried calf is pregnancy checking done? 1 st check 2 nd check 3 rd check How is pregnancy checking done? Palpation Ultrasound Blood Test t Checked Who does pregnancy checks HEIFER REPRODUCTION At what age or size are heifers bred? Describe heifer breeding program: REPRODUCTIVE PERFORMANCE Reproductive Performance information: DHIA Dairy Comp 305 Manual Other List all parameters available: STATISTIC RESULT Average days open or Calving interval Conception Rate Pregnancy Rate Avg Services per Conception Age at 1 st calving heifers Other

YOUNGSTOCK How are treatment records kept for youngstock? Are heifer calves tagged at birth? Are bull calves raised on the farm? Steer (numbers) Bull (numbers) How are calves fed colostrum? Bottle Tube fed Nursing cow Combination How much colostrum is fed? Which types of colostrum are fed? (Check all that apply) Fresh Frozen Refrigerated Pasteurized From the dam From another individual cow Pooled colostrum From Johnes negative dams only Colostrum Supplement Colostrum Replacer List any routine preventive treatments given to newborn calves - up to weaning age: PRODUCT HEIFER CALVES BULL CALVES WHEN? Antiserums / Antibodies Vitamins or Minerals Antibiotics 6 Who feeds the calves? 1) 2) How many times per day are calves fed milk? How much milk are calves fed per feeding? For milk, pre-weaned calves are fed: Milk replacer. % protein % fat What antibiotics are in the milk replacer? Whole raw milk from bulk tank Waste milk / treated milk Pasteurized milk Other Estimate the incidence of pre-weaning calf scours: Estimate the incidence of pre-weaning calf pneumonia: What age are calves weaned? How much grain are calves consuming: HEIFER VACCINATION PROGRAMS Please attach copies of protocols if available. For which of the following diseases are heifers vaccinated? Intranasal IBR BVD PI3 BRSV Injectable Lepto 5-way Lepto hardjo bovis Clostridial diseases Hemophilus somnus Pasteurella Salmonella Pink Eye Coliform mastitis (springing heifers) E. coli scours (springing heifers) Other Which product is used? At what age is it given? POST-WEANING MANAGEMENT: Estimate the incidence of post-weaning calf scours: Estimate the incidence of post-weaning calf pneumonia: Pneumonia treatment protocol: Calf scours treatment protocol:

7 INVENTORIES AND HOUSING List your current inventory for the following groups and check all that apply: GROUPS Pre-weaned Heifers Post-weaned Pre-breeding Heifers Number Of Animals Where is this group housed? What type of housing do they have? Hutches Separate pens in barn Freestall Pasture Drylot What type of bedding do they have? Bred Heifers Freestall Pasture Drylot Pre-weaned Bulls/Steers Hutches Separate pens in barn Post-weaned Bulls/Steers Freestall Pasture Drylot