Form Vph 20 PDF Details

Navigating the requirements to ensure the well-being and care of animals within licensed facilities in New Jersey necessitates understanding and complying with certain regulations, among which the Vph 20 form stands as a crucial component. This form serves as a certification, mandated annually by the New Jersey Department of Health's Infectious and Zoonotic Diseases Program, confirming the establishment and maintenance of a veterinary-supervised disease control and health care program at licensed animal facilities. The significance of this form lies not only in its role in promoting the health and safety of animals but also in its function as a transparent declaration to the public, evidenced by its required posting in a clearly visible area within the facility. Detailing the name and address of the facility, alongside the certifying veterinarian's credentials and signature, the Vph 20 form underscores a commitment to high standards of animal care and wellness, reflecting both ethical considerations and regulatory compliance. It represents an essential step in fostering trust and accountability in the management of animal facilities, with the overarching aim of safeguarding animal health and welfare.

QuestionAnswer
Form NameForm Vph 20
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesZoonotic, 23A-1, yearly, Infectious

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New Jersey Department of Health

Infectious and Zoonotic Diseases Program

P. O. Box 369

Trenton, NJ 08625-0369

CERTIFICATION OF VETERINARY SUPERVISION

OF THE DISEASE CONTROL AND HEALTH CARE PROGRAM

AT A LICENSED ANIMAL FACILITY

N.J.A.C. 8:23A-1.9(a) requires that this form be updated yearly and posted at the facility in an area clearly visible to the public.

 

LICENSED ANIMAL FACILITY INFORMATION

 

 

 

Name of Licensed Animal Facility

 

License Number

 

 

 

Street Address

 

 

 

 

 

City, State, Zip Code

 

 

 

 

 

CERTIFICATION BY SUPERVISING VETERINARIAN

This is to certify that I have established and am maintaining a disease control and health care program at the above licensed animal facility, as specified in N.J.A.C. 8:23A-1.9(a).

Name of Veterinarian (Print)

License Number

 

 

Street Address

 

 

 

City, State, Zip Code

 

 

 

Signature

Date

 

 

- THIS FORM TO BE RETAINED AT FACILITY -

VPH-20 JUL 12