Evidence of Government Use for the Import of Schedule 13 Weapons TO BE COMPLETED BY GOVERNMENT OFFICIALS ONLY 1. Parties Contact name: Australian Importer: Importer’s Street Address: Importer’s Postal Address ( if different to street address): Contact number (business hours): Contact number (after Hours): Facsimile Number: Email address: Contact name: End User/Owner: End User/Owner Postal Address: Contact number (after hours): Contact number (business hours): Facsimile Number: Purchase Order number: Contract number: Email address: Importers Reference: 2. Detailed Description of Goods Please attach pictures and technical specifications that accurately describe the goods – this will assist in the assessment of the application. Attach extra page if more space is required. Detailed Description of Goods Quantity Serial Number 3. Purpose for which goods are being imported 4. Undertaking I or (name of end user/project manager/equivalent) undertake that the (name of government or other applicable end use authority) depicted in Section 2 of this form, which are to be imported by (Project name and number) requires the goods, and the specified quantity of these goods, (name of importing company / individual) for the purposes outlined in Section 3 of this form. I undertake to advise the Department of Immigration and Border Protection of any changes to the details provided in this Assurance. Signature:Date: // (Signature of Project Manager or equivalent of End User / Owner) Print Name: (Name and Title of signatory in capitals include Department stamp) (B711 NOV 2015) 5. The Department of Immigration and Border Protection Use Only Clearing Officer (Please print name): Verification Date: / / 6. Additional Information: This form is required to be completed by an official Government end user when: When is this form required? ● The goods are subject to import control under Regulation 4H and listed in Schedule 13 (Part 2) of the Customs (Prohibited Imports) Regulations 1956; and ● Permission to import is being applied for under the OFFICIAL PURPOSES TEST or the SPECIFIED PURPOSES TEST; and ● The end user is the government of the Commonwealth, or the Government of a State or Territory or an overseas country; This form must be completed by the relevant Government official when goods are being imported for the government of the Commonwealth, or the Government of a State or Territory or an overseas country under the official or specified purposes test. Who must complete this form? Timeframes This form cannot be completed by the importer. Note: Form details will be verified by the Department of Immigration and Border Protection to ensure the form was completed by the relevant Government official and the goods subject to import approval and their quantity matches the goods and quantity required by the official Government user. Any inconsistencies identified on verification may be subject to investigation and subsequent legal action. Making a false or misleading statement to a Department of Immigration and Border Protection officer is an offence under Section 234(1)(d) of the Customs Act 1901 and carries a maximum penalty of $11,000. Applications must be lodged prior to importation and goods cannot be imported until permission to import has been approved. Applications take approximately four weeks for processing once all relevant information is received. If your application does not include all the required documentation, processing time may be longer. Send Application Forward This Form - Along with your B710 Form and Other Documents By mail to: Department of Immigration and Border Protection Restricted Goods Policy PO Box 25 Belconnen ACT 2616 By email to: FWP@border.gov.au Relevant forms and fact sheets Other relevant forms and fact sheets can be found on the Department of Immigration and Border Protection website at www.border.gov.au. Further information For further information regarding the importation of weapons, or to check the progress of your application, please email FWP@border.gov.au or contact the Department. (B711 NOV 2015)