Canine Semen Disposal Form

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Canine Semen Disposal Form

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This request if for the frozen semen on the dog listed below to be disposed of

Breed
The following semen from the above dog is to be disposed of
Date of Collection
No. of Vials

This document once completed, signed, witnessed, and dated requests ICSB-TEXAS to di pose of the frozen canine semen listed above. All Co-owners of this frozen semen must sign this document in order for the semen to be destroyed.

I/we do request that the specific frozen semen listed above be destroyed

Clear Signature
Clear Signature
Clear Signature