Application for temporary movement of animals or plants (live, parts or products)
CITES - Form A4 (2014.02.04)
Convention on international trade in endangered species of wild fauna and flora (CITES)
Download the PDF version (63 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
- Send your completed application by email, regular mail or fax (send application only once):
Canadian Wildlife Service
Environment Canada
351 St-Joseph Blvd
Gatineau, Quebec K1A 0H3
Email : cites@ec.gc.ca
Fax: 1-855-869-8671
- All applicable sections must be filled out. Incomplete application forms will not be accepted. Additional information or documents may be requested from the applicant in order to process the application. The applicant must sign the application form.
- A period of 40 days (or 80 days for requests relating to polar bears) may be required to review an application before the CITES permit is issued. Please note that this reviewing period begins once all required documents and information has been received by our office.
- If the application is approved, the certificate and certified copies will be sent by mail to the applicant. If you would like to receive your certificate by courier, please provide a pre-paid envelope or your courier account number. The certificate will be sent to the address provided in Section 3A, unless otherwise specified by the applicant.
- Import and export of animals and plants and their parts and derivatives is also controlled by the Plant Protection Act and the Health of Animals Act implemented by the Canadian Food Inspection Agency (CFIA). Please refer to their site or contact their regional offices by phone.
Section 1. Application type
Check one of the following:
□ New Application
□ Renewal of a Temporary Movement Certificate (Canadian)
□ Replacement of a Temporary Movement Certificate (Canadian)
(approximate if necessary):
I would like my Certificate sent by:
□ mail □ courier (cost incurred by applicant)
If you would like your Certificate sent by courier, please provide:
Section 2. Trade type
Check one of the following (separate applications must be made for each type of trade):
| No. | Date of Entry to Canada | Canadian Port of Entry | Date of Exit from Canada | Canadian Port of Exit | Destination Country |
|---|---|---|---|---|---|
| 1 | blank | blank | blank | blank | blank |
| 2 | blank | blank | blank | blank | blank |
| 3 | blank | blank | blank | blank | blank |
| 4 | blank | blank | blank | blank | blank |
| No. | Date of Exit from Canada | Canadian Port of Exit | Destination Country | Date of Entry to Canada | Canadian Port of Entry |
|---|---|---|---|---|---|
| 1 | blank | blank | blank | blank | blank |
| 2 | blank | blank | blank | blank | blank |
| 3 | blank | blank | blank | blank | blank |
| 4 | blank | blank | blank | blank | blank |
Section 3. Name and address
A - Applicant (Canadian importer or exporter)
(if applicable):
□ zoo
□ circus
□ other
B - Broker (e.g., shipping company)
(if applicable):
Attention importers/exporter with a single shipment:
C - Consignee/supplier (Foreign country importer or exporter)
(if applicable):
Attention importers/exporters with multiple shipments and/or multiple destinations: Please complete Section 3 - C for each destination. Use additional sheets if necessary.
Section 4. Purpose
Note that all the live animals/plants and animal/plant parts or products identified in this application must be exported/imported for Travelling Exhibition purposes only. Specimens traded for a purpose other than Travelling Exhibition must be applied for using a different application.
Check the box that best describes your situation:
□ Circuses (Q)
□ Other live animal exhibitions (Q)
Specify type:
□ Live plant exhibitions (Q)
□ Other travelling exhibitions (Q)
Specify type:
Section 5. Description of specimens
- Names: avoid use of trade names or general terms that do not adequately describe the species. Identification at the higher taxon level (e.g., Primates spp., Felidae spp.) is not acceptable.
- Description: for animal part or product, you must specify what part (e.g. feather, egg, skin) or what product (e.g. piano, handbag, belt)
- Quantity: do not use general terms such as "box" or "case". If a re-export, use the same unit of measurement as indicated on previously issued permits.
- Use additional sheets if necessary.
| Item No. |
Scientific Name (genus, species, sub-species) |
Common Name and House Name (if applicable- for live animals) | Description | Quantity (specify units, e.g., kg, cm, etc.) |
Distinctive Markings (serial, registration, band, tattoos, microchip numbers, etc.) |
|---|---|---|---|---|---|
| 1 | blank | blank | □ Live specimen: □ male □ female □ Animal/Plant Part, specify: Number of specimens used: Date manufactured: Name of manufacturer: |
blank | blank |
| 2 | blank | blank | □ Live specimen: □ male □ female □ Animal/Plant Part, specify: Number of specimens used: Date manufactured: Name of manufacturer: |
blank | blank |
| 3 | blank | blank | □ Live specimen: □ male □ female □ Animal/Plant Part, specify: Number of specimens 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:
A - Complete this section if the live specimen or part/product came from the wild:
For Plants: □ seedling □ juvenile □ mature (flowering/fruiting)
Note: Attach a copy of any permits required to capture or remove the specimen.
B - Complete the following section if the live specimen or part/product came from captive breeding or artificial propagation (zoo, breeding facility, nursery, greenhouse, farm, etc.):
Complete the genealogy of the live animal (name and identification #) at the minimum to the 2nd generation (F2) born in captivity.
| blank | 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 specimen or part/product is unknown:
(purchase, gift, etc.):
Has a CITES permit (Canadian or foreign) already been issued for this live specimen or part/product?
□ No
□ Yes (Attach a copy of the permit)
Section 7. Transport of live animals/plants
Describe the method of transport (duration, cage, container, etc.):
Describe the facility where the animal/plant will be kept during your stay:
For Animals only, describe the security measures that will be in place to prevent escape and ensure public safety:
Section 8. 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:Checklist
□ Did you sign the application?
□ Did you answer all questions relevant to your specimen or product?
□ Did you attach copies of requested documents?
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