Producer Release

Atlantic Veterinary College
University of Prince Edward Island
550 University Avenue
Charlottetown, PEI, Canada
C1A 4P3

Animal Productivity and Health Information Network

Please release my APHIN information to the individual designated after he/she carefully reads the release for which follows and signs at the bottom.

DESIGNATED INDIVIDUAL

Surname:	First Name:
Company:	Address:
City:	Province:
Postal Code:	Phone/Fax:

ACKNOWLEDGEMENT of CONDITIONS for ACCESS to and USE of APHIN INFORMATION

For the computer system designated as the "Animal Productivity and Health Information Network" (APHIN), the UNDER SIGNED ACKNOWLEDGES RECEIPT from the APHIN Systems Group (ASG) of an APHIN computer access account number, with secret password, which will provide access to APHIN as described in the document "Regulations Governing APHIN Contributions and Access".

In addition to the above, the UNDERSIGNED FURTHER AGREES to the following terms and conditions:

to use "any information obtained from APHIN" (the Work) responsibly in order to promote livestock health and productivity in Prince Edward Island (PEI) and to benefit the livestock industries in general;
to acknowledge the contribution of APHIN in any publication and/or presentation; that the Work shall be used only by the applicant and shall not be copied or distributed to any third party or used as a basis to sell products or services without the express prior written permission of APHIN's Network Advisory Committee (NAC):
not to disclose or other wise reveal to anyone the secret password associated with the supplied APHIN computer access account number;
that UPEI, NAC and APHIN do not guarantee the accuracy of the data within the APHIN database(s) and files(s);
that failure to adhere to any of the above terms and conditions may result in future access to APHIN being denied.

Signed this

day of to certify

that I have read and understood the above terms and conditions.

Designated Individual's Signature

This is to certify that I accept full responsibility for the designated individual with respect to all terms and conditions listed above, and that I will notify APHIN if and when this individual should have such privileges removed.


Producer (please print)	Producer's Signature

PRODUCER INFORMATION

Carefully print the PRODUCER information requested below. This information is used by APHIN to ensure that the correct farm data is released to this individual.

Surname:	First Name:
Farm Name:(if applicable) Full Mailing Address:
City:	Province:
Postal Code:	Phone/Fax:

PRODUCER IDENTIFICATION

Please double-check the accuracy of all forms of IDENTIFICATION.

Dairy
Prairie Dairy Farm Code
Farm DHAS # /ADLIC #
Dairy Lab's Milk Producer#
Swine
PigCHAMP Text File Name
Farm HCMB #
Swine Productivity Program Farm #
BEEF
ROP Herd #
Cow/Calf Farm Code
Feedlot Farm Code
Weaning Weight Farm Code