Schedule
Form No. 1
Western Australia
AGRICULTURE AND RELATED RESOURCES PROTECTION ACT 1976
Agriculture and Related Resources (Declared Plants and Restricted Animals) Regulations 1982
Regulation 5
NOTICE OF INTENTION TO IMPORT AND DECLARATION
For Entry of Stock, Coats, Machinery, Fodder, Sacks, Seeds and Wool Packs into Western Australia.
Instructions
This form is to be completed in duplicate.
Original: to accompany consignment.
Copy: to either ¾
Stock Inspector, Department of Agriculture, Kalgoorlie 6430
or Senior Officer (Prevention Services and Special Projects
Section), Agriculture Protection Board, Jarrah Road, South Perth 6151
or Regional Officer, Agriculture Protection Board, Department of Agriculture, Kununurra 6743
or Officer in Charge, Department of Agriculture Checkpoint
C/- Post Office Box 228, Norseman 6443
depending on entry point.
The copy must be received at the proposed entry point at least 7 days prior to introduction, except in the case of permanently manned checkpoints where 48 hours notice is required unless, in urgent circumstances, shorter notice is accepted.
Stock: The person bringing the stock into W.A. is to complete the NOTICE OF INTENTION TO IMPORT AND DECLARATION AND SCHEDULE (See reverse of form).
The CERTIFICATE (see reverse of form) is to be completed by an inspector of the Department of Agriculture in the State of origin.
Other Consignments:
The person bringing the items into W.A. is to complete the NOTICE OF INTENTION TO IMPORT AND DECLARATION AND SCHEDULE (see reverse of form).
NOTICE OF INTENTION TO IMPORT AND DECLARATION
(a) Full name I, (a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(b) Address of (b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(c) Name of State in the State of (c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
am the * owner/agent of the owner/person importing/agent of the person importing the stock or other items specified in the Schedule (see reverse) intended to be brought into Western Australia.
I declare to the best of my knowledge and belief that the stock or other items listed in the Schedule on the reverse of this form are free from plants declared as declared plants in Western Australia and that the place or properties from which the consignments originated are free of declared plants.
SIGNED: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(d) Full name WITNESS: (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
& Address
of Witness
(e) Signature of (e) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
witness
* Strike out whichever is inapplicable.
REVERSE OF FORM 1:
Schedule
Description (type of stock, fodder, animal, coats, etc.)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Identification (sex, brands etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Method of transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date of proposed entry into Western Australia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Place of proposed entry into Western Australia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Consigned by . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Consigned to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address of Consignee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Destination in Western Australia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The sheep, goats or other restricted animals (if any) were last shorn on . . . . . . . . . . . .
Agent (if any) acting on behalf of importer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Certificate
COMPLETE FOR STOCK ONLY
I, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . being an inspector of the Department of Agriculture in the State of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . do hereby certify that I have examined the * sheep/cattle/horses/other animals referred to in the declaration of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . overleaf and have found the * sheep/cattle/horses/other animals free from plants declared as declared plants in Western Australia and to the best of my knowledge the property of origin is also free.
I have no reason to doubt the correctness of any of the particulars declared in the declaration.
Dated at . . . . . . . . . . . . . . . this . . . . . . . . . . . day of . . . . . . . . . . . . . . . ., 20 . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . .
Government Inspector.
* Strike out whichever is inapplicable.
______________________________________________________________________
NOTICE
Under the Agriculture and Related Resources Protection Act the following conditions apply to stock:
1. A certificate of inspection shall be valid only for a period of 14 days from the date of issue unless an extension of its validity, for a period not exceeding 21 days, has been approved by the Agriculture Protection Board.
2. Stock after inspection shall be held in yards which are free from declared plants.
3. Removal of animals from the place of inspection shall be by road or by rail transport.
4. Sheep, goats or other restricted animals with wool or hair length in excess of 20 mm on any part of the body will be required to be shorn on arrival in Western Australia.
Form No. 2
Western Australia
AGRICULTURE AND RELATED RESOURCES PROTECTION ACT 1976
Agriculture and Related Resources (Declared Plants and Restricted Animals) Regulations 1982
Regulation 6
(a) Full name To (a) Mr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(b) Address of (b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
______________________________________________________________________
DETENTION OF CONSIGNMENT
Stock
(e) Date The above animals shall remain under the control of an inspector until (e) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . in which period they must be satisfactorily ¾
| (f) Delete if inapplicable | (f) |  | cleansed
shorn
destroyed |
Other Consignments.
(g) Date The above consignment shall remain under the control of an inspector until (g) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . in which period it must be satisfactorily cleansed or destroyed.
NOTE:
Any person unwilling to comply with the requirements of this notice may with the approval of an inspector export the consignment from the State or may return it to a part of the State approved by an inspector within the time specified in the notice.
______________________________________________________________________
RELEASE OF CONSIGNMENT
The above consignment is
* free from declared plants and may enter Western Australia/
(h) Specify * not free from declared plants and is to be exported from the State
place or returned to (h) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
within Western Australia.
* Delete whichever is inapplicable.
[Schedule amended in Gazette 3 Aug 1984 p. 2333; 18 Oct 1991 p. 5325-6.]