Fodder Assistance Request Form First Name Last Name Email Phone Address for fodder delivery Town Postcode Secondary Contact Name Secondary Contact Phone Number Please detail number and type of animals affected: Do you have any fodder reserves on-hand? Yes No How many days of reserve fodder do you have? None One day Less than a week More than a week Are you able to unload fodder at your farm? (operational front-end loader/telehandler etc.) Yes No What bales are you able to accept? (tick all that apply) Large squares Rounds Small Squares What vehicle access do you have on farm to accept fodder? (tick all that apply) B-double Semi-trailer Small truck Are you able to pick-up fodder from a depot? Yes No I agree to abide by the I agree for the VFF to share my information with Agriculture Victoria and Emergency Management Victoria Submit