* Fields with an '*' must be filled out to receive a premises ID number.
Physical location of animals, if different from mailing address; cannot be a PO Box.
Check all species located on your farm.
Please review all information before submitting.
A personal wallet size premises ID card will be mailed to you within 2 weeks of registering. To request your number prior to receiving the card, send an e-mail to firstname.lastname@example.org.