Application for permit

Citrus canker response

This application form is to be used to apply to the Department of Primary Industry and Resources for a permit to move citrus canker (Xanthomonas citri subsp. citri) host plants and plant-related material for entry into, within and from a restricted area and from a control area (as declared under the Government Gazette).

Important: All applications must be received at least five business days prior to the proposed date for movement of the host plants and plant-related material.

Note: The terms “host plant” and “plant-related material” wherever used in this application form have the same meaning as set out in the Plant Health Act.

APPLICANT DETAILS 

(if applicable)

 

 
 
(If required)
 
SOURCE ADDRESS (where host plant or plant-related mterial was grown) details
Same as applicant details
 
 
 
(If different to above)
 

PACKING ADDRESS  (where host plant or plant-related material was packed)

Same as applicant details
 
 
 
(If different to above)
 
TRANSPORT DETAILS

Examples: Truck to Queensland, Air to Tiwi Islands

If permit is approved, please indicate your preference for delivery

DECLARATION

I declare that the information I have provided is true and accurate to the best of my knowledge *

Individual applicants

For individual applicants please include your name:

On behalf of a corporation

This application is made for and on behalf of:

 

The authorised officers of the company declare that the information provided in this application is true and accurate to the best of their knowledge.

Last updated: 02 July 2018