Application for permit to import, export, or re-export animals or animal parts

Convention on international trade in endangered species of wild fauna and flora (CITES)

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

Section 1. Application type

Check one of the following:

New Application

Renewal of a Multiple-Use CITES permit (Canadian)

Number of the CITES permit: _______________________________________________________ Expiry Date: _______________________________________________________

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:

mailcourier (cost incurred by applicant)

If you would like your permit sent by courier, please provide:

Pre-paid envelope; or Courier account number: _______________________________________________________

Section 2. Trade type

Check one of the following (separate applications must be made for each type of trade):

Import

Canadian port of entry: _______________________________________________________ Canadian port of exit: _______________________________________________________


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: □ breeder □ wholesaler □ retailer □ other If other, specify: _______________________________________________________ Street and number: _______________________________________________________ Post Office Box: _______________________________________________________ _______________________________________________________ Province/Territory: _______________________________________________________ Postal Code: _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ Home Phone: _______________________________________________________ Work Phone: _______________________________________________________ Cell Phone: _______________________________________________________ _______________________________________________________

B - Broker (e.g., shipping company)

Name of person: _______________________________________________________ Name of business or organization
(if applicable): _______________________________________________________ Street and number: _______________________________________________________ Post Office Box: _______________________________________________________ _______________________________________________________ Province/Territory: _______________________________________________________ Postal Code: _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ Home Phone: _______________________________________________________ Work Phone: _______________________________________________________ Cell Phone: _______________________________________________________ _______________________________________________________

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: _______________________________________________________ _______________________________________________________ Province/Territory: _______________________________________________________ Postal Code: _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ Home Phone: _______________________________________________________ Work Phone: _______________________________________________________ Cell Phone: _______________________________________________________ _______________________________________________________

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:

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:

Commercial (T)

Educational (E)
Breeding planned? □ Yes □ No
Name and Address of Education Program:

Re-introduction / Introduction into the wild (N)
Breeding planned? □ Yes □ No
Name the associated Conservation Program:

Breeding in captivity (B)
Name the associated Conservation Program:

Circuses and travelling Exhibitions (Q)

Personal (P)

Zoo (Z)
Breeding planned? □ Yes □ No

Scientific Research (S)
Breeding planned? □ Yes □ No
Attach a summary of the research project, including methodology.

Biomedical Research (M)
Breeding planned? □ Yes □ No
Attach a summary of the research project, including methodology.

Section 5. Description of specimens

Description of Specimens
Item
No.
Scientific Name
(genus, species, sub-species)
Common Name Description Quantity
(specify units, e.g., kg, cm, etc.)
Distinctive Markings
(serial, registration,
band, tattoos, numbers, etc.)
1 blank blank Live animal:
□ male □ female

Animal Part, specify:

Animal Product, specify:

Number of animals used:
Date manufactured:

Name of manufacturer:

Animal Part, specify:

Animal Product, specify:

Number of animals used:
Date manufactured:

Name of manufacturer:

Animal Part, specify:

Animal Product, specify:

Number of animals used:
Date manufactured:

Name of manufacturer:

Animal Part, specify:

Animal Product, specify:

Number of animals used:
Date manufactured:

Name of manufacturer:

Section 6. Origin and legality

This section must be completed for each specimen or item unless the information is identical for all specimens or items. Note that in each case you will have to choose one of the following origin: A- from the wild, B- from captive breeding or C- unknown.
In case of re-export, please complete one per supplier. Photocopy this section as needed.

Item Number and Distinctive Marking (if applicable):