Form Dbpr Pmw 3300 PDF Details

The State of Florida takes the integrity of pari-mutuel wagering and the welfare of racehorses seriously, with the DBPR PMW-3300 form playing a crucial role in that endeavor. Administered by the Department of Business and Professional Regulation’s Division of Pari-Mutuel Wagering, the Bleeder’s Certificate asserts a horse's condition with respect to Exercise Induced Pulmonary Hemorrhage (EIPH) — a condition common in racehorses, leading them to bleed from the nostrils due to the stress of racing or work out. This certification is essential for placing a horse on the Florida Official Furosemide List, permitting the use of Furosemide, a medication to mitigate this condition. The process involves a precise evaluation of the horse, potentially including an endoscopic examination by a qualified veterinarian to conclusively diagnose EIPH. The completed form is a testament to the animal's health status, witnessed by one or more veterinarians, underscoring the state's commitment to animal welfare and ethical sportsmanship within the racing industry. For individuals needing assistance with the form, contact details are provided to ensure guidance is readily available, illustrating the system's optimization for clarity and support for its stakeholders.

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Form NameForm Dbpr Pmw 3300
Form Length1 pages
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Fillable fields0
Avg. time to fill out15 sec
Other namespmw training, pmw certificate include, pmw certificate meaning, what is pmw certificate

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DBPR PMW-3300 – Bleeder’s Certificate

STATE OF FLORIDA

DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION

DIVISION OF PARI-MUTUEL WAGERING

1940 North Monroe Street

Tallahassee, Florida 32399-1038

www.MyFlorida.com/dbpr

If you have any questions or need assistance in completing this form, please contact the Department of Business and Professional Regulation, Customer Contact Center, at 850.487.1395.

Bleeder’s Certificate

This is to certify that the horse _________________________

_______________

 

 

Name

Tattoo

exhibited EIPH (Exercise Induced Pulmonary Hemorrhage) at ______________________

 

 

Track or Farm

on

and it is requested that the horse be placed on the Florida official

 

Date

 

Furosemide List.

 

The above named horse was seen bleeding from the nostril(s):

after a race.

after a workout.

An endoscopic examination was not necessary to diagnose EIPH.

An endoscopic examination was performed by Dr. ____________________

to confirm a diagnosis of EIPH.

_________________________

__________

______________________

_________

Witnessing Veterinarian

Date

Witnessing Veterinarian

Date

__________________________

_____________

 

State Veterinarian

 

Date

 

DBPR PMW-3300, adopted 3-4-07 at Rule 61D-10.001, F.A.C.

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