ABN: 34 190 894 983
Biological Control Agents - Application to amend the List of Specimens Suitable for Live
Import (Live Import List)
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Important notes
There are severe penalties for knowingly making false or misleading statements in this application.
Many transactions relating to wildlife products may require clearance from the Australian Quarantine and Inspection Service
(AQIS) and the Australian Customs Service (Customs). Please contact AQIS and Customs in your State or Territory for information
on quarantine and Customs controls.
Applications that are incomplete or contain insufficient information cannot be processed. Delays will occur whilst further information
is sought from the applicant.
If a permit is required, do not attempt to export/import without first obtaining your permit otherwise your specimens may be seized.

For people applying to renew expiring permits
Any unused Specimen Export Record (SER) forms may be kept when renewing a permit.
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Fee payable
A fee of $30 is payable for most single-use permit applications, except where an animal welfare assessment is required (including
for household pets) or if it is for a testing permit as part of a live import list amendment application. The permit application fee is
$150 where a welfare assessment is required and $150 for a testing permit application.
Multiple-consignment permit applications (available in some cases) are $75 per 6 month period.
Payments may be made by credit card, cheque or money order. Please make cheques/money orders payable to ‘Collector of
Public Monies’.
Lodging the application
This application, and supporting documents, may be faxed to the number below in order to facilitate the processing of the
application, but permits will not be issued until the application fee has been received.
Please note that if you are paying by credit card, a faxed copy of your application and supporting documentation will be sufficient.
Supporting Documentation
Please ensure that you attach (where applicable):
Proof of the source of the products (eg state harvesting or breeding licence, receipt from supplier);
A copy of CITES (Convention on International Trade in Endangered Species of Wild Fauna and Flora) export permit (in the case of
import applications);
A copy of the Department of the Environment, Water, Heritage and the Arts import permit (in the case of re-export applications)
Any relevant documents referred to in Question 23.
You will also need to complete an extra subject-specific attachment if instructed to do so in Question 18.
You may be audited so please keep copies/records to verify sources of specimens.
Postal Address:
The Director
Wildlife Trade Regulation
The Department of Sustainability, Environment, Water, Population
& Communities
GPO Box 787
CANBERRA ACT 2601
Fax: (02) 6274 1565
Telephone: (02) 6275 9206
Email: exotic.species@environment.gov.au
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For Multiple Consignment Permit applicants (Please complete if applicable):
 Do you require further stocks of Specimen Export Record forms (these must accompany each export)?
If so, how many of each type (Native & CITES forms)?____________________________________________________
If applying to renew a Multiple Consignment Permit:
 Do you have existing stocks of Specimen Export Record forms you would like transferred to this permit?
If so, please list type (Native or CITES) and form numbers (attach list if necessary):____________________________
Please complete if applicable:

Are you applying for $1 ‘personal baggage’ permits for use for manufactured products being exported as personal
accompanied baggage? If so how many? __________
Small businesses
Please provide an estimate of time taken to complete this form
hours
minutes
Include:
 the time actually spent reading the instructions, working on the questions and obtaining the information; and
 the time spent by your employees in collecting and providing this information
Credit card Details (if paying fee by credit card):
Card holder name: (Print full name)
Card
name:
(Print fullorname)
Card:holder
either Visa,
Bankcard
Mastercard
Expiry date: month/year e.g. 08/2008
Amount $ _____________________
Cardholder signature:
Card number:
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Australian Address
Permit Details
COMPLETE FOR ALL PERMITS
1. Which of the following applies to this application?
TICK ONE ONLY
(Unless applying for both the import and export of a
travelling exhibition item)
4. Name
Mr, Ms, Mrs, etc
First (given) name
Family name (surname)
EXPORT of wildlife/wildlife products to another
country
5. Organisation name (if applicable)
RE-EXPORT of wildlife/wildlife products to
another country
Registered name and ABN
IMPORT of wildlife/wildlife products into
Australia
2. How many permits do you require?
Multiple Consignment
Permits
Trading name (if different to above)
Valid for (months)
Single Use Permits
Position within organisation (if applicable)
Please ensure you have provided sufficient funds
for the number and types of permits required.
See the relevant import/export fact sheets at
http://www.environment.gov.au/biodiversity/
trade-use/publications/index.html or contact
Wildlife Trade Regulation for further information
on single use and multiple consignment
permits.
6. Street address
Address
Town/Suburb
State
Postcode
7. Postal address
3. Have you previously been issued with a permit
If same as street address, tick here
to export or import wildlife or wildlife products?
Address
No
Go to next question
Yes
Permit Number of last permit issued:
Town/Suburb
State
Postcode
8. Contact details (include area code)
Telephone number – work
Telephone number - home / mobile
Fax number (include area code)
Email
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Overseas Address
Shipment Details
ALL SINGLE USE PERMITS.
NOT REQUIRED FOR MULTIPLE CONSIGNMENT
PERMITS EXCEPT WHERE THE APPLICANT IS
FROM OVERSEAS OR IF ALL SHIPMENTS WILL BE
GOING TO THE SAME ADDRESS
(if known)
14. Date of proposed import or export
9. Name
Mr, Ms, Mrs, etc
SINGLE USE PERMIT ONLY
First (given) Name
DD/MM/YYYY
/
Family name (surname)
/
15. How will the shipment be sent?
TICK ONE ONLY
10. Organisation name (if applicable)
Air
Registered name
Sea
Post
Accompanied baggage
Position within organisation (if applicable)
16. Name of Australian port of entry or exit
Show airport, seaport, city, town
11. Street address
Address
17. Name of Overseas port of entry or exit
Show airport, seaport, city, town
Town/Suburb
State
Postcode
18. What is the purpose of the import or export?
Country
Commercial purpose
12. Postal address
Go to
next
question
If same as Street address, tick here
Non-commercial purposes:*
Address
Research
(Supplementary Form A)
Town/Suburb
State
Education
(Supplementary Form B)
Postcode
Country
13. Contact details (include country and area codes)
Exhibition
(Supplementary Form C)
Conservation breeding or propagation
(Supplementary Form D)
Telephone number - work
Country code Area code and number
Complete
relevant
supplementary
form and
Go to next
question
Household pet (Supplementary Form E)
Telephone number - home / mobile
Country code Area code and number
Travelling exhibition
(Supplementary Form F)
Fax number (include country and area codes)
Personal item(s) that will not be traded
(Cannot be a live plant or animal)
Go to 22
Testing (as part of an assessment of a
proposed live import list amendment)
Go to 22
Email
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* See “Guide to the Import and Export of Wildlife
Specimens for Non-commercial Purposes” at
www.environment.gov.au/biodiversity/tradeuse/publications/noncommercial-guide/index.html
You will need to provide details at question 22 (next
page) on the specimens you are applying for. The
following notes are provided to assist with the
completion of question 22.
19. Are you applying to import or export a live
animal (including viable reproductive
material)?
No
Go to 22
Yes
Go to next question
1) Source Codes
Wild
Captive bred
Artificially propagated
Ranched
Aquacultured
Other (please explain)
Unknown (must be justified)
20. Is it an import?
No
Go to 22
Yes
Go to next question
Permits for commercial exports can usually only be
issued for specimens derived from an approved
wildlife program (such as a Captive Breeding
Program, Artificial Propagation Program, Aquaculture
Program, Wildlife Trade Operation or Wildlife Trade
Management Plan).
the “List of Specimens Suitable for Live
Import”? The list is available at
www.environment.gov.au/biodiversity/tr
ade-use/lists/index.html
A live specimen cannot be imported into
Australia unless it is included on the “List of
Specimens Suitable for Live Import”
Yes
W
C
A
R
AQ
O
U
2) Name of Commercial Wildlife Program
21. Is the species to be imported included on
No
Specimen Identification
A permit cannot be issued, but you
may apply to have the list amended.
Information on amending the list is at
www.environment.gov.au/biodiversi
ty/trade-use/lists/import/index.html
Go to next question
Permits for commercial imports of species listed
under CITES Appendix II may be issued for wild taken
or ranched specimens unless it is a “declared
specimen”. Declared specimens require an approved
Commercial Import Program. The Declared
specimens list is available at
http://www.environment.gov.au/biodiversity/tradeuse/sources/declared-specimens.html
Permits for specimens derived from an animal bred in
captivity or a plant that was artificially propagated may
also be issued.
In this form, please provide the specific name of the
program from which your specimens were derived; for
example, the NSW Kangaroo Management Program,
Insect Harvesting and Export Program (Mr X), TAS
Tree Fern Management Program.
3) Place of origin
For Australian native species, or a non-native species
sourced in Australia, name the State or Territory
where taken or grown.
For non-native species sourced outside Australia,
name the country from which the specimens were
originally taken.
4) Year in which the specimens were taken or bred
Show the year when the animals/plants were taken
from the wild; or the year that the specimens were
captive bred or artificially propagated.
5) Reference Publication
Only complete for species that are not commonly in
trade and if you have not applied for a permit for it
before. Refer to a publication where the species is
named and described.
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22. Specimen details to be included on permit. Refer to notes on previous page before entering details.
If you have more than 3 different specimens, you will need to photocopy the page before entering the details.
Scientific name - PLEASE PRINT
(for example: MACROPUS RUFUS)
Common name
(for example: Red Kangaroo)
Specimen description
(for example: live animal; live plant; meat; shells; hunting trophy)
Source Code (see note 1)
Place of origin (See note 3)
If commercial: name of the program(s) from which specimen was sourced
(see note 2)
Year (See note 4)
Reference Publication (only complete if species is not
commonly in trade) (see note 5)
Scientific name - PLEASE PRINT
(for example: MACROPUS RUFUS)
Common name
(for example: Red Kangaroo)
Specimen description
(for example: live animal; live plant; meat; shells; hunting trophy)
Source Code (see note 1)
Place of origin (See note 3)
Year (See note 4)
Reference Publication (only complete if species is not
commonly in trade) (see note 5)
Common name
(for example: Red Kangaroo)
Specimen description
(for example: live animal; live plant; meat; shells; hunting trophy)
Place of origin (See note 3)
Quantity and unit
(eg Number, kg etc)
If commercial: name of the program(s) from which specimen was sourced
(see note 2)
Scientific name - PLEASE PRINT
(for example: MACROPUS RUFUS)
Source Code (see note 1)
Quantity and unit
(eg Number, kg etc)
Quantity and unit
(eg Number, kg etc)
If commercial: name of the program(s) from which specimen was sourced
(see note 2)
Year (See note 4)
Reference Publication (only complete if species is not
commonly in trade) (see note 5)
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23. Attach copies of any other approvals or
25. Is a courier service required?
permits relating to the import or export of
the specimens.
No
Go to next question
Include (where appropriate)
Yes
Enclose a pre-paid courier bag
State/Territory holding, collection, import
and export permits, CITES permits
24. Do you wish to nominate an agent to act on
OFFENCE DECLARATION
your behalf? If you answer yes, the permit
will be sent to your agent.
To answer this question, please answer ‘Yes’ or
‘No’ in the section provided
No
Go to next question
Yes
Provide agent details and
authorisation below.
Note that the applicant retains
responsibility for the application and that
the applicant (not agent) must sign the
declaration at question 28 and on any
relevant supplementary forms.
Name of agent
Address of agent
Telephone number of agent
(
)
Signature of agent
26. Has applicant been convicted of, or is
applicant subject to proceedings for:
Yes / No
(a) offences under the Environment
Protection and Biodiversity
Conservation Act 1999 or
Regulations;
(b) offences under any law of the
Commonwealth about the protection,
conservation or management of native
species or ecological communities;
(c) offences under section 6 of the
Crimes Act 1914 in relation to an
offence referred to in paragraph (a) or
(b)1;
(d) offences under a law of a State or
Territory about the protection,
conservation or management of native
species or ecological communities;
(e) offences, in relation to a law referred to
in paragraph (d), under a provision of
a law of a State or Territory that is
equivalent to provision mentioned in
paragraph (c), or to section 11.1, 11.4
or 11.5 of the Criminal Code 2,3.
Note 1. Section 6 of the Crimes Act 1914 relates to
accessories to an offence,
Note 2. Section 11.1 of the Criminal Code relates to
attempt; section 11.4 of the Code relates to incitement
to commit an offence; and section 11.5 to conspiracy
to commit an offence.
Under section 11.6 of the Code, a reference in a law of
the Commonwealth to an offence includes the
offences created by sections 11.1, 11.4 and 11.5. For
offences of complicity and common purpose, and the
commission of an offence by means of an innocent
agency, see sections 11.2, and 11.3 of the Code.
Date signed
I further state that I have provided the abovenamed agent with the particulars of the
transaction and that the information
provided by me is true and correct in every
detail.
Name of applicant (or Authorised person if
applicant is an organisation)
Note 3. The provisions of Part V11C of the Crimes
Act 1914 includes provisions that, in certain
circumstances, relieve persons from the requirement
to disclose spent convictions and require persons
aware of such convictions to disregard them.
Signature of applicant or Authorised person
If the answer to any of the above parts of question 26
is ‘Yes’, please provide details of the offence, date,
penalty imposed
Date signed
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27. Please check the following before signing
the declaration:
28.
Declaration
I declare that:
If you are paying by credit card, you
have completed the payment details on
page 2; otherwise the fee is enclosed.
You have attached all relevant
authorities and consents that indicate
compliance with other Commonwealth,
State and Territory requirements
related to the proposed export or
import.

the particulars provided by me in this
application are true and correct in every
detail; and
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in the case of live animals and plants, that
they will be prepared and shipped in
accordance with the current edition of the:
“IATA (International Air Transport
Association) Live Animals regulations” in the
case of live animals to be transported by air;
or “CITES (Convention on International
Trade in Endangered Species of Wild Fauna
and Flora) guidelines for transport and
preparation for shipment of live wild animals
and plants” in all other cases; and

in the case where the specimen is for
personal use it will not be used for
commercial purpose including sale, lease,
hire or exchange and shall remain as my
personal property; and

all Commonwealth and State/Territory
requirements in relation to the specimen(s)
have been/ will be met (question 23 refers).
You have attached all relevant
authorities and consents from the
governments of other countries that
entitle you to import or export wildlife
across their respective borders.
You have attached any relevant
documents listed on Page 1.
You have attached all supplementary
forms as requested in question 18, and
any relevant documents listed on those
supplementary forms.
Names of supplementary forms:
Supplementary Form A - Research
Supplementary Form B - Education
Supplementary Form C - Exhibition
Supplementary Form D - Conservation
Breeding or Propagation
Supplementary Form E - Household Pet
Supplementary Form F - Travelling
Exhibition
Supplementary Form G - Live Animal
Imports/Exports
Please Note:
GIVING FALSE OR MISLEADING
INFORMATION IS A SERIOUS
OFFENCE
(Criminal Code – Division 137)
Name of applicant (or authorised person if
applicant is an organisation)
Signature of applicant or authorised person
Date signed
Information provided in this application form
may be exchanged with other
Commonwealth and State agencies for the
purposes of administering the EPBC Act
and relevant State legislation.
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