Application for a Taxidermist Permit under the Migratory Birds Regulations, 2022

All information included in this application will be treated as confidential. Personal information collected as part of the permitting process is protected under the Privacy Act.

Important: Please consult the document “Instruction Sheet: Applying for a Taxidermist Permit under the Migratory Birds Regulations, 2022” when filling out this application. Incomplete, illegible or unsigned application forms will be returned and may result in a refusal of your application or a delay in the issuance of your permit. Send the completed application form and any additional documents to your regional Canadian Wildlife Service office (contact information can be found on the accompanying instruction sheet).

Section 1. Applicant information

Surname :
Given Name :
Business Name (if applicable):
Mailing Address (street number and name, incl. P.O. Box if applicable):
City:
Province/Territory:
Postal Code:
Telephone Number (day):
Telephone Number (other):
Email Address:
Fax (if applicable):

Section 2. Location

Physical address or coordinates

Provide the location(s) where the taxidermy activities will be conducted (address can be indicated as “same as Section 1”). Driving directions or a map may also be attached, for clarification.

[Checkbox] Map attached (optional)

Section 3. Application fee

The following must be submitted with the application, otherwise it will be considered incomplete. Please note that the non-sufficient funds fee is an additional $25.

[Checkbox] Application fee: $10 (preferably a cheque or money order payable to “Receiver General for Canada”. Cash is also accepted).

Section 4. History

Have you previously been issued a taxidermist permit under the Migratory Birds Regulations, 2022?

[Checkbox] No
[Checkbox] Yes
(If yes, please provide the most recent permit number):                     

Have you ever applied for a taxidermist permit that has been refused or have you ever held a taxidermist permit that has been cancelled or suspended?

[Checkbox] No
[Checkbox] Yes
(if yes, provide reason):

Have you ever been convicted of an offence under the Migratory Birds Convention Act, 1994 or the Migratory Birds Regulations, 2022?

[Checkbox] No
[Checkbox] Yes
(if yes, provide reason):                     

Section 5. Attestation and applicant signature

I, ( full name) attest that I have the knowledge to conduct the permitted activities and certify that:

• all information submitted in this application is accurate and has been completed to the best of my knowledge
• I will agree to an inspection of the premises if one is required before permit issuance
• I may not commence any activities that are the subject matter of this application before a valid permit is in my possession; and
• I understand that, in order to legally conduct the activities, I may need to obtain additional federal, provincial, territorial, municipal or other permits or authorizations

Signature of applicant:
(sign with dark ink)

Date:
(yyyy/mm/dd)

For internal use only

Date Received:

Permits Officer:
Approved [Checkbox]
Refused[Checkbox]
Date:

Biological reviewer:
Approved [Checkbox]
Refused [Checkbox]
Date:

Previous report on file
Yes [Checkbox]
No [Checkbox]
NA [Checkbox]

Application fee received
Yes [Checkbox]
No [Checkbox]

Comments:

[Checkbox] Non-sufficient Funds fee required ($25)