Litter Inspection Form
(Wurfabnahame)

Kennel Name: Address:
Breeder: Phone: E-mail: Sire's Name: VDW / DWNA # Dam's Name: VDW / DWNA # Breeding Date Whelp Date Born Still Born Died After Birth # To Register M F M F M F M F Umbilical Hernia Bite 3 Testicls 4 Buyer Name Litter more than 8 puppies: Date: ____________ Inspected By: _______________________________________________________________ Litter inspection and Tattoo Date: ____________ Performed By: _______________________________________________________________ Kennel According to Breeding Regulations: _________________________________________________________________________________ Kennel Accommodations Okay: (Yes No) Recommendations: ________________________________________________________________ Condition of Female ( Food, Hair, etc.) ___________________________________________________________________________________ How long did Female Nurse: ___________________________________________________________________________________________ Tails Docked: (Yes No) Dew Claws Removed: (Yes No) Wormed On: _____________ With: _______________________________________ Immunizations: ________________________________ For: _________________________________________________________________ Other Remarks on Puppies (Nutrition, condition, appearance of litter, hair, behavior): _______________________________________________ ___________________________________________________________________________________________________________________ 1 DWNA to designate 2 Zuchtwart or Breed Warden to Fill: Brown Schimmel, Red Schimmel, Red, Heltiger, Brown Scheck; Black - disqualifying 3 Zuchtwart or Breed Warden to Fill: C, S,O, U (Correct, Scissor, Overbite, Underbite) 4 Zuchtwart or Breeder Warden to Fill: 0, 1, 2M/F DWNA
BB# 1 Pup Name Color2 Eyes