Application for permit to export biomedical samples

If you need assistance in completing this form, the Convention on International Trade in Endangered Specie (CITES) Management Authority Office can be contacted by email or by telephone at 1-855-869-8670.

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 foreign CITES permits, hunting permits, birth certificate, et cetera (etc.))

Send the completed signed CITES application form by email, regular mail or fax, to the CITES Management Authority or the appropriate CITES Permitting Office (refer to the form submission page)

CITES Permitting Office
Canadian Wildlife Service
Environment Canada
351, St. Joseph Blvd
Gatineau, Quebec K1A 0H3
Email : cites@ec.gc.ca
Fax: 1-855-869-8671

• 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

How should the CITES 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:

Part 1: Applicant information

Part 2: Inventory, shipments and supporting documents

2.1 Study and inventory

2.2 Supporting documents

Specify the number of shipments that will occur in the next 6 months for biomedical specimens from these animals:

_______________________________________________________

2.3 Supporting documents

Check and submit copies of all applicable supporting documents with this application:

□ Invoice □ CITES foreign permits □ Other documents

Part 3: Current location of the specimen

In which country is the specimen located?

_______________________________________________________

If the animal(s) is detained, please indicate where it is detained.

□ 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) and 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.

(sign with dark ink)

_______________________________________________________

Date:
(dd/mm/yyyy)

_______________________________________________________