Miller Poultry Vistor Form

"*" indicates required fields

Date*

Name*

First Last

Affiliation*

Host

Visitors must meet the following requirements before permission will be granted entry to any production facility:

Visitor definition‐ Any person including Auburn University employees, who is not regularly assigned to a research facility as part of their job description.
The purpose of the visit must be reviewed prior to the visit.
No contact with domestic fowl, pet birds, and wild fowl for at least 72 hours.
Disinfect shoe soles and personal items prior to entering the facilities.
Visitors from area with Avian Influenza and/or Newcastle Disease require a quarantine period of 7 nights within the USA.
No electronic devices can be used without prior approval.
Visitor agenda must follow the instructions provided in the Biosecurity Guidelines.

Date / Location of last poultry visit

By signing below I confirm that I have or will meet all the above requirements by the day of my visit to the Miller Research & Education Center.

Signature*

Name

This field is for validation purposes and should be left unchanged.

William A. Dozier

Department Head, Professor

302E Poultry Science Building
Auburn Univ, AL 36849

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