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Colorado Location Identification (LID) Registration Form
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* Indicates required question
Farm/Ranch/Business Name (if applicable)
Your answer
Primary Contact Information
Primary Contact Name
*
(Last Name, First Name)
Your answer
Primary Phone Number
*
(Example 555-123-7654)
Your answer
Mobile Phone Number
(Example 555-123-7654)
Your answer
Email Address
Your answer
Secondary Contact Name
(Last Name, First Name)
Your answer
Contact Phone Number
(Example 555-123-7654)
Your answer
Physical Address (where the animals are raised)
*
(Use GPS coordinates if not available. You may NOT enter a P.O. Box here.)
Your answer
City
*
Your answer
Colorado Zip Code
*
Your answer
County
*
Your answer
Mailing Address information
Mailing Address (may leave blank if same as above)
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Type of Livestock on Premises
*
(Please select all species that apply)
Cattle
Llama or Alpaca
Rabbit
Goat
Equine
Sheep
Swine
Poultry
Required
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