"Zoo/Scientific/Education Importation Permit Application" - New Mexico

Zoo/Scientific/Education 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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IMPORTATION PERMIT APPLICATION
ZOO / SCIENTIFIC / EDUCATION
FOR DEPT. USE ONLY
Application Fee Structure:
Check #________________
Importation of non-domesticated animals per
Amount $______________
calendar year (1/1 to 12/31)
NEW MEXICO DEPARTMENT OF GAME & FISH
Date______/______/_____
Class 1: 1 to 5 animals……………...$25.00
FIELD OPERATIONS DIVISION
Initials_________________
Class 2: 6 to 99 animals…………….$75.00
SPECIAL USE PERMITS PROGRAM
□ Health Certificate or
Class 3: greater than 100 animals…$300.00
P.O. BOX 25112
□ AZA accredited
Other: per application, one time use...$20.00
SANTA FE, NM 87504
505-476-8064 / Fax 505-476-8133
Email:
DGF.Permits@state.nm.us
M
Application must be submitted at least two (2) weeks prior to proposed importation.
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
(Office)
(Cell)
Requested date of entry into the State of New Mexico:
QUANTITY
SPECIES REQUESTED TO BE IMPORTED
Note (S or N) Spayed or Neutered
Common Name
Scientific Name
*Group
Males
Females
Mix/
(family, genus, species, sub sp.)
Unknown
*Group- refers to restrictiveness on the importation species list
For additional animals, attach or email the list
Health Certificate or License Type
SUPPLIER INFORMATION
One or more of the following is mandatory prior
Suppliers Name
to entry (attach copies to application).
Business Name
Health Certificate from an accredited veterinarian
AZA or Rearing Facility Inspection certificate of
Address
health from an accredited veterinarian
City, ST, Zip
USDA Class A, B or C Licenses
Telephone / Fax
USFWS Federal Permits
Email / Website
Other Licenses held (in-state/out-of-state)
License Type/No.
National Poultry Improvement Plan # (NPIP)
By signing below, applicants understand that if any animal show signs of an infectious or contagious disease, it will be
quarantined and the animals may be destroyed as deemed necessary by authorized agents of the Zoo, NMDGF or USFWS.
Signature of applicant
Date
New Mexico Department of Game & Fish ● Special Use Permit Application
● Revised 11-2013
IMPORTATION PERMIT APPLICATION
ZOO / SCIENTIFIC / EDUCATION
FOR DEPT. USE ONLY
Application Fee Structure:
Check #________________
Importation of non-domesticated animals per
Amount $______________
calendar year (1/1 to 12/31)
NEW MEXICO DEPARTMENT OF GAME & FISH
Date______/______/_____
Class 1: 1 to 5 animals……………...$25.00
FIELD OPERATIONS DIVISION
Initials_________________
Class 2: 6 to 99 animals…………….$75.00
SPECIAL USE PERMITS PROGRAM
□ Health Certificate or
Class 3: greater than 100 animals…$300.00
P.O. BOX 25112
□ AZA accredited
Other: per application, one time use...$20.00
SANTA FE, NM 87504
505-476-8064 / Fax 505-476-8133
Email:
DGF.Permits@state.nm.us
M
Application must be submitted at least two (2) weeks prior to proposed importation.
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
(Office)
(Cell)
Requested date of entry into the State of New Mexico:
QUANTITY
SPECIES REQUESTED TO BE IMPORTED
Note (S or N) Spayed or Neutered
Common Name
Scientific Name
*Group
Males
Females
Mix/
(family, genus, species, sub sp.)
Unknown
*Group- refers to restrictiveness on the importation species list
For additional animals, attach or email the list
Health Certificate or License Type
SUPPLIER INFORMATION
One or more of the following is mandatory prior
Suppliers Name
to entry (attach copies to application).
Business Name
Health Certificate from an accredited veterinarian
AZA or Rearing Facility Inspection certificate of
Address
health from an accredited veterinarian
City, ST, Zip
USDA Class A, B or C Licenses
Telephone / Fax
USFWS Federal Permits
Email / Website
Other Licenses held (in-state/out-of-state)
License Type/No.
National Poultry Improvement Plan # (NPIP)
By signing below, applicants understand that if any animal show signs of an infectious or contagious disease, it will be
quarantined and the animals may be destroyed as deemed necessary by authorized agents of the Zoo, NMDGF or USFWS.
Signature of applicant
Date
New Mexico Department of Game & Fish ● Special Use Permit Application
● Revised 11-2013