2004/631/: 2004/631/EC:#Commission Decision of 13 August… ANNEX I

ANNEX ISupplementary provisions

ANNEX I Application for a contribution to the compensation for the cost of animals compulsorily culled Outbreak No Contact with outbreak No Identification No of holding Farmer Location of the holding Date of slaughter Method of destruction Weight on date of destruction Number of animals by category Amount paid by category Other costs paid to the farmer (not including VAT) Total compensation (not including VAT) Date of payment Surname First name Rendering plant Slaughterhouse Other (please specify) sows boars piglets pigs sows boars piglets pigs