Taxidermy and Preserved Specimen Licence Application

Application for a biodiversity conservation licence under the Biodiversity Conservation Act 2016 to possess preserved specimens of protected animals (including skeletal material) and/or carry out taxidermy on protected animals on either a hobby or professional basis.

Note: A licence may not be issued to a private person, or organisation, to possess a specimen of a bird of prey, a threatened species, a marine mammal or marine turtle unless the applicant can demonstrate there is a legitimate and worthwhile scientific or educational justification for possessing the specimen.

Privacy notice

This application requests information that identifies you and is defined as ‘personal information’ under the Privacy and Personal Information Act 1998 (NSW) (PPIP Act). Supply of this information is voluntary, but your licence request may not be able to be processed if the information is not provided.

It is an offence to provide false or misleading information in applications and documents in connection with matters under the Biodiversity Conservation Act 2016.

The Department of Climate Change, Energy, the Environment and Water (the department) collects and manages the personal information you provide in accordance with the PPIP Act. Information supplied on this form will be used by officers of the department to assess and process your licence request. Your personal information, including any matters relating to your compliance with this licence may be disclosed to third parties for the purposes of confirming information provided by you, and for law enforcement purposes. The department will not otherwise use your personal information except for purposes listed as exemptions in the PPIP Act.

As required by the Biodiversity Conservation Act 2016 (NSW), a public register of wildlife licences will be published on the department’s website, which may include certain personal information.

Personal information collected by the department will be stored securely and disposed of according to the Records Management Policy. You have a right to access to modify and/or update your personal information the department holds about you. For inquiries about privacy or access to your information, contact the Information Access & Privacy team on 9860 1440 or privacy@dpie.nsw.gov.au.

Applicant details

First name

Middle name

Last name

Date of birth

Home/daytime phone number

Mobile phone number

Your email address

Is this for a person or a business?

PersonBusiness

Residential address where specimens will be held

Address

If the search is unable to find your address, you can free type this information.

Suburb

State

State is incorrect

The state must be NSW to be valid.

Postcode

Business name

Business address where specimens will be held

Address

If the search is unable to find your address, you can free type this information.

Suburb

State

State is incorrect

The state must be NSW to be valid.

Postcode

Type of licence

Are you applying for:

Licence to possess preserved specimensLicence to carry out taxidermy and possess preserved specimens

Licence to possess preserved specimens

Please list the species you wish to keep below

Species information

Common Name

Scientific Name

Under what circumstances and where was the speciment obtained?

Purpose of proposed preservation

Name of taxidermist who will preserve the specimen

Licence number of the taxidermist who will preserve the specimen

Licence to carry out taxidermy and possess preserved specimens

Details of taxidermy experience

List of species already in possession

Payment

To be completed by persons who wish to have a specimen preserved licence – fee $30 five-year licence.

To be completed by person who wishes to undertake taxidermy on a professional basis i.e. To preserve specimens for their clients – fee $30 per year.

Once we commence assessment you will receive a link via email to pay for your application. Look for the email with the subject, 'Follow the link to pay for your booking XXXXX for Taxidermy Licence'. This link is only valid for 24 hours.

Licence Details

Have you ever been granted a licence under the Biodiversity Conservation Act 2016 or National Parks and Wildlife Act 1974

YesNo

Licence Type

Licence Number

Expiry Date

Important

All mandatory fields must be completed before submitting.

After you click 'Submit' below, a new page will display. Please review all your responses and provide your signature on this page and click the 'Submit Signed Response' button.

Declaration

I declare that all information provided by me in this application is true and correct

For the purposes of the following questions, 'the applicant and associates' include the persons nominated to be authorised under this licence, any partner or other associate to these persons including relatives and friends, and any companies to which these persons have been a director or associated in the management of a corporation.

Has the applicant and/or associates contravened any licence conditions, authority or law concerning the protection, conservation or management of animals or ecological communities?

YesNo

Explanation

Has the applicant and/or associates provided false or misleading information in connection with a matter under the Biodiversity Conservation Act 2016?

YesNo

Explanation

Has the applicant and/or associates been convicted of any fraud or dishonesty offences?

YesNo

Explanation

Has the applicant and/or associates the technical competencies to undertake the activities for which you are applying?

YesNo

*IMPORTANT - Ensure the State field in the 'Address where animal will be kept' section above is NSW and you have completed the reCAPTCHA verification*