OPU-ICSI session request | Paindaveine

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One request per aspiration and per mare, to be completed a few days before the session. We set the date with you.

The mare

Name

UELN

Transponder number

Studbook

Date of birth

Preferred period

Optional: for example 'October 2026' or 'as soon as possible'. We set the date and confirm it to you.

Semen used

a stallion offered by the centre

another stallion, whose semen I provide

Stallion's name

Stallion's UELN

I guarantee that I own this semen or am authorised by its owner to use it for ICSI, including by fraction of a straw.

Origin of the mare

born in the European Union and always kept in the Union

imported from a third country

Country of provenance

Date of entry into the Union

The mare has not been covered naturally for at least 30 days and will not be before the aspiration.

The holding she comes from has had no case of equine infectious anaemia for 90 days, of dourine for 6 months or of surra for 30 days.

Treatments and vaccinations in the last 30 days

Product and date. Write “none” if there were none.

I understand that the aspiration only takes place if the following negative results are available on the day of the session.

Contagious equine metritis: PCR on swabs from the clitoral fossa and sinuses, taken less than 30 days before the aspiration, at least 7 days after systemic antibiotic treatment or 21 days after local treatment.
Equine infectious anaemia: Coggins test or ELISA, on a blood sample taken less than 90 days before the aspiration and at least 14 days after the last covering.

I undertake not to present the mare if any of these conditions is no longer met, and to inform the centre without delay.

Account holder (name or company name)

Company or VAT number (if a company)

Address

Telephone

Email address

I have read and accept the general terms and conditions.

Signatory's full name

En cliquant sur « I sign », vous recevez un courriel pour confirmer votre signature. Le document n’est signé qu’après cette confirmation.