CITES Form A1 "Application for a Permit to Import, Export, or Re-export Live Animals or Animal Parts or Products" - Canada

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APPLICATION FOR A PERMIT TO
Import, Export, or Re-export
Live Animals or Animal Parts or Products
CITES Form A1 (2014.02.04)
CONVENTION ON INTERNATIONAL TRADE IN ENDANGERED
SPECIES OF WILD FAUNA AND FLORA (CITES)
If you need assistance in completing this form, the CITES Management Authority Office can be
contacted by email at
cites@ec.gc.ca
or by telephone at 1-855-869-8670.
IMPORTANT NOTES
·
Do not use this form for hunting trophies. Please use the Hunting Trophy application form.
·
Send your completed application by email, regular mail or fax (send application only once):
CITES Permitting Office
Canadian Wildlife Service
Environment Canada
351, St. Joseph Blvd
Gatineau, Quebec K1A 0H3
Email:
cites@ec.gc.ca
Fax: 1-855-869-8671
·
All applicable sections must be filled out. Incomplete application forms will not be accepted. Additional
information or documents may be requested from the applicant in order to process the application. The
applicant must sign the application form.
·
A period of 40 days (or 80 days for requests relating to polar bears) may be required to review an application before the
CITES permit is issued. Please note that this reviewing period begins once all required documents and information are
received.
·
If the application is approved, the permit and instructions will be sent by mail to the applicant. If you would like to
receive your permit by courier, please provide a pre-paid envelope or your courier account number. The permit will be
sent to the address provided in Section 3A, unless otherwise specified by the applicant.
·
Some animals and products must also meet the requirements of the Canadian Food Inspection Agency (CFIA). Please
refer to their site (http://www.inspection.gc.ca/english/anima/animae.shtml) or contact their regional offices by phone
(http://www.inspection.gc.ca/english/anima/heasan/offbure.shtml).
1
APPLICATION FOR A PERMIT TO
Import, Export, or Re-export
Live Animals or Animal Parts or Products
CITES Form A1 (2014.02.04)
CONVENTION ON INTERNATIONAL TRADE IN ENDANGERED
SPECIES OF WILD FAUNA AND FLORA (CITES)
If you need assistance in completing this form, the CITES Management Authority Office can be
contacted by email at
cites@ec.gc.ca
or by telephone at 1-855-869-8670.
IMPORTANT NOTES
·
Do not use this form for hunting trophies. Please use the Hunting Trophy application form.
·
Send your completed application by email, regular mail or fax (send application only once):
CITES Permitting Office
Canadian Wildlife Service
Environment Canada
351, St. Joseph Blvd
Gatineau, Quebec K1A 0H3
Email:
cites@ec.gc.ca
Fax: 1-855-869-8671
·
All applicable sections must be filled out. Incomplete application forms will not be accepted. Additional
information or documents may be requested from the applicant in order to process the application. The
applicant must sign the application form.
·
A period of 40 days (or 80 days for requests relating to polar bears) may be required to review an application before the
CITES permit is issued. Please note that this reviewing period begins once all required documents and information are
received.
·
If the application is approved, the permit and instructions will be sent by mail to the applicant. If you would like to
receive your permit by courier, please provide a pre-paid envelope or your courier account number. The permit will be
sent to the address provided in Section 3A, unless otherwise specified by the applicant.
·
Some animals and products must also meet the requirements of the Canadian Food Inspection Agency (CFIA). Please
refer to their site (http://www.inspection.gc.ca/english/anima/animae.shtml) or contact their regional offices by phone
(http://www.inspection.gc.ca/english/anima/heasan/offbure.shtml).
1
SECTION 1
APPLICATION TYPE
Check ONE of the following:
ÿ New Application
ÿ Renewal of a Multiple-Use CITES permit (Canadian)
Number of the CITES permit:
Expiry Date: _____________
ÿ Replacement of a CITES permit (Canadian)
Number of the CITES permit:
Expiry Date: _____________
Reason for replacement: _____________________________
Expected date of permit reception (approximate if necessary):
/
/
Year Month Day
I would like my permit sent by: ÿ mail ÿ courier (cost incurred by applicant)
If you would like your permit sent by courier, please provide:
Pre-paid envelope; or
Business account number: _________________________
SECTION 2
TRADE TYPE
Check ONE of the following (separate applications must be made for each type of trade):
ÿ Import
Canadian port of entry: _____________________________
ÿ Export
Canadian port of exit: ______________________________
ÿ Re-export (specimen was previously imported).
Canadian port of exit:
SECTION 3
NAME AND ADDRESS
A - APPLICANT (Canadian importer or exporter)
Name of person:
Name of business or organization (if applicable):
Type of business or organization: ÿ breeder ÿ wholesaler ÿ retailer ÿ other
If other, specify:__________________
Street and number:
Post Office Box:
City:
Province/Territory:
Postal Code:
Country:
Website:
Email:
Home Phone:
Work Phone:
Cell Phone:
Fax:
2
B - BROKER (e.g., shipping company)
Name of person:
Name of business or organization (if applicable):
Street and number:
Post Office Box:
City:
Province/Territory:
Postal Code:
Country:
Website:
Email:
Home Phone:
Work Phone:
Cell Phone:
Fax:
ATTENTION IMPORTERS/EXPORTER WITH A SINGLE SHIPMENT:
C - CONSIGNEE (Foreign country importer or exporter)
Name of person:
Name of business or organization (if applicable):
Street and number:
Post Office Box:
City:
Province/Territory:
Postal Code:
Country:
Website:
Email:
Home Phone:
Work Phone:
Cell Phone:
Fax:
ATTENTION IMPORTERS/EXPORTERS WITH MULTIPLE SHIPMENTS:
D - DESTINATION(S)
List countries of final destination in decreasing order of trade volume:
Canadian port of exit (e.g., Toronto International Airport):
Expected number of shipments to be exported within one year:
3
SECTION 4
PURPOSE
Note that all the live animals and animal parts/products identified in this application must be exported/imported for the same
purpose. Specimens traded for a different purpose must be applied for using a separate application.
Check the box that best describes the purpose of the transaction:
ÿ Commercial
ÿ Personal
T
P
ÿ Educational
ÿ Zoo
E
Z
Breeding planned? ÿ Yes ÿ No
Breeding planned?: ÿ Yes ÿ No
Name and Address of Education Program:
ÿ Re-introduction / Introduction into the wild
ÿ Scientific Research
N
S
Breeding planned? ÿ Yes ÿ No
Breeding planned? ÿ Yes ÿ No
Name the associated Conservation Program:
Attach a summary of the research project, including
methodology.
ÿ Breeding in captivity
ÿ Biomedical Research
B
M
Breeding planned? ÿ Yes ÿ No
Name the associated Conservation Program:
Attach a summary of the research project, including
methodology.
ÿ Circuses and travelling Exhibitions
Q
4
SECTION 5
DESCRIPTION OF SPECIMENS
·
Names: avoid use of trade names or general terms that do not adequately describe the species.
Identification at the higher taxon level (e.g., PRIMATES spp., Felidae spp.) is not acceptable.
·
Description: for animal part or product, you must specify what part (e.g. feather, egg, skin) or what
product (e.g. piano, handbag, belt)
·
Quantity: do not use general terms such as “box” or “case”. If a re-export, use the same unit of
measurement as indicated on previously issued permits.
·
Use additional sheets if necessary.
Item
Scientific
Common
Description
Quantity
Distinctive Markings
(serial, registration, band,
No.
Name
Name
(specify
tattoos, numbers, etc.)
units, e.g.,
(genus, species,
kg, cm, etc.)
sub-species)
ÿ Live animal: ÿ male ÿ female
1
ÿ Animal Part, specify:
ÿ Animal Product, specify:
Number of animals used:
Date manufactured:
Name of manufacturer:
ÿ Live animal: ÿ male ÿ female
2
ÿ Animal Part, specify:
ÿ Animal Product, specify:
Number of animals used:
Date manufactured:
Name of manufacturer:
ÿ Live animal: ÿ male ÿ female
3
ÿ Animal Part, specify:
ÿ Animal Product, specify:
Number of animals used:
Date manufactured:
Name of manufacturer:
ÿ Live animal: ÿ male ÿ female
4
ÿ Animal Part, specify:
ÿ Animal Product, specify:
Number of animals used:
Date manufactured:
Name of manufacturer:
5
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