APPLICATION FOR A PERMIT TO TAKE DECLARED RARE FLORA
FOR IDENTIFICATION AND TAXONOMIC RESEARCH PURPOSES
(Pursuant to Section 23F of the Wildlife Conservation Act 1950, as amended)
NOTE TO ALL APPLICANTS:
•
Please complete ALL sections. Further information may be obtained from the
Department's Flora Administrative Officer, 9334 0422.
•
In this application form DRF = Declared Rare Flora (also referred to as
Threatened Flora)
•
Completed Application should be forwarded to;
Flora Administrative Officer, Species & Communities Branch, Department of
Parks and Wildlife (DPaW), Locked Bag 104, Bentley Delivery Centre, WA
6983. Or emailed to flora.data@dpaw.wa.gov.au.
•
1.
If taking DRF for purposes other than or in addition to voucher specimens and
taxonomic samples, please complete the application form for OTHER
SCIENTIFIC RESEARCH PURPOSES
Scientific name, parts to be taken & amount to be taken:
Scientific Name of DRF
(list all individual species, genera or state
‘all DRF’ if required for general
opportunistic specimen collections)
Parts to be taken (e.g. Flowering Stems,
Fruits/Nuts, Seeds, Leaves, Cuttings,
whole plants)
Amount to be taken
2.
Purpose of Collection: (If for taxonomic research please attach copy of research proposal)
3.
Area/s from which DRF is to be taken:
4.
Detail your botanical knowledge/experience. (Permits to take DRF will only be issued if you can
demonstrate that you have an ability to adequately recognise/identify flora species)
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Application for a permit to take DRF for other scientific purposes
5.
(a)
If material is to be forwarded to Herbaria (other than the WA Herbarium) or other research institutions,
detail material and institution/s involved:
(b)
Are herbarium specimens to be lodged at the WA Herbarium?

NO

(c)
Will any propagating material be forwarded to DPaW’s Threatened Flora Seed Centre? YES

NO
(d)
Will any propagating material be forwarded to Botanic Garden and Parks Authority? YES
YES

Note: if “yes” for (c) or (d) a further specific application is required.
(e)
Will any material be retained by the permit holder? YES

NO

Note: if “yes” for (e) state the quantity, type and purpose:
6.
Period for which permit is required:
to
7.
Applicant Details (Name of the individual to whom a permit is to be issued):
Surname
Dr/Mr/Mrs/Miss/Ms
Other Names
Personal (residential) or Research Institution/Company/Group Address
Postcode
Address (postal)
Postcode
Associated Research Institution/Company/Group (if applicable)
Previous Permit No.:
Expiry Date:
……………..
/
Day Phone No.
Email Address:
/
@
8.
Additional comments in support of application:
9.
Signed: ________________________________________
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Date:_______/______/_____
NO


Application for a permit to take DRF for other scientific purposes
Note:
•
Applications to take Declared Rare Flora must be submitted at least 4 weeks prior to the "taking" of the
species.
•
"to take" in relation to the Wildlife Conservation Act includes to gather, pluck, cut, pull up, destroy, dig up,
remove or injure the flora or to cause or permit the same to be done by any means.
•
All applications must be referred in the first instance for the attention of the Flora Administrative Officer,
Species and Communities Branch, Department of Parks and Wildlife, Locked Bag 104, Bentley Delivery
Centre WA 6983. A submission will be forwarded to the Hon Minister for Environment (or their delegate),
based on this application.
•
Applicants must complete all sections. Contact the Department's Flora Administrative Officer 9334 0422 if
further information is required.
•
It is a condition of a DRF permit that a Threatened and Priority Flora Report Form is to be completed for
each population of DRF that a collection is made. Report Forms and the field manual on how to complete
the form can be downloaded from DPaW’s website at http://www.dec.wa.gov.au/management-andprotection/threatened-species/monitoring/standard-report-forms.html
•
The WA Herbarium guidelines on collection of specimens can be downloaded from the WA Herbarium’s
webpage at http://www.dec.wa.gov.au/our-environment/science-and-research/wa-herbarium.html
•
Information on the location of DRF popualtions can be requested through Species and Communities Branch
by emailing flora.data@dpaw.wa.gov.au
•
A list of the current DRF can be obtained from DPaW’s website at http://www.dec.wa.gov.au/managementand-protection/threatened-species/listing-of-species-and-ecological-communities.html
__________________
Revised: August 2013
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