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To benefit from this program, enter a VSI Agreement with us by submitting this form and we will give you a unique VSI Number. You will have to renew your membership annually, but your VSI Number lasts for life, even if you leave or re-enter the program.

Agreement Must Be Approved By Saddle Hills County Ag Services Department

Click on the link for more on the VSI Program.

Type of Livestock and Number of Head

Please fill in the number of head of the pertinent type of livestock in the boxes below.

I hereby agree to abide by the terms and conditions of the Veterinary Services Insurance Program as set out in the VSI Policy for Saddle Hills County. I also understand that this policy may be changed from time to time as deemed necessary. I agree to abide by any changes made.


Notice of Collection

Protection of Privacy - The personal information requested on this form is collected under the authority of Section 33 (c) of the Alberta Freedom of Information and Protection of Privacy Act and will be protected under Part 2 of that Act. It will be used for the purpose of informing spraying activity and fenceline spraying areas in Saddle Hills County. Direct any questions about this collection to:  FOIP Coordinator, Saddle Hills County, RR 1, Spirit River, Alberta, Canada, T0H 3G0, 1-888-864-3760.