Application for a permit to take DRF for other scientific purposes

APPLICATION FOR A PERMIT TO TAKE DECLARED RARE FLORA

FOR IDENTIFICATION AND TAXONOMIC RESEARCH PURPOSES

(Pursuant to Section 23F of the Wildlife Conservation Act 1950, as amended)

  1. Scientific name, parts to be taken & amount to be taken:

Scientific Name of DRF
(list all individual species, genera or state ‘all DRF’ if required for general opportunistic specimen collections) / Parts to be taken
(e.g. flowering stems, fruits/nuts, seeds, leaves, cuttings, whole plants) / Amount to be taken
  1. Purpose of Collection: (If for taxonomic research please attach copy of research proposal)
Note: if renewing a permit please provide details of past collections under previous permit
  1. Area/s from which DRF is to be taken:(this can be the entire state if required)

  1. Detail your botanical knowledge/experience: (Permits to take DRF will only be issued if you can demonstrate that you have an ability to adequately recognise/identify flora species)

a)If material is to be forwarded to Herbaria (other than the WA Herbarium) or other research institutions, detail material and institution/s involved:
b)Are herbarium specimens to be lodged at the WA Herbarium / YES / NO
c)Will any propagating material be forwarded to DBCA’s Threatened Flora Seed Centre
Note: if YES a further specific application is required / YES / NO
d)Will any propagating material be forwarded to Botanic Garden and Parks Authority
Note: if YES a further specific application is required / YES / NO
e)Will any material be retained by the permit holder?
If YES state the quantity, type and purpose: / YES / NO
  1. Additional comments in support of application

  1. Period for which permit is required:

to
  1. Applicant Details (Name of the individual to whom a permit is to be issued):

Title: / Surname: / First name:
Address (postal): / Postcode
Associated Research Institution/Company/Group (if applicable) / Daytime phone number:
Previous Permit No.
Expiry date: / Email Address:
  1. Signed:
/ Date:

Note:

•"to take" in relation to the Wildlife Conservation Act includes to gather, pluck, cut, pull up, destroy, dig up, remove or injure the flora or to cause or permit the same to be done by any means.

•Applications to take Declared Rare Flora must be submitted at least 6 weeks prior to the "taking" of the species.

•All applications must be referred in the first instance for the attention of the Flora Administrative Officer, Species & Communities Branch, Department of Biodiversity, Conservation and Attractions, Locked Bag 104, Bentley Delivery Centre WA 6983. A submission will be forwarded to the Hon Minister for Environment (or their delegate), based on this application.

•Applicants must complete all sections. Contact the Department's Flora Administrative Officer 9219 9513 if further information is required.

•It is a condition of a DRF permit that a Threatened and Priority Flora Report Form is to be completed for each population of DRF that a collection is made. Report Forms and the field manual on how to complete the form can be downloaded from DBCA’s website at

•The WA Herbarium guidelines on collection of specimens can be downloaded from the WA Herbarium’s webpage at

•Information on the location of DRF populations can be requested through Species and Communities Branch by emailing

•A list of the current DRF can be obtained from DBCA’s website at

______

Revised: July 2017

Page 1 of 3