Form No. C-028; Vr No.1.2; Status: Current; Approved Date: 08/01/2018Page 1 of 3

Fish Health Application Form for the Movement of Wild Mussels into

Approved Aquaculture Sites

NB: 2018 movements will only be authorised if the accompanying reconciliation form covering 2017Mussel Movements has been FULLY completedOR you have provided copies of your Mussel Spat Book logs for 2017

Name

Address

Phone Number

/ Fax Number /

Email

From:

To:

Period Required for:

Source Information - Please specify local fishing ground if known

Source:
Source:

Destination(s) Information

Destination: / Fish Health Authorisation (FHA) Number:
Destination: / Fish Health Authorisation (FHA) Number:
Destination: / Fish Health Authorisation (FHA) Number:

NOTE: The FHA number for sites in the Republic is available from (i.e. from the Public Register of Aquaculture Production Businesses). For sites in NI, this information is available from the Northern Ireland Department of Agriculture, Environment and Rural Affairs (DAERA).

Mussels CANNOT be deposited on sites which do not have an FHA.

Means of Transport

Means of Transport (eg by road, sea etc..) / Identification (e.g. Vessel Name(s) / Haulage company / Vehicle Registration number)

Are you currently aware of any signs of increased levels of mortality on site(s) of origin?

 Yes  No

Name…………………………………………Signature………………………………..

NB: To avoid unnecessary delay in processing your application, please ensure that the application is fully and accurately completed. All applications must be received a minimum of 3 days prior to the first movement.

When completed please return to:

Form No. C-028; Vr No.1.2; Status: Current; Approved Date: 08/01/2018Page 1 of 3

Fish Health Unit,

Marine Institute,

Rinville, Oranmore,

Co. Galway

Phone: 091 387200

Fax:091 387201

E-mail:

Form No. C-028; Vr No.1.2; Status: Current; Approved Date: 08/01/2018Page 1 of 3

Reconciliation Form for Mussel Movements in the 2017 Season

NB: All seed movements in 2017 must be reported to the Marine Institute as per the terms of the

Aquatic Animal Health Authorisations.

Did your company source seed in 2017?Yes No

If Yes, the form below MUST be fully and accurately completed.

Alternatively,you may provide copies of yourMussel Spat Book logs for any mussel seed fished in the 2017 season.

Date / Exact details of site of origin including GPS co-ordinates / Means of Transport (eg by road, sea etc.) / Identification (e.g. Vessel Name(s) / Haulage company / Vehicle Registration number) / Tonnage / Destination
(e.g. Bay or Lough / FHA Number of the site of destination
Date / Exact details of site of origin including GPS co-ordinates / Means of Transport (e.g. by road, sea etc.) / Identification (e.g. Vessel Name(s) / Haulage company / Vehicle Registration number) / Tonnage / Destination
(e.g. Bay or Lough / FHA Number of the site of destination