DEPARTMENT OF
PRIMARY INDUSTRY & FISHERIES
www.chemicalservices.nt.gov.au
Biosecurity & Product Integrity
Chemical Services
CS Robinson Building
Berrimah Farm
GPO Box 3000
DARWIN NT 0801
Tel: 8999 2344
Fax: 8999 2111
Email: chemicals@nt.gov.au
APPLICATION FOR 1080 PEST ANIMAL MANAGEMENT AUTHORISATION –
OTHER PEST ANIMALS (1080 PAMA – Other Pest Animals)
The application form is to be completed by landowners, occupiers and property managers who wish to
undertake pig, fox, rabbit or other pest animal control using 1080 baits on land under their management.
If you want to use 1080 baits to control Wild Dogs on Pastoral Properties you MUST complete a different
application form entitled: Application Form - 1080 Pest Animal Management Authorisation Including
the Permit to Take Protected Wildlife (1080 PAMA and Permit) (For Wild Dog Control on Pastoral
Properties/Grazing Leases) this form is available from Chemical Services and can be downloaded from
our website (address below).
If you own, occupy and/or manage more than one property, each of the properties where you may wish to
use baits are to be listed on the application below. In addition, all NT Portion numbers for the
property(ies) must also be listed on the attached form before the authorisation can be issued to you.
All parts of the form and map must be completed before an application will be processed.
Special additional conditions will apply to properties of less than 10 ha for pigs.
‘Schedule A’ of the 1080 PAMA certificate is your purchase approval that must be presented to your
supplier. The quantity and type of baits you can purchase will be specified in Schedule A.
The landowner, occupier or property manager must provide for secure storage of baits. At all stages of the
process the person in possession of the baits is responsible for their secure storage and use.
A ‘1080 PAMA’ DOES NOT authorise the holder to lay 1080 baits. The only people who are allowed to
handle and lay baits are those who hold a current “1080 User Authorisation”. This is a separate
authorisation for those who have undertaken the relevant 1080 training AND then applied to this
Department for this specific authorisation.
Once you have been issued a ‘1080 PAMA‘ it is valid until the expiry date printed on the certificate. A
renewal notice will be sent to you prior to the expiry date.
Conditions of the “1080 PAMA” must be followed in conducting each baiting program in addition to those
required in the “Direction for Use of 1080 for Pest Animal Control”.
Application forms can be obtained from the Chemical Services website: www.chemicalservices.nt.gov.au
or by contacting this Office, and completed applications should be returned to:
The Chemicals Coordinator
Department of Primary Industry & Fisheries
CS Robinson Building
Berrimah Farm
GPO Box 3000
DARWIN NT 0801
Fax: 8999 2111
Email: chemicals@nt.gov.au
For further information or assistance with completing this applications contact the Chemical Services
Section on 08 8999 2344 or by email at: chemicals@nt.gov.au .
DEPARTMENT OF
www.chemicalservices.nt.gov.au
PRIMARY INDUSTRY & FISHERIES
Biosecurity & Product Integrity
Chemical Services
CS Robinson Building
Berrimah Farm
GPO Box 3000
DARWIN NT 0801
Tel: 8999 2344
Fax: 8999 2111
Email: chemicals@nt.gov.au
Application for 1080 Pest Animal Management Authorisation
-
OTHER PEST ANIMALS
(1080 PAMA – OTHER PEST ANIMALS)
**To enable pest animal control on their property using 1080 baits, the applicant must
be the landowner, property manager or occupier of the land to be baited.**
SECTION A: APPLICANT DETAILS
Status:
Title:
Landowner ☐
Occupier ☐
Property Manager ☐
Date of Birth:
.... /...... / ......
Mr / Mrs / Ms / Other ................... Other (please specify):
Given Name(s):
Surname(s):
Company Name:
ABN or ACN:
Phone No. (b):
Phone No. (h):
Mobile No.:
Fax No.:
Email address:
Postal Address (this is the address that your certificate will be sent to):
Residential Address (if different to property address):
Is this a Renewal
No ☐
Yes ☐
If Yes, previous 1080 PAMA No:
1080P /
SECTION B: PROPERTY DETAILS (where baits are to be laid) – List each property* separately
Property 1
Property 2
Property 3
Property 4
Property Name
NT Portion
Number(s)
Property PIC No.
Address of the
property
Shire:
Area of property
(ha or km2)
*If you have responsibility for more than 4 properties, please copy this page and only fill in Section B for the additional properties and submit
with the rest of the application (maps must be attached to this application for all properties listed above).
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SECTION C: PROPERTY MAP
A map for each Property listed MUST be attached to your application. Please attach the best map of each
property, ensuring each map has been marked with the required features listed below.
Required Features to be marked on the Map:
To prepare maps the following symbols are to be used and any dwelling or Community Living Area (CLA) that
is not on the property but within 3 km of a baiting site must be shown.







Dwelling - Own
Dwelling – Adjacent and other ownership
Community Living Area (CLA)
Constructed roadside stops – rest areas, monuments, road houses and similar
Location of 1080 Warning Signs
Public Access Points to Property
Watering points, water bodies including dams and bores, etc
 Watercourses to be marked with a blue line





Property boundaries
Roads adjoining boundary
Area to be baited to be indicated by outlining the area.
Internal Roads and tracks (indicating those to be used for bait distribution)
Aerial tracks for bait distribution
SECTION D: ADDITIONAL DETAILS
1.
1080 AUTHORISED USERS - PERSON WHO WILL BE LAYING BAITS.
NOTE: If no authorised user details are included on this application it will not be approved.
FULL NAME OF USER
1080 USER AUTHORISATION
NUMBER*
PROPERTY(IES) USER
WILL BAIT
1
1080/
2
1080/
3
1080/
4
1080/
5
1080/
6
1080/
* This is located at the top of their User Authorisation Certificate that is issued from this Agency.
2.
PLEASE SPECIFY THE PEST ANIMAL YOU WANT TO BAIT FOR AND OUTLINE PREVIOUS EFFORTS
UNDERTAKEN TO MANAGE THE PEST ANIMAL PROBLEM IN THE PAST 12 MONTHS.
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3.
NUMBER OF BAITS THAT YOU REQUIRE FOR EACH PROPERTY:
The approval for 1080 baiting is for a period of 1 year or as specified on your authorisation. Indicate the
number of baits that you estimate is required to bring the pest animal problem under control.
Please indicate the type of bait which you intend to use and how they will be used. e.g.; pre feeding
with grain using a Hoghopper followed by untreated Pigout® baits and then 1080 Pigout® baits when
pigs start feeding on the untreated Pigout® baits.
NAME OF PROPERTY
NOTE:
NO. OF BAITS
Only registered baits can be used as per the approved label use or as directed by the Chemicals
Coordinator.
☐GROUND BAITING ☐ AERIAL BAITING*
Method of bait laying (please tick one)
*NOTE:
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1080 BAIT TO BE USED AND HOW IT WILL BE USED
Aerial baiting will ONLY be approved if its use can be justified. If requesting Aerial Baiting, specify for
which property(ies) and explain why it is required (refer to Direction for Use of 1080 for Pest Animal
Control for requirements of aerial application).
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SECTION E: DECLARATION
I, _________________________________________________________________(print full name) of
__________________________________________________________________(property address)
and being the landowner, occupier or the property manager of the above land do solemnly and sincerely
declare that the details given in this application and attached map are true in every particular and I make this
solemn declaration by virtue of the Oaths Act, and additionally I agree to comply with the conditions specified
in the 1080 Pest Animal Management Authorisation that may be issued as a result of this application.
This will include, but is not limited to ensuring the following 1. If the applicant is not the registered owner(s) of the property or properties, that the registered owner(s)
have given their approval to allow 1080 baiting to be undertaken on the property or properties.
2. That approved 1080 bait warning signs are displayed prior to baiting as required.
3. That neighbours are notified at least 3 days before baiting is to commence or as specified in the issued
1080 Pest Animal Management Authorisation.
4. That the poison products for which I am responsible and the subject of this application, will be secured
and stored in a safe manner and used only as directed.
5. That l ensure that persons in possession or use of 1080 baits have a current 1080 User Authorisation.
6. That all persons involved in the baiting operations comply with any and all conditions imposed in the
1080 Pest Animal Management Authorisation that may be issued as a result of this application.
7. Where the directions in the 1080 Pest Animal Management Authorisation are different to those in the
Direction for Use of 1080 for Pest Animal Control, or the relevant label particulars of the 1080 chemical
product used, then the conditions of the 1080 Pest Animal Management Authorisation must be followed.
8. That I inform Chemical Services in writing when I cease to be the manager of 1080 baiting operations for
any or all of the property(ies) listed on the 1080 Pest Animal Management Authorisation and
acknowledge that the 1080 Pest Animal Management Authorisation is no longer valid upon my cessation
as the manager of the property(ies)
Applicant’s signature:
Date:
........ / ....... /20 ..
 Section 102 of the Agricultural and Veterinary Chemicals (Control of Use) Act provides penalties
for false or misleading information provided on this application form.
 The Department of Primary Industry and Fisheries (DPIF) respects the privacy of individuals in
accordance with the Northern Territory Information Act. The Act establishes 10 Information
Privacy Principles to govern the collection, use, storage and management of personal
information by NT Government Agencies.
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