2025 - P-N-Y Livestock Disaster Access Pass Application - NEW

The University of California Cooperative Extension (UCCE) is assisting the Placer, Nevada, Sutter, and Yuba Agriculture Departments and other local agencies in establishing a program to provide access to commercial livestock operators within evacuation zones to care for livestock.
During times of restricted access caused by a natural disaster or other emergency, this registration may enable commercial livestock producers to feed, water, and medically treat livestock on commercial-scale operations.

UCCE is providing this 2025 Survey to streamline registration for the County Agriculture Departments.
All information in this survey will be provided to the appropriate County Agriculture Department for program administration, training registration, and pass approval.

If you have questions, please contact Andrea Warner, UCCE Livestock and Natural Resources Advisor, at alnwarner@ucanr.edu or (530)889-7385.

✻ = Required

DID YOU HAVE A 2024 PERMIT?

✻

YES NO

2024 PERMIT #:

(if you do not have a number or cannot recall the number, please enter N/A) ✻

If YES, please click on the link below to be re-directed to the renewal application.

2025- RENEWAL Application for 2024 permit holder ONLY!

If NO, please continue filling out this application.

First Name: ✻

Last Name ✻

Ranch/Business Name: ✻

Select the PRIMARY county where you ranch: ✻

Nevada County Placer County Sutter County Yuba County Other Counties

If your county is not listed or if you have additional counties, please enter:

PHYSICAL ADDRESS:
✻

CITY, STATE, ZIP ✻

MAILING ADDRESS:

Please enter below IF DIFFERENT from your physical address:
(include street address, city, state, and zip code)

CELL PHONE:

(include area code - no space - no dashes) ✻

OTHER PHONE:

(include area code - no space - no dashes) ✻

EMAIL ADDRESS:

(if none please enter N/A) ✻

DATE OF BIRTH: ✻

DRIVER LICENSE # ✻

Please indicate how you are associated with this ranch/business: ✻

I am the owner/co-owner I am a family member involved in this business I am a managerial employee of this business (hourly employees are ineligible for this program) I am a service provider (veterinarian, trucker, etc.) for this business

Training and Contingency ✻

I understand that this pass will be issued contingent on county review and will require participation in a mandatory training session.

Commercial Production: ✻

I attest that this operation is a commercial livestock operation for the purpose of this program, defined as at least 50 head of livestock (including in utero, e.g., 25 bred cows), 100 poultry or rabbits, or 50 beehives or more, that reside in Placer, Nevada, or Yuba County for at least a portion of the year.

Conditional Access: ✻

I understand that decisions for access can change rapidly during a fire or other emergency and will be dependent on safety conditions and upon approval of emergency personnel.

Insurance and Risk ✻

I understand access in an area closed to the public during a disaster may affect the coverage of my property liability insurance, vehicle or equipment insurance and worker’s compensation coverage. Program administrators, collaborators, and trainers shall not be liable for injury or death of someone participating in activities resulting from the inherent risk of re-entering damage areas to feed, water and medically treat livestock.

Violations of Livestock Access Pass Terms and Conditions ✻

I understand the utilization of the pass is to care for commercial livestock within an evacuation zone. If I am found outside of the scope of the terms and conditions of this pass, my pass may be permanently revoked.

Liability ✻

I understand program administrators, collaborators and trainers shall not be liable for injury or death of someone participating in activities resulting from the inherent risk of re-entering damage areas to feed, water, transport and medically treat livestock.

Please list the physical address(es) and/or APNs for each property where livestock may be located during the next 12 months. Include approximate season of use and a description/approximate number of livestock on site.

(Example: 12345 Smith Road, Auburn - 100 cow-calf pairs - Nov-May) ✻

If you have operations in Yuba or Nevada County, what ZoneHaven zones are these properties in?

Cattle Brand(s) registered to the operation (enter Brand Book ID number) -

https://www.cdfa.ca.gov/AHFSS/Livestock_ID/2010_Brand_Book.html ✻

Other Identifiable Livestock Markings (e.g., ear tags, scrapie number(s), ear notches, etc.) ✻

Information shared on this form will be used to create a database maintained and updated by UC Cooperative Extension and the Placer, Nevada, and/or Yuba Agriculture Department(s). Data will be available to key agencies, including the County Agricultural Departments, County Offices of Emergency Services, County Sheriff’s Departments, Cal-Fire, California Highway Patrol, etc. ✻

I understand my information will be shared and am voluntarily completing this form.

**To the best of my knowledge, the information entered above is true and correct.**

Please type full name: ✻

ATTENDING A TRAINING SESSION IS REQUIRED IN ORDER TO RECEIVE YOUR LIVESTOCK ACCESS PASS.

By selecting below you acknowledge you will be attending the following training session:

FRIDAY, APRIL 11, 2025

1:00 PM - 5: 00 PM

VETERAN'S MEMORIAL HALL - GRASS VALLEY
255 S Auburn, St., Grass Valley

I will be attending the training session on Friday, April 11, 2025 from 1:00 PM - 5:00 PM ✻

YES

Invitation to Self-Identify Gender, Ethnicity, and Race. The following information is optional. It is confidential. It is requested to help us document that UC Cooperative Extension is extending services and benefits to everyone who is interested and does not discriminate.

What is your gender?

Female Male Gender identity not listed

What is your ethnicity?

African American (not of Hispanic origin) American Indian or Alaska Native Asian Caucasian Hispanic or Latino Native Hawaiian or other Pacific Islander Race not listed

It is the policy of the University of California (UC) and the UC Division of Agriculture & Natural Resources not to engage in discrimination against or harassment of any person in any of its programs or activities (Complete nondiscrimination policy statement can be found at http://ucanr.edu/sites/anrstaff/files/215244.pdf)

Inquiries regarding ANR’s nondiscrimination policies may be directed to UCANR, Affirmative Action Compliance & Title IX Officer, University of California, Agriculture and Natural Resources, 2801 Second Street, Davis, CA 95618, (530) 750-1397