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Get AU QWA 027 2013

Notice of Intent to Import Freight Declaration Quarantine WA Under the Biosecurity and Agriculture Management Act 2007 goods imported into Western Australia are subject to Quarantine restrictions. Failure to comply with restrictions may be an offence for which penalties apply. To facilitate the clearance of your goods you should complete this Declaration and submit it to Quarantine WA. CONSIGNMENT DETAILS 1. Name of Freight Forwarder / Agent/ Importer. 2. Transported by Road Prime Mover Registration 3. Failure to comply with restrictions may be an offence for which penalties apply. To facilitate the clearance of your goods you should complete this Declaration and submit it to Quarantine WA. CONSIGNMENT DETAILS 1. Name of Freight Forwarder / Agent/ Importer. 2. Transported by Road Prime Mover Registration 3. Date of entry into WA Sea Air Rail 4. Entry point 5. Container - Unit No s / Trailer Registration No s. 6. Location for unpacking/inspection* 7. Are you aware of the contents of this load Yes No 8. Contents Description including details of Prescribed Potential Carriers. See attached manifest Manifest PRESCRIBED POTENTIAL CARRIERS For the purposes of the Act each of the following is a prescribed potential carrier a new or used machinery or equipment or a part of machinery or equipment used or intended to be used or manufactured for use i in association with an agricultural activity or an agricultural product or ii iii in earthmoving or mining b an animal or animal product c animal feed of plant origin but not including processed animal feed or manufactured animal feed as those terms are defined in section 9 2 of the Act for dogs cats or fish d a plant other than a canned or cooked plant e f g h j k l m n o p canned seed absorbent pet litter derived from plant material soil plant growing media and landscaping material e*g* woodchips potting mix mulch a cargo container a container of any kind used for or in connection with agricultural a container used to transport animals other than dogs or cats non-potable water a vessel vessel ballast water a vehicle. PERSON MAKING DECLARATION I declare that the information I have given is true correct and complete and that I have understood the questions contained in this form* I understand failure to answer truthfully is a breach of the Biosecurity and Agriculture Management Act 2007 and may result in a fine. 9. Name Date Signature Contact Phone OFFICIAL USE ONLY Inspection Result More information required To be released from quarantine To be ordered for unpacking/inspection on Officer IDN QWA 027 03/13. CONSIGNMENT DETAILS 1. Name of Freight Forwarder / Agent/ Importer. 2. Transported by Road Prime Mover Registration 3. Date of entry into WA Sea Air Rail 4. Entry point 5. Container - Unit No s / Trailer Registration No s. Date of entry into WA Sea Air Rail 4. Entry point 5. Container - Unit No s / Trailer Registration No s. 6. Location for unpacking/inspection* 7. Are you aware of the contents of this load Yes No 8. Contents Description including details of Prescribed Potential Carriers. .

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