"Game Birds or Eggs Importation Permit Application" - New Mexico

Game Birds or Eggs Importation Permit Application is a legal document that was released by the New Mexico Department of Game & Fish - a government authority operating within New Mexico.

Form Details:

  • Released on November 1, 2013;
  • The latest edition currently provided by the New Mexico Department of Game & Fish;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the New Mexico Department of Game & Fish.

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Download "Game Birds or Eggs Importation Permit Application" - New Mexico

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IMPORTATION PERMIT APPLICATION
GAME BIRDS OR EGGS
FOR DEPT. USE ONLY
Check #________________
Amount $______________
Date______/______/_____
Application Fee:
$20.00
Initials_________________
NEW MEXICO DEPARTMENT OF GAME & FISH
□ Confinement Plan
Importation of game birds, one time use
FIELD OPERATIONS DIVISION
□ Health Certificate/NPIP
SPECIAL USE PERMITS PROGRAM
□ GB Propagation Permit
P.O. BOX 25112
SANTA FE, NM 87504
505-476-8064 / Fax 505-476-8133
Email:
DGF.Permits@state.nm.us
.
Please read entire application first. Submit this application along with appropriate fee to the above address
Application must be
M
submitted at least two (2) weeks prior to proposed importation date.
issing documentation may substantially delay the application
process. Importation approval is not guaranteed. A valid permit must be issued before lawful entry into the State of New Mexico.
APPLICANTS NAME
EMAIL
BUSINESS NAME
WEBSITE
ADDRESS
(mailing)
ADDRESS
(physical)
CITY, STATE, ZIP
TELEPHONE
(Home)
(Cell)
Game Bird Propagation Permit Number:
Requested date of entry into the State of New Mexico:
SPECIES REQUESTED TO BE IMPORTED
QUANTITY
Mix/
Common Name
Scientific Name
Males
Females
(family, genus, species, sub sp.)
Unknown
Health Certificate or License
SUPPLIERS INFORMATION
One or more of the following is mandatory prior to
SUPPLIERS NAME
entry (attach copies to application).
BUSINESS NAME
Health Certificate from an Accredited Veterinarian
Rearing Facility Inspection certificate of health
ADDRESS
from an Accredited Veterinarian
CITY, ST, ZIP
USDA APHIS Class A, B or C License
PHONE / FAX
Federal USFWS Permit
EMAIL / WEBSITE
Other Licenses held (in-state/out-of-state)
LICENSE TYPE/No.
National Poultry Improvement Plan # (NPIP)
Health Certificates are only valid for 30 days or less, you need to coordinate date of entry with veterinarian appointment.
By signing a signature below, applicant agrees to notify the New Mexico Department of Game and Fish of any changes from the original application
for the animal granted an importation permit (death, illness, vicious behavior, change of location, change of ownership, progeny born etc.).
Applicants understand that if any animal show signs of an infectious or contagious disease, it will be quarantined and the New Mexico Department of
Game & Fish will be notified immediately, animals may be destroyed as deemed necessary by the department or authorized agents acting on behalf of
the department.
Signature of applicant
Date
New Mexico Department of Game & Fish ● Special Use Permit Application ● Revised 11-2013
IMPORTATION PERMIT APPLICATION
GAME BIRDS OR EGGS
FOR DEPT. USE ONLY
Check #________________
Amount $______________
Date______/______/_____
Application Fee:
$20.00
Initials_________________
NEW MEXICO DEPARTMENT OF GAME & FISH
□ Confinement Plan
Importation of game birds, one time use
FIELD OPERATIONS DIVISION
□ Health Certificate/NPIP
SPECIAL USE PERMITS PROGRAM
□ GB Propagation Permit
P.O. BOX 25112
SANTA FE, NM 87504
505-476-8064 / Fax 505-476-8133
Email:
DGF.Permits@state.nm.us
.
Please read entire application first. Submit this application along with appropriate fee to the above address
Application must be
M
submitted at least two (2) weeks prior to proposed importation date.
issing documentation may substantially delay the application
process. Importation approval is not guaranteed. A valid permit must be issued before lawful entry into the State of New Mexico.
APPLICANTS NAME
EMAIL
BUSINESS NAME
WEBSITE
ADDRESS
(mailing)
ADDRESS
(physical)
CITY, STATE, ZIP
TELEPHONE
(Home)
(Cell)
Game Bird Propagation Permit Number:
Requested date of entry into the State of New Mexico:
SPECIES REQUESTED TO BE IMPORTED
QUANTITY
Mix/
Common Name
Scientific Name
Males
Females
(family, genus, species, sub sp.)
Unknown
Health Certificate or License
SUPPLIERS INFORMATION
One or more of the following is mandatory prior to
SUPPLIERS NAME
entry (attach copies to application).
BUSINESS NAME
Health Certificate from an Accredited Veterinarian
Rearing Facility Inspection certificate of health
ADDRESS
from an Accredited Veterinarian
CITY, ST, ZIP
USDA APHIS Class A, B or C License
PHONE / FAX
Federal USFWS Permit
EMAIL / WEBSITE
Other Licenses held (in-state/out-of-state)
LICENSE TYPE/No.
National Poultry Improvement Plan # (NPIP)
Health Certificates are only valid for 30 days or less, you need to coordinate date of entry with veterinarian appointment.
By signing a signature below, applicant agrees to notify the New Mexico Department of Game and Fish of any changes from the original application
for the animal granted an importation permit (death, illness, vicious behavior, change of location, change of ownership, progeny born etc.).
Applicants understand that if any animal show signs of an infectious or contagious disease, it will be quarantined and the New Mexico Department of
Game & Fish will be notified immediately, animals may be destroyed as deemed necessary by the department or authorized agents acting on behalf of
the department.
Signature of applicant
Date
New Mexico Department of Game & Fish ● Special Use Permit Application ● Revised 11-2013