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Wildlife Import/Export Permit Application Form Check one: Request for an Import Permit Request for an Export Permit Applicant/Business Name ( ) Phone Number Address City Province or State Method of transportation: via air (airline, flight number, waybill number, date and time of flight) via truck (name of carrier or company transporting) via automobile (name of person transporting) other Date of Import/Export April 2018 | CSB | CSB12003 Species, quantity, bird band identification #, sex and description of wildlife being imported/exported 1. Ministry of Environment Page 1 of 2 Email Address Date of Birth (Month/Day/Year) Below Shipper or Receiver information same as above Check one: the animal is dead alive Licence Number/Bird Band ID# Seal Number (if applicable) Year of Licence 2. Licence Number/Bird Band ID# Seal Number (if applicable) Year of Licence Shipper Name Postal Code Legal Land Description (if applicable) Name of Receiver ( ) Phone Number Address City Province or State Email Address Business or Organization Postal Code or Zip Code Legal Land Description (if applicable)

Wildlife Import/Export Permit Application Form · 2019-01-02 · Wildlife Import/Export Permit Application Form Check one: Request for an Import Permit Request for an Export Permit

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Wildlife Import/Export Permit Application Form

Check one: Request for an Import Permit Request for an Export Permit

Applicant/Business Name

( ) Phone Number

Address City

Province or State

Method of transportation:

via air (airline, flight number, waybill number, date and time of flight)

via truck (name of carrier or company transporting)

via automobile (name of person transporting)

other

Date of Import/Export

April 2018 | CSB | CSB12003

Species, quantity, bird band identification #, sex and description of wildlife being imported/exported

1.

Ministry of Environment

Page 1 of 2

Email Address Date of Birth (Month/Day/Year)

Below Shipper or Receiver information same as above

Check one: the animal is dead alive

Licence Number/Bird Band ID# Seal Number (if applicable)

Year of Licence

2.

Licence Number/Bird Band ID# Seal Number (if applicable)

Year of Licence

Shipper Name

Postal Code

Legal Land Description (if applicable)

Name of Receiver

( ) Phone Number

Address City

Province or State

Email Address Business or Organization

Postal Code or Zip Code

Legal Land Description (if applicable)

Applicant may be asked to present wildlife for inspection by a Ministry of Environment Conservation Officer. (Photographs may be taken prior to permit being issued) .

The permit holder must comply with all laws applicable to the activities carried out under this permit. It is the responsibility of the permit holder to inform him/herself of all applicable laws.

The Province is not liable for any illness contracted through wildlife. It is the responsibility of the permit holder to inform himself/herself of possible health hazards, and to ensure that all reasonably necessary safety measures are taken.

The Province of Saskatchewan is not liable for any damage or loss arising from transport of wildlife under this permit.

The approval in an import permit DOES NOT act as authority to export or transport from any other Province, Territory or Country. It is the responsibility of the permit holder to obtain proper authorization to export wildlife to any other Province , Territory or Country.

The approval in an export permit DOES NOT act as authority to import or transport into any other Province , Territory or Country. It is the responsibility of the permit holder to obtain proper authorization to import wildlife to any other Province , Territory or Country.

If this permit is not used, permittee must notify the Fish and Wildlife Branch immediately upon expiration of this permit.

I declare that the above information is true and I am aware that to make a false declaration is an offence under The Wildlife Act, 1998 and The Wildlife Regulations, 1981. Any false statement would invalidate the import/export permit and subsequently make the import/export of this wildlife an unlawful act and may be subject to possible prosecution under The Wildlife Act, 1998.

Mail, fax, or email your completed applications to:Saskatchewan Ministry of EnvironmentFish, Wildlife and Lands Branch112 Research DriveSaskatoon, SK S7N 3R3Fax: (306) 933-5773Email: [email protected]

Please allow 7 to 10 days from date of receipt for processing.Page 2 of 2

What if I have questions?For assistance completing this application or for more information, please contact our Client Service Office:

Email: [email protected] (toll free in North America): 1-800-567-4224Telephone (Regina): 306-787-2584

Applicant Name/Signature Date of Application

Wildlife Officer Wildlife Officer Approval (signature)

Wildlife Officer Comments