Poultry Mortality Investigation Form
A poultry mortality investigation form for gathering facts when deaths rise or are unusual. Producers use it to look at causes and support a diagnosis.
Download free PDF1 page, US Letter, prints clean in black and white
FormPoultryFree PDF
What you fill in
- Date and farm or house
- Flock type and age
- Number of birds lost
- Time pattern of losses
- Signs before death
- Recent changes in feed, water or weather
- Treatments given
- Samples sent to lab
- Veterinarian contacted
How to use this form
Print one per event, animal, field or person. A completed form on file is easier to rely on than a memory.
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 USDA APHIS and eXtension.
For more in this area, see the backyard livestock and gardens. Between chores, farm.FM has farm humor, including Midwest Poultry Federation Convention, and farming farm stories.