Notification:

Email address (required to confirm this submission):

I hereby report the destruction of American foulbrood at the following apiary:

Date Detected:  
MAF Apiary Number:  

Name of owner or occupier of property where apiary is situated:

Property name if applicable:

Address of property (street/road and number):

Number of hives found with AFB:  

Action taken:

Contact details:

Beekeeper code number:  
Beekeeper Name:  
Company Name:  

Address:

Telephone number:  
Fax Number:  

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