Equine Reproduction Lab
University of Wisconsin-Madison
Madison, WI 53706
Ph. (608) 263-7698
Fax (608) 262-5157
Equine Cooled Semen Transport Sheet
Horse Information
Semen Collected From: / Semen Shipped To:Stallion Name: / Mare Name:
Farm/Owner: / Farm/Owner:
Address: / Address:
Phone #: / Phone #:
Semen Information
Collection Date: Time:
Volume (Gel-Free) mls
Sperm Concentration million/ml
Total Number of Sperm in Ejaculate billion
Sperm Motility: % (Raw)
% (Extended)
Sperm Morphology: % Normal
% Primary Abnormalities
% Secondary Abnormalities
Extended Semen Information
Semen Concentrated: Y N
Semen Extender Used:
Antibiotic(s):
Volume of Raw Semen per shipped dose: mls
Volume of Semen Extender per shipped dose: mls
Total Volume of Extended Semen per shipped dose: mls
Total Number of sperm per shipped dose: billion
Insemination Information
Insemination (s) #1 Date/Time: Motility: %
#2 Date/Time: Motility: %