SCIENTIFIC PERMIT APPLICATION – FAUNA
Issued under Section 29 of the Nature Conservation Act 2002
Regulation 4 of the Threatened Species Protection Regulations 1996
Regulation 18 of the National Parks and Reserved Land Regulations 1999
Section 46(1) of the Crown Lands Act 1976
Regulation 22 of the Crown Lands Regulations 2001
Part 3 of the Wellington Park Regulations 1999 /
Department of Primary Industries, Parks, Water & Environment

SurnameGiven Names (in full)Title

Organisation/Institution

Street

Address

Ph (work)Fax (work)Email

Proposed start dateEnd date

Short title of research project

Full names and street addresses of all those directly involved with project including undertaking

trapping/handling and assisting with research (attach a list if insufficient space)

Location where animals are to be collected and specify the land tenure (PWS reserve, Crown land, private land, etc)

Animal species involved (include scientific name) or list the groups of animals (eg birds, small mammals, insects, etc). Provide the numbers of each species involved

What methodsareto be used to take/collect animals (e.g. trapping, tagging, pitfalls, etc)

If animals are to be removed from site of capture, where are they taken and for how long?
After Reading the “Guidelines for Issuing of Scientific Permits”, please tick relevant boxes

Conservation benefits for the species can be clearly demonstrated by this research.

Research contributes to scientific understanding (academic) of Tasmanian ecology but has no conservation benefits

Research has the potential to benefit human health/medicine etc.

Other species will be affected as a result of methods used e.g. pitfall trapping, mist netting.

Sensitive ecosystems or communities will be affected by this research (collecting or study site).

Research/collecting needs to be undertaken on reserved land.

Research involves removing animals from the site and/or killing and/or housing in captivity.

Research involves threatened species (check web site If it does, please make sure you have discussed this work with staff of the Threatened Species Section, Biodiversity Conservation Branch before applying for a permit, as special conditions may apply.

Have you been issued with a scientific permit before? If yes, then you must have completed and submitted a report to fore further permits will be issued.

Animal Ethics Committee approval for research involving disturbance to vertebrate or higher invertebrate fauna. (Approval is required prior to issuing of permit. A copy of AEC approval and any associated conditions must also be attached to the permit application).

AEC NumberAEC Expiry DateNot Applicable

YOU MUST PROVIDE WITH THIS APPLICATION:

Electronic one page summary of proposed research (proforma at emailed to . This will also be posted on our website for a two week public comment period.

If AEC approval is required for your research, please provide a copy of your AEC application, AEC approval, AEC number and any conditions imposed by AEC. (If your institution is not based in Tasmania confirm that your AEC is licensed under the Tasmanian Animal Welfare Act).

Signature of ApplicantDate

(verifying information provided is comprehensive and accurate)

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