Application for permit to import live animals

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.

Type of application

New Application

Replacement

Reason for replacement:
__________________________________
Expected date for the
reception of the CITES permit:
__________________________________

How should the CITES permit be sent to you?

Regular mailCourier 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 exporter)

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

To which address should the permit be sent?

Applicant's addressOther address (please specify below)

Address (number and street):
_______________________________________________________
Post Office Box:
_______________________________________________________
City:
_______________________________________________________
Province/Territory/State:
_______________________________________________________
Country:
_______________________________________________________
Postal Code:
_______________________________________________________

1.2 - Broker information (if applicable)

Name:
_______________________________________________________
Name of business or organization
(if applicable):
_______________________________________________________
Address (number and street):
_______________________________________________________
City:
_______________________________________________________
Province/Territory/State:
_______________________________________________________
Country:
_______________________________________________________
Postal/Zip Code:
_______________________________________________________
Email address:
_______________________________________________________
Daytime phone:
_______________________________________________________
Work Phone:
_______________________________________________________
Alternate Phone:
_______________________________________________________
Fax:
_______________________________________________________

1.3 - Consignee information (the foreign importer)

Name:
_______________________________________________________
Name of business or organization
(if applicable):
_______________________________________________________
Address (number and street):
_______________________________________________________
City:
_______________________________________________________
Province/Territory/State:
_______________________________________________________
Country:
_______________________________________________________
Postal/Zip Code:
_______________________________________________________
Email address:
_______________________________________________________
Daytime phone::
_______________________________________________________
Work Phone:
_______________________________________________________
Alternate Phone:
_______________________________________________________
Fax:
_______________________________________________________

Part 2: Purpose of export

Will the animal(s) be sold once imported into Canada?

YesNo

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

YesNo

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

YesNo

Will the animal(s) be introduced or re-introduced into the wild?
If yes, provide a document with the name and address as well as a summary of the program under which this will be done.

YesNo

Is the animal(s) destined for a zoo?

YesNo

Will the animal(s) be used for breeding?

YesNo

Part 3: Animal descriptions

3.1 Animal Description
Live Animal
Number
House name
(e.g. Snow White):
Common species name
(e.g. Snow leopard)
Scientific species name
(e.g. Uncia uncia):
Gender: Unique identification marks (list all applicable): Birth/hatch date
OR
Age:
1 blank blank blank □ Male  □ Female  □ Uknoown blank blank
2 blank blank blank □ Male  □ Female  □ Uknoown blank blank
3 blank blank blank □ Male  □ Female  □ Uknoown blank blank
4 blank blank blank □ Male  □ Female  □ Uknoown blank blank
5 blank blank blank □ Male  □ Female  □ Uknoown blank blank
Acquisition
Live Animal Number Possession or acquisition date: How or where was the animal acquired? If the animal was obtained from a CITES registered breeder, please provide:

Name of establishment:
If the animal was obtained from a CITES registered breeder, please provide:

CITES registration number:
*If you have selected OTHER, describe the circumstances of the acquisition:
1 blank □ Business  □ Zoo  □ breeding operation  □ Individual  □ Other* blank blank blank
2 blank □ Business  □ Zoo  □ breeding operation  □ Individual  □ Other* blank blank blank
3 blank □ Business  □ Zoo  □ breeding operation  □ Individual  □ Other* blank blank blank
4 blank □ Business  □ Zoo  □ breeding operation  □ Individual  □ Other* blank blank blank
5 blank □ Business  □ Zoo  □ breeding operation  □ Individual  □ Other* blank blank blank

Part 4: Transport of live animals

4.1 Transport of live animals

Check the appropriate box and describe in detail the manner in which the animal(s) will be transported:

By airBy seaOver land

_______________________________________________________

4.2 Housing & care

Describe the facility used to house the live animal (square footage, type of shelter, etc.) in the space below. If necessary, attach documents with detailed diagrams and photographs.

_______________________________________________________

Part 5: Current location of the animal(s)

In which country is the animal(s) 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
_______________________________________________________

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