Forms and Applications

Online Applications and Renewals

Most large animal, small animal and brand applications can be submitted online through Kelly Solutions by clicking here.

Payments may be made via credit card through Kelly Solutions, by mailing a check to the Kansas Department of Agriculture or by filling out the credit card form, which is available below.

Agency Credit Card Payment Form

Some of our fees can be paid via credit card. If you wish to use this method of payment, click here.

Animal Disease Traceability Program Forms

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Tagging Site/ Tag Distributor

Tagging Site/ Tag Distributor
Livestock may be officially identified on behalf of the owner or person in possession, care or control of the animals when they are brought to an approved tagging site. Animals requiring official identification may be moved to these sites without prior official identification, provided the site can maintain the individual identity of animals until they are officially identified.

An approved tag distributor may order, receive and distribute USDA-official National Uniform Ear tagging System metal tags (NUES tags, Silver Brite tags, Bangs tags) or RFID tags with the "840" prefix.

The Tagging Site/ Tag Distributor User Agreement is used to maintain integrity of official identification ear tags, and control application or distribution of these tags.

For a Tag Distributor/ Tagging Site User Agreement, click here.
Official NUES Tag Order

Official NUES Tag Order
Orders may be placed by calling the Kansas Division of Animal Health at (785) 564-6601 after approval of your user agreement.
Premises Identification Number Registration Form

Premises Identification Number Registration Form
The Premises Identification Number (PIN) is a standardized unique location identifier generated by the United States Department of Agriculture after the site is registered through the state. Producers will need a PIN for each geographically separate facility to order official ear tags. For the Kansas PIN Registration form, click here.

Brands Program Forms

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Brand Application

Brand Application
Application for Livestock Brand Record. Each brand is registered for a five-year period (original registrations are for four full years after the following April 1) with brands expiring on April 1. Each calendar year ending in the number "9" or "4" has a larger number of brands for renewal than for other years. The brand registration fee and the renewal fee are each $45.00, the fee for transfer of ownership is $15.00. It is unlawful for any person to use a brand unless the brand is legally recorded in his or her name. For Application form click here. To apply or renew online, click here.
2008 Brand Book Order Form

2008 Brand Book Order Form
The brand program maintains the state brand registry, which consists of approximately 17,500 +/- brands. The 2008 Kansas Brand Book is available without supplements for $20.00. It is also available on CD with five supplements for $15.00.
For a copy of this form, click here.

Large Animal Program Forms

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Cattle

Trichomoniasis Female Import Affidavit
A cattle owner may use this form to verify cows or heifers imported into Kansas meet one of seven requirements. For a copy of this form, click here.

Trichmoniasis Herd Management Plan
A cattle owner may use this form to develop and implement a Trichomoniasis herd management plan to exempt from testing requirements bulls 24 months of age or younger. For a copy of this form, click here.

Cattle Feedlot Application
Facilities operating as feedlots are required to be licensed. A feedlot is defined as a livestock feedlot or feed yard with more than 1,000 head of livestock at one time during the license year, or any other livestock feedlot whose operator elects to come under the act. This definition includes lots or pens which are not used normally for raising crops and in which no vegetation, intended for livestock feed, is growing. Dairy confinement facilities are included.
For a copy of this form, click here. To apply or renew online, click here.
Cervid

Chronic Wasting Disease Application
For a copy of this form, click here.

Domesticated Deer Permit
Requires anyone who raises or harbors domesticated deer to have a permit issued by the department. Deer includes all members of the family cervidae (deer, elk, moose, caribou and related species).
For a copy of this form, click here.

Domesticated Deer Movement Notification
This form is required for the intrastate movement of domesticated deer within Kansas. Deer includes all members of the family cervidae (deer, elk, moose, caribou and related species).
For a copy of this form, click here.
Livestock Markets

Livestock Dealer Registration
Requires the licensing of livestock dealers or order buyers by the department. This includes any person engaged in the business of buying or selling livestock in commerce, either on that person's own account or as the employee or agent of the seller or purchaser, or any person engaged in the business of buying or selling livestock in commerce on a commission basis and shall include any person who buys or sells livestock with the use of a video.
For a copy of this form, click here. To apply or renew online, click here.

Application for New Kansas Public Livestock Market License
Requires premises that sell livestock on a consignment basis to be licensed with the department. These requirements include the traditional livestock market as well as occasional sales that provide for the public sale of livestock.
For a copy of this form, click here. To apply online, click here.

Kansas Public Livestock Market Renewal
Renewal application for an existing Kansas Public Livestock market.
For a copy of this form, click here. To renew online, click here.

Occasional Sales Application
For a copy of this form, click here. To apply or renew online, click here.

Public Market Remittance Form
For a copy of this form, click here.

Record of Identification
For the Adobe Pdf version of the Record of Identification, click here.
For the Excel Spreadsheet format, click here.
Swine

Swine Feedlot Application
Requires that facilities operating as a feedlot be licensed by the department. A feedlot is defined as a livestock feedlot, or feed yard having more than 1,000 head of livestock at one time during the license year or any other livestock feedlot whose operator elects to come under the act. This definition includes lots or pens which are not used normally for raising crops and in which no vegetation, intended for livestock feed, is growing. For a copy of this form, click here. To apply or renew online, click here.

Swine PIN Tags
To order swine Premises Identification Number (PIN) tags, first establish if your farm already has an existing PIN assigned to it by calling the KDA office at (785) 564-6601. If you do not have an existing PIN, use the Kansas PIN Registration Form to provide KDA with the information they will need to create a new PIN for your premises. To order PIN tags, visit the Pork Checkoff's website for PIN Tag resources. There you will find a list of approved tag suppliers and contact information.
Poultry

Pollorum Typhoid Testing Application
For a copy of this form, click here. To apply or renew online, click here.

Poultry Import Permit
For a copy of this form, click here.
Sheep and Goats

Scrapie Tag Request Form
Sheep and goat owners may use this form to request Scrapie tags from the Kansas area USDA-APHIS office. For a copy of this form, click here.

Sheep/Goat Feedlot License
Facilities operating as sheep and/or goat feedlots are required to be licensed. A feedlot is defined as a livestock feedlot or feed yard with more than 1,000 animal units of livestock at one time during the license year or any other livestock feedlot whose operator elects to come under the act. This definition includes lots or pens which are not used normally for raising crops and in which no vegetation, intended for livestock feed, is growing. For a copy of this form, click here.
Disposal Plant Operator License and Motor Vehicle Permit

Application for Disposal Plant Operator License and Motor Vehicle Permit
For a copy of this form, click here.
Disposal Substation/Transfer Station and Motor Vehicle Permit

Application for Disposal Substation or Transfer Station and Motor Vehicle Permit
For a copy of this form, click here.

Small Animal Program Forms

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Animal Breeder and/or Distributor License Application

Animal Breeder and/or Distributor License Application - any person in which all or part of 6 or more litters of dogs or cats, or both, or 30 or more dogs or cats, or both, are sold, or offered or maintained for sale, primarily at wholesale or resale to another.

For a copy of this form, click here. To apply or renew online, click here.
Retail Breeder License Application

Retail Breeder License Application - any premises where all or part of six or more litters or 30 or more dogs or cats, or both, are sold, or offered or maintained for sale, primarily at retail and not for resale to another.
For a copy of this form click here. To apply or renew online, click here.
Hobby Breeder License Application

Hobby Breeder License Application - the operator of any premise where all or part of 3, 4, or 5 litters of dogs or cats, or both are produced for sale or sold, offered or maintained for sale. This provision applies only if the total number of dogs or cats or both, sold, offered or maintained for sale is less than 30 individual animals.
For a copy of this form click here. To apply online, click here.
Animal Shelter or Pound License Application

Animal Shelter or Pound License Application - a facility which is used or designed for use to house, contain, impound or harbor any seized stray, homeless, relinquished or abandoned animal or a person who acts as an animal rescuer, or who collects and cares for unwanted animals or offers them for adoption. Animal shelter also includes a facility of an individual or organization, profit or nonprofit, maintaining 20 or more dogs or cats or both, for the purpose of collecting, accumulating, amassing or maintaining the animals or offering the animals for adoption.

For a copy of this form click here. To apply or renew online, click here.
Rescue Network License Application

Rescue Network License Application- the premises of a rescue network manager and all pet animal foster homes organized under that rescue network manager that provide temporary care for one or more dogs or cats not owned by an animal shelter that maintains a central facility for keeping animals. A rescue network manager is a person designated by the rescue network that is responsible for approving membership for each foster home, intake of all animals, maintaining all records, and ensuring compliance of each foster home that belongs to the rescue network. For a copy of this form click here. To apply or renew online, click here.
Foster Home Inspection Form

Foster Home Inspection Form
For a copy of this form click here.
Boarding or Training Kennel License Application

Boarding or Training Kennel License Application - any person who operates an establishment where four or more dogs or cats, or both, are maintained in any one-week for boarding, training, or similar purposes for a fee or compensation.
For a copy of this form click here. To apply or renew online, click here.
Pet Shop License Application

Pet Shop License Application - any premises where there are sold, or offered or maintained for sale at retail and not for resale to another: (A) Any dogs or cats, or both; or (B) any other animals except those produced and raised on such premises and are sold, or offered or maintained for sale, by a person who resides on such premises. Pet shop does not include: (A) Any pound or animal shelter; (B) any premises where only fish are sold, or offered or maintained for sale; or (C) any animal distributor premises, hobby breeder premises, retail breeder premises or animal breeder premises.
For a copy of this form click here. To renew or apply online, click here.
Animal Research Facility License Application

Animal Research Facility License Application - any place, laboratory, or institution, except an elementary school, secondary school, college or university, at which any scientific test experiment or investigation involving the use of any living animal is carried out, conducted or attempted.
For a copy of this form click here. To apply or renew online, click here.
Out of State Animal Distributor Permit Application

Out of State Animal Distributor Permit Application - any person residing in a state other than Kansas, who is engaged in the business of buying for resale dogs or cats, or both, within the state of Kansas, as a principal or agent.
For a copy of this form click here. To renew or apply online, click here.
Temporary Pet Shop License Application

Temporary Pet Shop License Application
For a copy of this form click here. To apply or renew online, click here.
Contingency Plan Form

Contingency Plan Form
For a copy of this form, click here.
Requested Inspection Form

Find a requested inspection form here.
Temporary License Extension Form

Temporary License Extension Form
For a copy of this form click here.
Veterinary Care Form

Veterinary Care Form
For a copy of this form click here.

Veterinarian Supplies

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Veterinary Supply Order Form

Veterinary Supply Order Form
Order Form for Veterinarian supplies; including Certificates of veterinary inspection and CV tags.
For a copy of this form click here.
Brucellosis Vaccination Record

Brucellosis Vaccination Record
This is the record of Brucellosis Vaccination tags applied.
For a copy of this form click here.
Record of Identification for Market and Slaughter

Record of Identification for Market and Slaughter
This is form is the record of animal identification for livestock markets and slaughter establishments.
For a copy of this form click here.

Kansas Department of Agriculture

Forms and Applications

Online Applications and Renewals

Agency Credit Card Payment Form

Animal Disease Traceability Program Forms

Animal Disease Traceability Program Forms

Brands Program Forms

Brands Program Forms

Large Animal Program Forms

Large Animal Forms

Small Animal Program Forms

Small Animal Program Forms

Veterinarian Supplies

Veterinarian Supplies