Request for renewal of a single-use permit

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.

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

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

Name:
_______________________________________________________
Name of business or organization
(if applicable):
_______________________________________________________
Address (number and street):
_______________________________________________________
Post Office Box:
_______________________________________________________
City:
_______________________________________________________
Province/Territory:
_______________________________________________________
Postal Code:
_______________________________________________________
Daytime phone:
_______________________________________________________
Alternate phone:
_______________________________________________________

Part 2: Expired permit details

CITES permit or certificate #:
_______________________________________________________
Date of Issue:
(YYYY / MM / DD)
_______________________________________________________
Valid until:
( YYYY / MM / DD)
_______________________________________________________

□ 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.

Applicant's Name:
(printed clearly)
_______________________________________________________
Signature of applicant:
(sign with dark ink)
_______________________________________________________
Date:
(dd/mm/yyyy)
_______________________________________________________

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