Application for permit to import, export, or re-export animals or animal parts

CITES - Form A1 (2014.02.04)

Convention on international trade in endangered species of wild fauna and flora (CITES)

Download the PDF version (66 KB)

If you need assistance in completing this form, the CITES Management Authority Office can be contacted by email or by telephone at 1-855-869-8670.

Important Notes

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

Section 1. Application type

Check one of the following:

New Application

Renewal of a Multiple-Use CITES permit (Canadian)

Number of the CITES permit:
_______________________________________________________
Expiry Date:
_______________________________________________________

Replacement of a CITES permit (Canadian)

Number of the CITES permit:
_______________________________________________________
Expiry Date:
_______________________________________________________
Reason for replacement:
_______________________________________________________
Expected date of permit reception
(approximate if necessary):
_______________________________________________________
Year / Month / Day

I would like my permit sent by:

mailcourier (cost incurred by applicant)

If you would like your permit sent by courier, please provide:

Pre-paid envelope; or
Courier account number:
_______________________________________________________

Section 2. Trade type

Check one of the following (separate applications must be made for each type of trade):

Import

Canadian port of entry:
_______________________________________________________


Export

Canadian port of exit:
_______________________________________________________


Re-export (specimen was previously imported).

Canadian port of exit:
_______________________________________________________

Section 3. Name and address

A - Applicant (Canadian importer or exporter)

Name of person:
_______________________________________________________
Name of business or organization
(if applicable):
_______________________________________________________
Type of business or organization:
□ breeder □ wholesaler □ retailer □ other
If other, specify:
_______________________________________________________
Street and number:
_______________________________________________________
Post Office Box:
_______________________________________________________
City:
_______________________________________________________
Province/Territory:
_______________________________________________________
Postal Code:
_______________________________________________________
Country:
_______________________________________________________
Website:
_______________________________________________________
Email:
_______________________________________________________
Home Phone:
_______________________________________________________
Work Phone:
_______________________________________________________
Cell Phone:
_______________________________________________________
Fax:
_______________________________________________________

B - Broker (e.g., shipping company)

Name of person:
_______________________________________________________
Name of business or organization
(if applicable):
_______________________________________________________
Street and number:
_______________________________________________________
Post Office Box:
_______________________________________________________
City:
_______________________________________________________
Province/Territory:
_______________________________________________________
Postal Code:
_______________________________________________________
Country:
_______________________________________________________
Website:
_______________________________________________________
Email:
_______________________________________________________
Home Phone:
_______________________________________________________
Work Phone:
_______________________________________________________
Cell Phone:
_______________________________________________________
Fax:
_______________________________________________________

Attention importers/exporter with a single shipment:

C - Consignee (foreign country importer or exporter)

Name of person:
_______________________________________________________
Name of business or organization
(if applicable):
_______________________________________________________
Street and number:
_______________________________________________________
Post Office Box:
_______________________________________________________
City:
_______________________________________________________
Province/Territory:
_______________________________________________________
Postal Code:
_______________________________________________________
Country:
_______________________________________________________
Website:
_______________________________________________________
Email:
_______________________________________________________
Home Phone:
_______________________________________________________
Work Phone:
_______________________________________________________
Cell Phone:
_______________________________________________________
Fax:
_______________________________________________________

Attention importers/exporters with multiple shipments:

D - Destination(s)

List countries of final destination in decreasing order of trade volume:

Canadian port of exit (e.g., Toronto International Airport):

Expected number of shipments to be exported within one year:

Section 4. Purpose

Note that all the live animals and animal parts/products identified in this application must be exported/imported for the same purpose. Specimens traded for a different purpose must be applied for using a separate application.

Check the box that best describes the purpose of the transaction:

Commercial (T)

Educational (E)
Breeding planned? □ Yes □ No
Name and Address of Education Program:

Re-introduction / Introduction into the wild (N)
Breeding planned? □ Yes □ No
Name the associated Conservation Program:

Breeding in captivity (B)
Name the associated Conservation Program:

Circuses and travelling Exhibitions (Q)

Personal (P)

Zoo (Z)
Breeding planned? □ Yes □ No

Scientific Research (S)
Breeding planned? □ Yes □ No
Attach a summary of the research project, including methodology.

Biomedical Research (M)
Breeding planned? □ Yes □ No
Attach a summary of the research project, including methodology.

Section 5. Description of specimens

Description of Specimens
Item
No.
Scientific Name
(genus, species, sub-species)
Common Name Description Quantity
(specify units, e.g., kg, cm, etc.)
Distinctive Markings
(serial, registration,
band, tattoos, numbers, etc.)
1 blank blank Live animal:
□ male □ female

Animal Part, specify:

Animal Product, specify:

Number of animals used:
Date manufactured:

Name of manufacturer:

blank blank
2 blank blank Live animal:
□ male □ female

Animal Part, specify:

Animal Product, specify:

Number of animals used:
Date manufactured:

Name of manufacturer:

blank blank
3 blank blank Live animal:
□ male □ female

Animal Part, specify:

Animal Product, specify:

Number of animals used:
Date manufactured:

Name of manufacturer:

blank blank
4 blank blank Live animal:
□ male □ female

Animal Part, specify:

Animal Product, specify:

Number of animals used:
Date manufactured:

Name of manufacturer:

blank blank

Section 6. Origin and legality

This section must be completed for each specimen or item unless the information is identical for all specimens or items. Note that in each case you will have to choose one of the following origin: A- from the wild, B- from captive breeding or C- unknown.
In case of re-export, please complete one per supplier. Photocopy this section as needed.

Item Number and Distinctive Marking (if applicable):

A - Complete this section if the live animal or animal part/product came from the wild:

Location of capture or removal:
_______________________________________________________
Date of capture or removal:
_______________________________________________________
Approximate age:
_______________________________________________________

Note: Attach a copy of any permits required to capture or remove the specimen.

B - Complete the following two sections if the live animal or animal part/product came from captive breeding:

Acquisition Date:
_______________________________________________________
Name of Establishment:
_______________________________________________________
Is the establishment registered by CITES?
□ Yes
If yes, the registration number:
_______________________________________________________
□ No
Street and number:
_______________________________________________________
Post Office Box:
_______________________________________________________
City:
_______________________________________________________
Province/Territory/Region:
_______________________________________________________
Postal Code:
_______________________________________________________
Country:
_______________________________________________________
Website:
_______________________________________________________
Email:
_______________________________________________________
Home Phone:
_______________________________________________________
Work Phone:
_______________________________________________________
Cell Phone:
_______________________________________________________
Fax:
_______________________________________________________

Complete the genealogy of the live animal (name and identification #) at the minimum to the 2nd generation (F2) born in captivity.

Genealogy of the live animal
  Specimen:
Sex: □ male □ female
Date of birth:
Specimen:
Sex: □ male □ female
Date of birth:
F1 Mother:
Date of birth:
Father:
Date of birth:

F2 Mother:
Date of birth:

Father:
Date of birth:
Mother:
Date of birth:

Father:
Date of birth:

Note: Attach a copy of a letter or birth certificate from the breeder indicating the birth date of the specimen and parents (F1 and F2).

C - Complete the following section if origin of live animal or animal part/product is unknown:

Acquisition Date:
_______________________________________________________
Context of acquisition
(purchase, gift, etc.):
_______________________________________________________
Country of acquisition:
_______________________________________________________

Has a CITES permit (Canadian or foreign) already been issued for this live animal or animal part/product?

□ No
□ Yes (Attach a copy of the permit)

Permit number:
_______________________________________________________

For multiple use permit holders only, if permits have been supplied previously, please indicate the permit numbers only:

Attention Importers Only:

Section 7. Information on breeding experience

You must complete this section if you are planning to breed the species for commercial or other purpose.
This section must be completed for Each Species in the Section 5 you are planning to breed. Photocopy this section as needed.

Item Number(s):

Experience breeding the species

If yes:

Name of Species:
_______________________________________________________
How many specimens do you have?
____ ____
How long have you bred this species?
_______________________________________________________

If no:

Do you have experience breeding a
similar species?

□ yes □ no
Name of Species:
_______________________________________________________
How many specimens do you have?
____ ____
How long have you bred this species?
_______________________________________________________

Attention Importers Only:

Section 8. Housing and care

Describe the facility used to house the live animal (square footage of area, acreage, type of shelter, etc.).
Provide diagrams and photographs as necessary

Section 9. Transport

Explain how the specimen(s) will be contained during transport:

Section 10. Current location of the specimen

Please check the appropriate box:

□ In Canada
□ Outside Canada
□ Detained by:
□ Canada Customs
□ Foreign Customs

Provide the Customs file number and copies of letters exchanged with Customs.

The undersigned hereby certifies that all information given in this application is true and correct.

Signature of applicant:
_______________________________________________________
Date:
_______________________________________________________
Year / Month / Day

Checklist
□ Did you sign the application?
□ Did you answer all questions relevant to your specimen?
□ Did you attach copies of requested documents?

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