Milk Culture Submission Form
A milk culture submission form for dairy farms to send quarter or composite milk samples to a diagnostic lab with the cow details and sampling notes the lab needs.
Download free PDF1 page, US Letter, prints clean in black and white
FormDairyFree PDF
What you fill in
- Farm name and contact
- Cow ID and group
- Quarter or composite sample
- Date and time collected
- Collection method
- Recent treatments given
- Clinical signs observed
- Storage and shipping method
- Tests requested
How to use this form
Fill in each labeled line, sign and date it, and keep a copy. Write clearly, since someone else may need to read it later.
Where to check the details
This sheet is a general template, so confirm specifics with your own manuals, labels and local rules. For current official guidance, start with eXtension and USDA APHIS.
For more in this area, see the dairy herd guides. Between chores, farm.FM has farm humor, including You Can’t Milk a Goat for Free, and dairy farm stories.