7/31/2019 Importation Permit

1/1

Wildlife Division

79 Elm Street

Hartford, CT 06106

APPLICATION FOR PERMIT TO IMPORT LIVE BIRDS (CGS 26-55)

Date:

Application is hereby made for a permit by:

of(Name of Person or Company)

(Address) (Phone Number)

to import into the State of Connecticut(Species, sex and number of live eggs)

legally taken or acquired and transported from the State of

which does not prohibit the sale or exportation of the above mentioned species, which importation or

interstate transportation is not contrary to any Federal Law or Regulation.

This stock is to be purchased from(Name of Person or Company)

of

(Complete Address of Breeder)

and is to be sold at wholesale breeding in captivity

and is to be sold retail other

research

and is for the purpose of:

liberation Mail completed application to:

pet

bait DEEP - Wildlife Division

food 79 Elm Street

Hartford, CT 06106-5127

If animals are to be liberated, give town location:

It is understood that a separate application must be made for each shipment of live birds/eggs and that

permits may be issued or denied at the discretion of the Commissioner.

(Signature and Title of Applicant)Rev. 7/12/2011