approved_pest animal approved collections (zoo) permit...

Pest Animal Research Education Collection Permit Application FormSend your completed application form and supporting documentation to:Department of Economic Development, Jobs, Transport and ResourcesPest Animal Permit AdministratorP.O. Box 124Benalla Victoria 3672

The lodging of any application does not in itself carry any entitlement or right

The outcome of any application cannot be predicted and should not be anticipated

Part 1 – Permit TypePart 2 – Applicant – Complete where the applicant is not a natural personPart 3 – Applicant or nominated responsible personPart 4 – Findings of GuiltPart 5 – BusinessPart 6 – CollectionPart 7 – Declaration and Consent by the applicant or person authorised on behalf of applicantPart 8 – Declaration and Consent by the applicant or the nominated responsible person (where the applicant is not a natural person)Part 9 – Permit Payment – Complete as applicable

Part A – Application to keep a pest animalPart B – Application to bring a pest animal into VictoriaPart C – Application to sell a pest animalPart D – Application to release a pest animal

Section 1. Declared pest animals except schedule 4B established pest animals. Section 2. Declared schedule 4B established pest animals.

General information:Pest animals have the potential to cause significant negative impacts on the economy, the environment, social amenity and human health.

Pest animals must not be brought into Victoria, kept sold or released without permission.

Permission to import into Victoria, keep, sell or release pest animals will only be in exceptional circumstances where there is demonstrable benefit and in accordance with nationally agreed principles of risk management and the Department of Economic Development, Jobs, Transport and Resources (the department) ‘Policy Statement on the regulation of keeping and trade of declared pest animals in Victoria’ and other related policies.

Pest Animal Research Education Pest Animal Permit Application V2 April 2017 of 22

Permission to import into Victoria, keep, sell or release pest animals for research/education purposes will only be considered where there is evidence that the proposed use will occur under a scientific procedures licence or specified animals breeding licence with appropriate approval by an Animal Ethics Committee.

An Applicant may be a body politic or corporate or a natural person.

Please note:

The department requires a significant amount of information to be provided to ensure applications can be appropriately assessed. Please allow adequate time to complete this form.

Ensure you provide all necessary information to answer all relevant questions as the assessment process will not begin until all information is received.

You can expect a response within 60 days of submitting a fully complete application, where multiple applications are received from one applicant this 60 day period is cumulative – you may request prioritisation of applications.

You will be notified if the information required is incomplete. A failure to provide all required information within 30 days of initial submission of this form may result in the application expiring; the application fee will not be refunded and a new application form will need to be submitted and another application fee will be payable.

The department will consider the risks of and duration of the proposed use of pest animal when determining the duration of permit approval, which may be for a period of up to two years.

If you need information on any aspect of this application form, please contact the Pest Animal Permit Administrator on 136 186.


Part 1 Permit TypeFee

Part A: Application to Keep a pest animal:

Application is to;

☐ Keep a pest animal species; OR☐ Increase the maximum number of a pest animal species already permitted; OR☐ Change the sex of pest animals permitted; OR☐ Permit breeding; OR☐ Change currently permitted arrangements that will alter the risk profile of the

permit including a change that may result in an unplanned breeding event occurring.

A separate application and fee is needed for each pest animal species and location (premises).

Fees are non-refundable once the application has been submitted.

$50 ☐

Part B: Application to bring a pest animal into Victoria:

A separate application is needed for each pest animal species. The applicant must have authority to keep the pest animal. $0 ☐

Part C: Application to sell a pest animal

A separate application is needed for each pest animal species. The applicant must have authority to keep the pest animal.

NOTE: Sell - includes barter or exchange; agree to sell or offer or expose for sale; receive for sale; have in possession for sale; send, forward or deliver for sale; advertise for sale; sell for re-sale; cause, permit or attempt any of the acts or things mentioned or to give away.

$0☐

Part D: Application to release a pest animal$0 ☐


Part 2 Applicant – where the applicant is not a natural personNote: This section should only be completed when the applicant is a body politic or corporation. The permit will be issued to the body politic or corporation.

Name: Enter name of body politic or corporation here

ABN/ACN: Enter ABN/ACN here

Registered address : Enter address here

Name and position in the business of the natural person with authority to sign this application on behalf of the body politic or corporation: Enter position, title, given name, initial and surname here

Phone: Enter phone here

Provide evidence of incorporation within Australia Enter response here

Part 3 Applicant/responsible person This section requires information about the applicant in the case of a natural person or where the applicant is not a natural person, the nominated responsible person.Note: Where the applicant is not a natural person the applicant must provide details of the nominated responsible person who is directly involved and has authority over the care and use of the animals (for example animal facility manager or principal investigator)

Title: Enter title here

Family name: Enter family name here

First given name: Enter first name here

Other initials: Enter initials here

Gender: Enter gender here

Date of birth: dd/mm/yyyy

Phone: Enter phone here

Mobile: Enter mobile here

Email: Enter email here

Postal address: Enter postal address

Postcode: Enter postcode here

Position in the business: Enter position here


Part 4 Findings of Guilt

Have you as the applicant, the business (if applicable), the nominated responsible person or anyone else likely to have access to the animal(s) been found guilty of an offence under any of the following:

Catchment and Land Protection Act 1994 Y☐ N ☐ Wildlife Act 1975 Y☐ N ☐ Prevention of Cruelty to Animal Act 1986 Y☐ N ☐ Any other relevant state or territory legislation Y☐ N ☐

If Y to any of the above please provide details: Provide details here


Part 5 BusinessComplete only where applicant is a natural person

1. Business detail

Business name: Enter business name here

ABN/ACN: Enter ABN/ACN

Registered address of business: Enter registered address here


Part 6 Collection1. Authorised premises/location

Property name: Enter property name or other identifier of location here

Address: Enter address here


2. Key personnel

Provide the names of all key personnel who will have access to the pest animals. Provide confirmation, as applicable, that these persons are approved by the AEC.

Enter response here

3. Keeping of appropriate records

Who will be responsible for ensuring records will be kept according to the requirements outlined in the permit conditions? Provide name and contact telephone number.

Enter response here


Part 7 Declaration and consent by the applicant (natural person) or natural person authorised to act on behalf of the applicant (body politic or corporation).Note: If a permit is issued the applicant will become the permit holder.

I give my consent for the department to contact any relevant third parties in order to allow confirmation of information provided in this application or supporting documents.

I hereby declare A suitably qualified representative will be present at the authorised premises every day of the year

(applicable to permits to keep). I will ensure up to date, written contingency plans for human health and safety, animal health,

biosecurity, managing natural disasters, escape, enclosure maintenance, animal disposal and disruption to normal supply relevant to all pest animal species kept in the collection are maintained, as applicable.

All details provided on this form and in any supporting documentation are true and correct. I will ensure all persons involved in the use of pest animals for research/education purposes are

aware of their responsibilities under relevant legislation.

Signature…………………….................................................................Date…………………...Note – it is an offence under section 84(1)(e) of the Catchment and Land Protection Act 1994 to include in this application a statement that you know to be false or misleading in a material respect. The penalty for including such information is 60 penalty units (the value of a penalty unit is determined under the Monetary Units Act 2004 from time to time and for the financial year commencing 1 July 2015 one penalty unit is $151.67).

Part 8 Declaration and consent by the nominated responsible personComplete only where the applicant is not a natural person.

Note: in the event of change of nominated natural person the department must be notified of a change of this person in writing prior to the change occurring.

I give my consent for the department to contact any relevant third parties in order to allow confirmation of information provided in this application or supporting documents.

I hereby declare A suitably qualified representative will be present at the authorised premises every day of the year

(applicable to permits to keep). I will ensure up to date, written contingency plans for human health and safety, animal health,

biosecurity, managing natural disasters, escape, enclosure maintenance, animal disposal and disruption to normal supply relevant to all pest animal species kept in the collection are maintained.

All details provided by me on this form and in any supporting documentation are true and correct. I will ensure all persons involved in the use of pest animals for research/education purposes are

aware of their responsibilities under relevant legislation.

Signature…………………….................................................................Date…………………...


Note – it is an offence under section 84(1)(e) of the Catchment and Land Protection Act 1994 to include in this application a statement that you know to be false or misleading in a material respect. The penalty for including such information is 60 penalty units (the value of a penalty unit is determined under the Monetary Units Act 2004 from time to time and for the financial year commencing 1 July 2015 one penalty unit is $151.67).


Part 9 Permit PaymentInsert fee if applicable. Payments are accepted by cheque payable to the Department of Economic Development, Jobs, Transport and Resources, or credit card.

Card Number: 0000 0000 0000 0000

Visa ☐ Bankcard ☐ MasterCard ☐

Name on Card: Enter name on card here

Expiry Date: mm/yy Fee you are paying $ Enter applicable fee here

Signature……………………................................

Note – the fee is NOT refundable regardless of whether a permit application is granted or refused.If you would like to receive this information/publication in an accessible format (such as large print or audio) please call the Customer Service Centre on 136 186, TTY 1800 122 969, or email [email protected].

Authorised by the Department of Economic Development, Jobs, Transport and Resources, 1 Spring Street, Melbourne 3000© The State of Victoria 2016This publication is copyright. No part may be reproduced by any process except in accordance with the provisions of the Copyright Act 1968.

Privacy StatementThe personal information on this application form, and any permit that may be granted following the assessment of the application, will be stored and used by the Department of Economic Development, Jobs, Transport and Resources for the purposes of administering the Catchment and Land Protection Act 1994. You have the right of access to this information by contacting the Department at the address mentioned on this application form. This information may be disclosed to another government organisation for the purpose of administering or enforcing the Catchment and Land Protection Act 1994, Wildlife Act 1975, Prevention of Cruelty to Animals Act 1986 or other relevant state, territory or commonwealth legislation.

For more information about DEDJTR go to www.economicdevelopment.vic.gov.auor phone the Customer Service Centre on 136 186.


Part A - Application to keep a pest animal under a ‘Pest Animal Research/Education Collection Permit’Instructions;

1. Complete Part A if your application is to keep a pest animal under a ‘Pest Animal Research/Education Collection Permit’.

2. Only one pest animal species to be listed per application.3. Mark where appropriate.4. Answers to any question may be made as an attachment to this document by clearly

referencing the attachment number or name in this application and the relevant question(s) in the attached document.

1. Application Official use only

Q1. This is an application to;☐ Keep a pest animal species; OR☐ Increase maximum number of a pest animal species currently permitted; OR☐ Change the sex of pest animals permitted; OR☐ Permit breeding; OR☐ Change currently permitted arrangements that will alter the risk profile of the permit

including a change that may result in an unplanned breeding event occurring.

Case notes here

Q2. Is this an application for conditional approval (if no go to Q3)?Y☐ N ☐

What is your reason for applying for conditional approval? When will all requirements of the conditional approval be met?

Note: Conditional approval is an exceptional circumstance when approval is given but a permit is not issued as the requirements for granting the permit are outstanding. This may be due to enclosures not yet complete, competency of staff yet to be achieved or other reasons where it is agreed that providing an assurance that a permit will be granted when all requirements are met will facilitate planning. Only where there is significant justification will conditional approval be allowed and generally this will only apply for a period of six months.If applying for conditional approval all relevant sections of this form must be completed.

Enter response here

Case notes here

2. Pest animalQ3. Scientific name of the pest animal species (must be in accordance with CaLP declaration).

Enter response here

Case notes here

Q4. Common name of the pest animal species (must be in accordance with CaLP declaration).Enter response here

Case notes here

Q5. Is this species currently held or permitted within the collection (if no go to Q6)?If yes what is the maximum number of each sex currently permitted and how many animals are currently kept of each sex?

Case notes here


http://agriculture.vic.gov.au/agriculture/pests-diseases-and-weeds/protecting-victoria-from-pest-animals-and-weeds/legislation-policy-and-permits/declared-noxious-weeds-and-pest-animals-in-victoria


Enter response hereQ6. What is the maximum number being applied to be kept?

Provide the reasons why this number is requested.

Note: If animals are to be used In batches this number the maximum number permitted will be the maximum that will be kept at any one time, not the total number approved for use in the project by the Animal Ethics Committee (AEC).

Enter response here

Case notes here

Q7. Provide details of the animals applied for including: Sex and whether the animal(s) has undergone permanent contraception Source of animals including detail of captive or wild bred Quarantine history of animals.

Note: For species that are new to Victoria a nationally endorsed risk assessment will be

required as part of the assessment process. The applicant will be responsible for the cost of obtaining such a risk assessment which must be provided to the department and developed according to the risk assessment procedure endorsed by the Invasive Plants and Animals Committee. You may contact the department to determine if this is required and advice prior to submission of an application.

Consideration will be given to the CITES listing, IUCN listing, CaLP classification (controlled, regulated, established, prohibited), Invasive Plants and Animals Committee threat category (extreme, serious, moderate, low), breeding potential and whether the species or individual animals are venomous or dangerous when determining to grant or refuse a permit and any species specific conditions.

The Invasive Plants and Animals Committee threat category for a species can be obtained by contacting the Department. It should be noted that in the absence of a nationally endorsed risk assessment a threat category of extreme (P) where P is precautionary applies. For the purposes of assessment of application extreme and extreme (P) are taken to be the same.

Enter response here

Case notes here

Q8. How is or will each individual animal be identified?

Note: if this is not microchip justification must be provided as to why this is not possible and how the alternate method will provide ongoing evidence of identification of each individual

Enter response here

Case notes here

Q9. For all animals of this species (including those currently in the collection) provide details of the method used to determine the sex of the individual animals.

Enter response here

Case notes here

Q10. Provide detail of the arrangement for how individual animals will be disposed of at the conclusion of the research/education use or in the event they are no longer required or unable to be kept within the collection.

Enter response here

Case notes here

3. Purpose of keeping – Research/educationQ11. Provide details of the relevant scientific procedures licence or specified animal breeding Case


licence (Name and number) issued in accordance with part 3 of the Prevention of Cruelty to Animals Act 1986.

Enter response here

notes here

Q12. Provide the title of the AEC application(s) AEC approval number(s) and expiry date relevant to the animals applied for.

Note: AEC approval must be in place at the time of application and maintained for the duration of the keeping of animals applied for.

Enter response here

Case notes here

Q13. Provide a brief summary of; the proposed use of animals why this pest species is required to be used for research /education purposes and the intended duration of use.

Note:A pest animal permit will only be considered where there is no suitable non- pest alternative.Where the use of animals is ongoing (such as breeding colonies) you may state the duration as ongoing.

Enter response here

Case notes here

4. Collection management.

Q14. Is this an application for a mixed sex collection?Y☐ N ☐

If no go to Q18.

Note: Mixed sex collections of extreme threat species will only be considered when this is

specifically required for the research/education aims.

Case notes here

Q15. Have any of the animals applied for, or existing animals of this species within the collection undergone permanent contraception (if no go to Q16)?

Y☐ N ☐

Provide information including method.Enter response here

Case notes here

Q16. Provide details of how unauthorised or unplanned breeding will be prevented, if this is chemical contraception evidence of efficacy in this species must be provided.

Note: where the collection is to contain reproductively viable animals of both sexes population management practices such as planned breeding and contraception and disposal, must meet biosecurity, animal welfare and conservation objectives.

Enter response here

Case notes here

Q17. Are you applying for breeding as an allowed activity under a species specific condition (if no go to Q18)?

Y☐ N ☐

Provide detail as to why breeding is required.

Case notes here


Note: breeding is prohibited except in limited circumstances and must be specifically required for the research/education outcome.Applications to breed extreme threat species that have a high potential to become a serious threat to primary production, Crown land, the environment or community health may be refused.

Enter response here Q18. For female animals entering the collection provide evidence that the animals will not be

pregnant or potentially carrying viable offspring on arrival.Enter response here

Case notes here

Q19. Is this species capable of parthenogenesis or asexual reproduction or diapause? (If no go to Q20).

Y☐ N ☐

Provide details of how this will be identified (disposal details must be provided in Q20).Enter response here

Case notes here

Q20. Provide an outline of arrangements as applicable for disposal of offspring or reproductive material, for example arrangements for excess offspring where breeding is requested, disposal of eggs for all egg laying species, disposal of offspring for species where parthenogenesis, asexual reproduction or diapause is possible.

. Enter response here

Case notes here

5. Keeping arrangements (containment)Q21. Provide as an attachment accurate and detailed plans of the enclosure(s) where this

species is to be kept, photographs may be included.

Note: Plans are expected to be of high quality and specific to the authorised premises/location. Ensure detail of building material, dimensions and relevant design features such as

drainage and how separation of sexes will be ensured, if applicable, are included. Ensure that plans of all enclosures the animals will or may be kept in, including

temporary enclosures, are included.

List attachments here

Case notes here

Q22. Provide detail of how the containment design is appropriate for the maxium number of animals to be kept. Include information about the codes of practice, standards, husbandry manuals or other relevant information that has informed the containment design.

Enter response here

Case notes here

Q23. Is this species or individual animal(s) highly dangerous or venomous? (If no go to Q 24).Y☐ N ☐

If yes: Provide details of how this species will be managed to prevent impact to human

health and safety. Provide details of the response to injury or envenomation in the unlikely event this

occurs. Provide evidence of endorsement of the proposed containment by a recognised

expert, or provide detail of the expertise that informed the containment design.

Note: applications for highly dangerous or venomous animals may be refusedEnter response here

Case notes here


Q24. If approval for breeding is requested explain how the proposed enclosure will meet the welfare requirements of and adequately contain juvenile animals.

Enter response here

Case notes here

Q25. How will the enclosure design prevent unauthorised entry?Enter response here

Case notes here

Q26. How will the enclosure design allow safe access by authorised persons and prevent escape by the animals whilst the enclosure is being entered or opened?

Enter response here

Case notes here

Q27. How will the enclosure design prevent escape by the animals?

Note: The possibility of climbing or digging must be addressed.Enter response here

Case notes here

Q28. Provide detail on the secondary containment and how this will contain the pest animal species in the event of escape from the primary enclosure.

Enter response here

Case notes here

Q29. List the possible breaches to containment, including natural disaster, power failure, and breach of perimeter and provide detail of how animal escape will be prevented in each case. Where containment is dependent on power supply provide details of the contingency plans in event of power failure.

Enter response here

Case notes here

Q30. Provide details of how access to the enclosure by predators will be prevented.

Note: ensure, if eggs or juvenile animals will be in the enclosure, this is considered.Enter response here

Case notes here

6. TransportQ31. Are the animals to be transported as a result of acquiring from a legal collection within

Victoria or as a result of activation of an emergency management plan? (If no go to Q32).Y☐ N ☐

Provide details of transport containment and method and of transport.

Note: enclosures for the transportation of animals must be appropriately labelled and designed to ensure the security and wellbeing of the animals.

Enter response here

Case notes here

Q32. Will the animals be required to temporarily leave the authorised premises and move to another authorised premises for the purposes of undertaking procedures approved by an animal ethics committee (for example temporary housing at an imaging facility).

Y☐ N ☐

If yes provide details of the authorised premises (pest animal permit number, permit holder, address of authorised premises) to which the animals will be moved, the intended


duration of keeping and the purpose for which the animals will be moved. Provide details of transport containment and method of transport.

Note:Animals must not be kept at a premises that is not authorised under a pest animal permit.Animals must not be kept at a premises that is not appropriately approved under the applicable licence issued under part three of the Prevention of Cruelty to Animals Act 1986.Animals must not be removed from an authorised premises unless authorised under a pest animal permit.Animals permanently removed from one authorised premises to another is considered ‘selling’ appropriate authority must be applied for and received (complete part C of this application).Enclosures for the transportation of animals must be appropriately labelled in accordance with the conditions of a pest animal permit and designed to ensure the security and wellbeing of the animals.

Enter response here

7. Animal careQ33. Provide details of the experience, training and qualifications of key staff responsible for

the care and containment of the animal(s) applied for.

Enter response here

Case notes here

Q34. What is the arrangement for provision of veterinary care for this species?

Enter response here

Case notes here

8. Contingency planningNote: plans may be viewed and copies made by the case manager

Q35. You must incorporate this species into your written human health and safety plan. Have you done so?

Y☐ N ☐

Case notes here

Q36. You must incorporate this species into your written plan to manage natural disasters such as storms, flood and fire. Have you done so?

Y☐ N ☐

Case notes here

Q37. You must incorporate this species into your written escape contingency plan. Have you done so?

Y☐ N ☐

Note: For dangerous and venomous species this plan must include details of decision making criteria to immediately humanely destroy an escaped animal that cannot be promptly adequately contained and include details of suitably qualified persons and as appropriate licensing arrangements (eg fire arms licence).

Case notes here

Q38. You must incorporate this species into your written biosecurity plan. Have you done so? Case


Y☐ N ☐ notes here

Q39. Do all of the contingency plans listed in questions 35 to 38 comply with the requirements of the Australian code for the care and use of animals for scientific purposes 8th edition 2013?

Y☐ N ☐

Case notes here


Part B - Application to bring a Pest Animal into Victoria under a ‘Pest Animal Research/Education Collection Permit’Instructions;

1. Complete Part B and relevant sections of Part A if your application is to bring a Pest Animal into Victoria under a ‘Pest Animal Research/Education Collection Permit’.

2. Only one pest animal species to be listed per application3. Mark where appropriate.

Enclosures for the transportation of animals should be designed to ensure the security and wellbeing of the animals.

The International Air Transport Association (IATA) Live Animals Regulations prescribe the minimum standards for transporting animals by air in containers, pens and stalls.

Official use only

Q1. You are required to complete Part A – Section 2 and 3 (Pest animal and purpose of keeping). Have you done so?

Y☐ N ☐

Case notes here

Q2. Is this animal(s) to be imported into Australia? (If no go to Q3.)Y☐ N ☐

Provide detail of the authority to import into Australia including confirmation that this species is on the Australian Government Live Import List.

Enter response here

Case notes here

Q3. Provide details of transport containment, method of transport and proposed route.


Enter response here

Case notes here

Q4. Proposed dates and duration of travel.

Note: You may state ongoing throughout the permit approval period where it is a requirement of the approved project that this occur in which case privde an estimate of the total number of animals to be brought into Victoria over a 12 month period.

Enter response here

Case notes here

Q5. During transport will the container have the following identification attached; The pest animals common name and scientific name Y☐ N ☐ Number of animals in the container Y☐ N ☐ Whether the animal/s are dangerous or venomous Y☐ N ☐ Permit Holder’s name and Authorised Premises Y☐ N ☐ Permit number Y☐ N ☐ Permit Holder’s contact details Y☐ N ☐ Secondary emergency contact details Y☐ N ☐

Case notes here


Part C - Application to sell a Pest Animal currently being kept under a ‘Pest Animal Research/Education Collection Permit’

Instructions;1. Complete Part C if your application is to sell a pest animal under a ‘Pest Animal

Research/Education Collection Permit’.2. Only one pest animal species to be listed per application.3. Mark where appropriate.

NOTE: Sell - includes barter or exchange; agree to sell or offer or expose for sale; receive for sale;

have in possession for sale; send, forward or deliver for sale; advertise for sale; sell for re-sale; cause, permit or attempt any of the acts or things mentioned or to give away.

Official use only

Q1. Scientific name of the pest animal species (must be in accordance with CaLP declaration).Enter response here

Case notes here


Case notes here

Q3. Provide details of the pest animals to be sold.Enter response here

Case notes here

Q4. What is the reason for the sale of these pest animals?Enter response here

Case notes here

Q5. Provide details of the recipient of the pest animals, including any relevant authorisationsEnter response here

Case notes here

Q6. Provide details of transport containment, method of transport and proposed route.


Enter response here

Case notes here

Q6. Proposed dates and duration of travel.

Note: You may state ongoing throughout the permit approval period where it is a requirement of the approved project that this occur.

Enter response here

Case notes here




Q7. During transport will the container have the following identification attached; The pest animals common name and scientific name Y☐ N ☐ Number of animals in the container Y☐ N ☐ Whether the animal/s are dangerous or venomous Y☐ N ☐ Permit Holder’s name and Authorised Premises Y☐ N ☐ Permit number Y☐ N ☐ Permit Holder’s contact details Y☐ N ☐ Secondary emergency contact details Y☐ N ☐

Case notes here


Part D - Application to release a Pest Animal under a ‘Pest Animal Research/Education Collection Permit’

Instructions;1. Complete Part D if your application is to release a pest animal under a ‘Pest Animal

Research/Education Collection Permit’.2. Only one pest animal species to be listed per application.3. Answers to any question may be made as an attachment to this document by clearly

referencing the attachment number and the relevant question(s) in the attached document.

As applicable, applications to release declared pest animals must also be accompanied by an application or already have a permit to keep the pest animal, noting that for declared schedule 4B established pest animals only the feral or wild population is declared (goat, deer, pig, dog, dog-dingo hybrids and European rabbits).

Section 1.

Complete this section for an application to release all declared pest animals other than declared schedule 4B established pest animals.

Official use only


Case notes here


Case notes here

Q3. Provide details of the pest animals to be released including sex, age, how the animals will be identified and number to be released.

Enter response here

Case notes here

Q4. What is the reason for the release of these pest animals?

Note there must be no suitable non-pest alternative.Enter response here

Case notes here

Q5. Provide details of how the pest animals will be tracked after release including the duration of life of any batteries used in the equipment.

Enter response here

Case notes here

Q6. Provide details of how the animals are to be contained within the release area.Enter response here

Case notes here

Q7. Provide details of the duration of the release period and the plans to recapture or destroy the pest animals at the conclusion of the project.

Enter response here

Case notes here




Section 2

Complete this section for an application to release declared schedule 4B established pest animals.


Case notes here


Case notes here

Q3. Provide details of the pest animals to be released including sex, age, how the animals will be identified and total number to be released.

Enter response here

Case notes here

Q4. What is the reason for the release of these pest animals?

Note there must be no suitable non-pest alternative.Enter response here

Case notes here

Q5. Provide details of the relevant scientific procedures licence (Name and number) issued in accordance with part 3 of the Prevention of Cruelty to Animals Act 1986.

Enter response here

Case notes here

Q6. Provide the title of the AEC application(s) AEC approval number(s) and expiry date relevant to the animals applied for.

Note: AEC approval must be in place at the time of application and maintained for the duration of the keeping of animals applied for.

Enter response here

Case notes here

Q7. Provide a brief summary of the proposed use of animals, include why this pest species is required to be used for research /education purposes.

Note: A pest animal permit will only be considered where there is no suitable non- pest alternative.

Enter response here

Case notes here

Q8. Provide the names of and details of the experience, training and qualifications of key staff responsible for the animal(s) applied for.

Enter response here

Case notes here

Q9. Provide details of the source of the animals, if animals are to be trapped include details of how this will occur

Enter response here

Case notes here

Q10. Are the animals to be transportedY☐ N ☐

Provide details of transport containment and method and of transport.

Note: enclosures for the transportation of animals must be designed to ensure the security and wellbeing of the animals.

Enter response here

Case notes here




Q11. Provide details of how the pest animals will be tracked after release including the duration of life of any batteries used in the equipment.

Enter response here

Case notes here

Q12. Provide details of how the animals are to be contained within the release areaEnter response here

Case notes here

Q13. Provide details of the duration of the release period and the plans to recapture or destroy the pest animals at the conclusion of the project.

Enter response here

Case notes here

Q14. You must incorporate this species into your written human health and safety plan. Have you done so?

Y☐ N ☐Does this plan comply with the requirements of the Australian code for the care and use of animals for scientific purposes 8th edition 2013?

Y☐ N ☐

Case notes here

Q15. You must incorporate this species into your written biosecurity plan. Have you done so?Y☐ N ☐

Does this plan comply with the requirements of the Australian code for the care and use of animals for scientific purposes 8th edition 2013?

Y☐ N ☐

Case notes here

Q16. Are these released animals part of a “Judas” program?Y☐ N ☐

If yes provide a list of all relevant standard operating procedures applicable to the activity.Enter response here

Case notes here


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