Crew change e-mail template To the Department of Agriculture This is to notify you that crew will leave the vessel. Details below: Details Vessel Name Vessel IMO Port of Crew Departure Date & Time of Crew Departure Agent Leaving Crew Family Name Insert rows as required Given Name Nationality Describe the Items to be Has the crew member been in Declared (examples shown contact with that listed in in Index 1. Mark ‘nil’ if no Index 2 in the past 30 days? items to declare.) (Y/N) Index 1 Items of interest to the department include: Meat, poultry, fish, seafood, eggs, dairy, fruit, vegetables Grains, seeds, bulbs, straw, nuts, plants, parts of plants, traditional medicines or herbs, wooden articles Animals, parts of animals, animal products including equipment, pet food, eggs, biologicals, specimens, birds, fish, insects, shells, bee products Soil, items with soil attached or used in freshwater areas i.e. sports/recreational equipment, shoes Index 2 Farms, farm animals, wilderness areas, freshwater streams or lakes in the past 30 days Privacy Notice Personal information means any information or opinion about an identified, or reasonably identifiable, individual. The collection of personal information by the department in relation to the arrival of vessels in Australia is authorised under the Quarantine Act 1908 for assessing the biosecurity risks of vessels for issuing pratique and related purposes. If the relevant personal information requested in this application is not provided by you, the department will be unable to assess your eligibility for pratique. Personal information may be disclosed to relevant State and Australian Government agencies responsible for administering biosecurity, Customs and Border Protection and human health laws, provided the disclosure is consistent with relevant laws, in particular the Privacy Act 1988. Your personal information will be used and stored in accordance with the Privacy Principles. The department's Privacy Policy, including information about access to and correction of your personal information, go to: http://www.agriculture.gov.au/about/accessing-information/foi/ips/operationalinformation/privacy-policy. To contact the department about your personal information or to make a complaint: Telephone Switchboard: +61 2 6272 3933 Email: privacy@agriculture.gov.au Post: Privacy Contact Officer, Department of Agriculture, GPO Box 858, Canberra ACT 2601. List of regional port e-mail addresses State Parent port Parent port email address Child ports NSW Newcastle newcastle.seaports@agriculture.gov.au Coffs Harbour, Newcastle NSW Port Kembla portkembla.seaports@agriculture.gov.au Batemans Bay, Eden, Jervis Bay, Lord Howe Island, Port Kembla NSW Sydney sydney.seaports@agriculture.gov.au Port of Botany Bay, Sydney NT Darwin ntcargo@agriculture.gov.au Australian Fishing Zone, Bayu Undan, Bing Bong, Blacktip SPM, Buffalo Venture, Crocodile Creek, Darwin, Front Puffin, Glas Dowr, JPDA, Laminaria, Montara Whp, Northern Endeavour, Port Essington, Port Keats, Timor Sea (Offshore), Tiwi Island, Wessel Island, Bigge Island, Broome, Browse Basin (Offshore), Buccaneer Archipelago, Camden Harbour, Careening Bay, Cassini Island, Cockatoo Island, Cocos Island, Derby, Freshwater Cove, Hidden Island, Hunter River, King George River, Koolama Bay, Koolan Island, Kuri Bay, Lacepede Island, Montgomery Bay, Nares Point, Naturalists Island, Prince Regent River, Raft Point, Rowley Shoals, Sheep Point, Talbot Bay, Vansittart Bay, Winyalken Bay, Wyndham, Yampi Sound QLD Brisbane brisbane.seaports@agriculture.gov.au Brisbane, Gold Coast, Goodwood Island, Mooloolaba, Moreton Bay, Southport, Yamba QLD Bundaberg biosecurity.bundaberg@agriculture.gov.au 1770, Bundaberg, Hervey Bay, KingFisher Bay QLD Cairns cdo@agriculture.gov.au Aurukun, Bamaga, Boigu Island, Cairns, Cape Flattery, Cape York, Cooktown, Darnley Island, Innisfail, Karumba, Lizard Island, Melville Bay, Milner Bay, Mourilyan, Murray Island, Port Douglas, Port Kennedy, Punsand Bay, Saibai Island, Seisia, Skardon River, Weipa, Willis Island QLD Gladstone biosecurity.gladstone@agriculture.gov.au Gladstone, Port Alma QLD Mackay biosecurity.mackay@agriculture.gov.au Airlie Beach, Funnel Bay, Hamilton Island, Hardy Reef, Hay Point, Hayman Island, Mackay, Whitsundays QLD Townsville biosecurity.townsville@agriculture.gov.au Bowen, Lucinda, Nelly Bay, Townsville SA Adelaide adelaide.seaports@agriculture.gov.au Ardrossan, Kingscote, Penneshaw, Port Adelaide, Port Augusta, Port Bonython, Port Giles, Port Lincoln, Port Pirie, Rapid Bay, Thevenard, Wallaroo, Whyalla Ts1, Whyalla TAS Hobart tasmania.seaports@agriculture.gov.au Bruny Island, Burnie, Coles Bay, Devonport, Flinders Island, Freycinet Peninsula, Heard Island, Hobart, Home Island, King Island, Launceston, Macquarie Island, Maria Island, Port Arthur, Port Davey, Port Huon, Port Latta, Spring Bay, Stanley, Wineglass Bay VIC Geelong geelong.seaports@agriculture.gov.au Geelong VIC Melbourne melbourne.seaports@agriculture.gov.au Barry Beach, Bass Strait, Hastings, Melbourne, Mornington, Port Welshpool, Westernport VIC Portland portland.seaports@agriculture.gov.au Portland WA Albany albany.seaports@agriculture.gov.au Albany WA Bunbury Bunbury.seaports@agriculture.gov.au Bunbury, Geographe Bay WA Christmas Island Christmascocos.seaports@agriculture.gov.au Christmas Island, Cocos Island WA Esperance esperance.seaports@agriculture.gov.au Esperance WA Fremantle Fremantle.seaports@agriculture.gov.au Fremantle, Kwinana WA Geraldton Geraldton.Quarantine@agriculture.gov.au Cape Cuvier, Carnarvon, Geraldton, Useless Loop/Shark Bay, Exmouth, Carnarvon Basin (offshore), WA Karratha Karratha.Quarantine@agriculture.gov.au Barrow Island, Bernier Island, Bunbury, Cape Preston, Carnarvon Basin (offshore), Cossack Pioneer, Dampier, Griffin Venture, Legendre, Modec Venture 11, Nganhurra, Ngujima-Yin, Ningaloo Vision, North Rankin B, North West Shelf (offshore), Okha, Onslow, Point Samson, Port Walcott, Pyrenees Venture, Saladin Marine Terminal, Scarborough Basin (offshore), Stag, Stybarrow Venture, Varanus Island, Wandoo A & B, Wheatstone WA Port Hedland porthedland.seaports@agriculture.gov.au Port Hedland