Form PQ-7 "Permit Application for Restricted Commodities Into Hawaii" - Hawaii

What Is Form PQ-7?

This is a legal form that was released by the Hawaii Department of Agriculture - a government authority operating within Hawaii. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2004;
  • The latest edition provided by the Hawaii Department of Agriculture;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form PQ-7 by clicking the link below or browse more documents and templates provided by the Hawaii Department of Agriculture.

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Download Form PQ-7 "Permit Application for Restricted Commodities Into Hawaii" - Hawaii

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PQ-7 (01/04)
State of Hawaii
For Office Use Only
Department of Agriculture
PLANT QUARANTINE BRANCH
Fee: $_____________ Receipt No. ____________________
1849 Auiki Street, Honolulu, HI 96819-3100
o Approve Permit No._______________ Date: __________
Phone: (808) 832-0566, FAX: (808) 832-0584
o Disapprove
o Other _________________________
PERMIT APPLICATION FOR
Processed by: _____________________ Date: __________
RESTRICTED COMMODITIES
INTO HAWAII
Date: ________________________________
In accordance with the provision of Chapter _________________ , Hawaii Administrative Rules of the Division of
Plant Industry, Department of Agriculture, a permit is requested for the following commodities:
Please type or print clearly.
__________________________________________________________________________________________________________________________
Quantity
Commodity
Scientific Name
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Name and address of shipper: _______________________________________________________________________________
___________________________________________________________________________________________________________
(Mainland or Foreign address)
Approximate
Please type or print clearly.
date of arrival: _____________________________
Applicant's Name _________________________________________
Mode of Shipment: o Mail
o Air Freight
o Boat
Company Name ___________________________________________
Type of Permit:
(if applicable)
--- Import
o one time only
o multi-shipments
Hawaii Mailing Address ____________________________________
--- Intrastate shipment
__________________________________________________________
o one time only
o multi-shipments
o Possession
Telephone number _________________________________________
Object of importation:
Facsimile number __________________________________________
o Kept caged at all time
o
Used for propagation
Fee Amount Enclosed (cash, check or mail order) $_____________
o
Imported for exhibition
o
Imported for liberation
o Other purposes - specify ____________________________________________________________________________
(complete reverse side)
PQ-7 (01/04)
State of Hawaii
For Office Use Only
Department of Agriculture
PLANT QUARANTINE BRANCH
Fee: $_____________ Receipt No. ____________________
1849 Auiki Street, Honolulu, HI 96819-3100
o Approve Permit No._______________ Date: __________
Phone: (808) 832-0566, FAX: (808) 832-0584
o Disapprove
o Other _________________________
PERMIT APPLICATION FOR
Processed by: _____________________ Date: __________
RESTRICTED COMMODITIES
INTO HAWAII
Date: ________________________________
In accordance with the provision of Chapter _________________ , Hawaii Administrative Rules of the Division of
Plant Industry, Department of Agriculture, a permit is requested for the following commodities:
Please type or print clearly.
__________________________________________________________________________________________________________________________
Quantity
Commodity
Scientific Name
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Name and address of shipper: _______________________________________________________________________________
___________________________________________________________________________________________________________
(Mainland or Foreign address)
Approximate
Please type or print clearly.
date of arrival: _____________________________
Applicant's Name _________________________________________
Mode of Shipment: o Mail
o Air Freight
o Boat
Company Name ___________________________________________
Type of Permit:
(if applicable)
--- Import
o one time only
o multi-shipments
Hawaii Mailing Address ____________________________________
--- Intrastate shipment
__________________________________________________________
o one time only
o multi-shipments
o Possession
Telephone number _________________________________________
Object of importation:
Facsimile number __________________________________________
o Kept caged at all time
o
Used for propagation
Fee Amount Enclosed (cash, check or mail order) $_____________
o
Imported for exhibition
o
Imported for liberation
o Other purposes - specify ____________________________________________________________________________
(complete reverse side)
PLEASE COMPLETE THE FOLLOWING INFORMATION (attach extra sheet if necessary)
1.
State in detail the reasons for introduction (include use or purpose).
2.
Person responsible for the organism (include name, address and phone number).
3.
Location(s) where the organism will be kept and used (include address, contact and phone number).
4.
Method of disposition.
5.
Give an abstract of the organism with particular reference to potential impact on the environment of Hawaii
(include impact to plants, animals and humans).
********************************************************************************************************************************************
I request permission to import the articles as listed on the permit application and further, request that the
articles be examined by an authorized agent of the Department of Agriculture upon arrival in Hawaii.
I agree that I, as the importer, will be responsible for all costs, charges or expenses incident to the inspection
or treatment of the imported articles.
I further agree that damages or losses incident to the inspection or the fumigation, disinfection, quarantine,
or destruction of the articles, by an authorized agent of the Department of Agriculture, shall not be the basis of a
claim against the department or the inspectors for the damage or loss incurred.
Signature ________________________________________________________ Date ____________________________
(Applicant)
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