Permit application for low risk specimens that require import authorization

Important instructions for the applicant

Please read carefully. Be sure to fill in all related questions on the application form.  An incomplete application may cause delays in processing.

Attach all required documents pertaining to the animal (such as receipts, letters of agreement, foreign permits, breeding/hatch certificates, etc.)

Send the completed signed permit application for specimens that require import authorization form by email, regular mail or fax, to:

Environment and Climate Change Canada
Canadian Wildlife Service
351, St. Joseph Blvd
Gatineau, Quebec K1A 0H3

Telephone: 1-855-869-8670
Fax: 1-855-869-8671
Email: ec.permisscf-cwspermit.ec@canada.ca

If the application is approved, the permit and instructions will be sent by mail to the applicant. If you would like to receive your permit by courier, please provide a pre-paid envelope or your courier account number. The permit will be sent to the address provided in Part 1, unless otherwise specified by the applicant.

Some animals and products must also meet the requirements of the Canadian Food Inspection Agency (CFIA). Please refer to their site or contact their regional offices by phone.

 

Type of application

□ New application

□ Replacement

  Reason for replacement:
__________________________________
  Number of the permit being replaced:
__________________________________

How should the permit be sent to you?

 Regular mail     □ Courier service

For the permit to be sent by courier, indicate the courier company name and your account number:

Courier company name:
_______________________________________________________
_______________________________________________________
Courier account number:

Part 1: contact information

1.1 Applicant information (Canadian importer)

Name:
_______________________________________________________
Name of business or organization
(if applicable):
_______________________________________________________
Address (number and street):
_______________________________________________________

Post office box:

_______________________________________________________
City:
_______________________________________________________

Province/Territory/State:

_______________________________________________________
Country:
_______________________________________________________

Postal/Zip code:

_______________________________________________________
Email address:
_______________________________________________________
Daytime phone:
Alternate phone:
_______________________________________________________
_______________________________________________________
Fax:
_______________________________________________________

To which address should the permit be sent?

□ Applicant's address     □ Other address (please specify below)

Address (number and street):
_______________________________________________________
Post office box:
_______________________________________________________
City:
_______________________________________________________

Province/Territory/State:

_______________________________________________________
Country:
_______________________________________________________

Postal/Zip code:

_______________________________________________________
Name:

1.2 Broker information (if applicable)

_______________________________________________________
Name of business or organization (if applicable):
_______________________________________________________
Address (number and street):
_______________________________________________________
City:
_______________________________________________________

Province/Territory/State:

_______________________________________________________
Country:
_______________________________________________________

Postal/Zip code:

_______________________________________________________
Email address:
_______________________________________________________
Daytime phone:
_______________________________________________________
Alternate phone:
_______________________________________________________
Fax:
_______________________________________________________

1.3 Consignee information (foreign exporter)

Name:
_______________________________________________________
Name of business or organization
(if applicable):
_______________________________________________________
Address (number and street):
_______________________________________________________
City:
_______________________________________________________

Province/Territory/State:

_______________________________________________________
Country:
_______________________________________________________

Postal/Zip code:

_______________________________________________________
Email address:
_______________________________________________________

Daytime phone:

_______________________________________________________
Alternate phone:
_______________________________________________________
Fax:
_______________________________________________________

Part 2: purpose of import

Will the specimen(s) be sold or traded once imported into Canada?

□ Yes     □ No

Are the specimen(s) imported for personal possession in Canada?

□ Yes     □ No 

Will the specimen(s) be used in an educational program?
Provide a document with the name and address, as well as a description or outline of the program.

□ Yes     □ No 

Will the specimen(s) be used for an exhibition?
Provide a document with the name and address, as well as the purpose of this exhibition.

□ Yes     □ No 

Will the specimen(s) be used for biomedical or scientific research?
Attach a summary of the research project, including methodology and any permits required for the scientific research.

□ Yes     □ No

Is the specimen(s) destined for a zoo or aquarium?

□ Yes     □ No 

If the specimen is alive, will the specimen(s) be used in a breeding program?
Attach a summary of the breeding program.

□ Yes     □ No 

Part 3: information on the specimen(s)

Species

Common species name (e.g. Chinese giant salamander):

_______________________________________________________

Scientific species name (e.g. Andrias davidianus):

_______________________________________________________
Species
Specimen number Description
(for example: live animal, preserved specimen, tanned hide, etc.)
Use one line per specimen or group of specimen
Quantity
(Male. Female. Unknown or unit if applicable)
Date
(birth or manufacture)
yyyy-mm-dd
blank blank blank blank

Detailed background information for specimen(s)

Possession or acquisition date (yyyy-mm-dd):

_______________________________________________________

How or where was the animal acquired?
Please provide a copy of all the documents in regards

□ Zoo/Aquarium     □ Research facility     □ Business     □ Breeding operation   □ Individual   □ Other

If you have selected Other, describe the circumstances of the acquisition:

_______________________________________________________

Please provide a copy of all the documents in regards to the acquisition

Subsection not applicable for finished products.

Is it a captive born or a wild specimen(s)?

_______________________________________________________

Did you obtain a zoo sanitary certificate for this specimen(s)?
If yes, please provide a copy.

□ Yes     □ No

From which country does this specimen(s) originate?

_______________________________________________________

In which country or countries did this specimen(s) transit?

_______________________________________________________

Was this specimen housed in a shared containment environment with other animals?

□ Yes     □ No

If yes, with which species:

_______________________________________________________

Part 4: transport of specimen(s) (live specimen(s) only)

Check the appropriate box and describe in detail the manner in which the animal(s) will be transported. Describe also how
and in which containing the specimen will be prepared and transported. List type of substrate or transport medium if
applicable (e.g. water, moss, sand, etc.). Please indicate if the transportation will transit through other countries. If yes,
please name them.

□ By air     □ By Sea     □ Over land

Describe :

_______________________________________________________

Part 5: experience in animals housing and care

In which country is the specimen(s) currently located?

_______________________________________________________

If the specimen(s) is detained, please indicate where:

□ Canada customs     □ Foreign customs

Provide the Customs file number as well as all copies of the documents pertaining to the detention:

_______________________________________________________

□ I understand that it is my responsibility to be informed of all other requirements with regard to possession, care and transport of my animal(s). I have or will obtain any additional authorizations or permits required by other jurisdictions, federal government agencies, or foreign countries.

I hereby certify that I am authorized to submit this application and that the information submitted is complete and accurate to the best of my knowledge.

Send to:

Mailing address:

Permitting Office
Canadian Wildlife Service
Environment and Climate Change Canada
351, St. Joseph Blvd
Gatineau, Quebec K1A 0H3

or scan and email:

ec.permisscf-cwspermit.ec@canada.ca or

or fax:

1-855-869-8671

(sign with dark ink)
_______________________________________________________

Date (yyyy/mm/dd):

_______________________________________________________
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