Sending Farm NameReceiving Farm NameDate Received Date Format: MM slash DD slash YYYY Number ReceivedFor the following fields, please indicate the number of head showing the specified symptom. If none, enter '0'.Coughing - Number of HeadSneezing - Number of HeadSnotty Noses - Number of HeadScours - Number of HeadLess Than 5 lbs - Number of HeadRuptures - Number of HeadUncastrated - Number of HeadLames/Stiff Pigs - Number of HeadSwollen/Malformed Joints - Number of HeadObservable Abscesses or Prolapses - Number of HeadGeneral observations regarding pig quality and conditionsEmailThis field is for validation purposes and should be left unchanged.