the (Please number

Details of Instructing Landowner, Solicitor or Agent.

REF:

Company Name (If Applicable):

Address:

Postcode:

Telephone:

Mobile:

Email

Contact Name:

Freeholder/Leaseholder Details:

Same as Above
Different from above

I/we hereby request your agents to proceed therein and remove the livestock from the land located at:

Address:

Postcode:

Please attach a boundary map if applicable

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Description (Please include details of the number of Livestock)

Please upload photographs of Livestock if available

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Authority:

I confirm that I am the Freeholder / Leaseholder/ Agent/ Legal representative (delete as appropriate) of the stated land and have full legal authority to authorise the above action.
On signature, this document shall provide sufficient indemnification to you against all legal action, as well as against all fees, costs, charges or expenses which you may incur or be liable to pay by reason of executing this instruction.
On signature, I also acknowledge and agree to all the terms and condition set out in the attached.
I further confirm that I am in a position to authorise the actions set out above.

Signature

Clear Signature

Date

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Livestock Detainment Online Form

Details of Instructing Landowner, Solicitor or Agent.

I/we hereby request your agents to proceed therein and remove the livestock from the land located at: