According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control numbers for this information collection are 0579-0049, 0172, 0173, 0293, and 0319. The time required to complete this information collection is estimated to average .5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. |
OMB APPROVED 0579-0049, 0172, 0173, 0293, and 0319 |
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U.S. DEPARTMENT OF AGRICULTURE ANIMAL AND PLANT HEALTH INSPECTION SERVICE PLANT PROTECTION AND QUARANTINE
APPLICATION FOR PERMIT TO IMPORT PLANTS OR PLANT PRODUCTS |
INSTRUCTIONS: PLEASE TYPE OR PRINT CLEARLY. PERMITS ARE NOT ISSUED TO P.O. BOXES. READ THE ENTIRE APPLICATION BEFORE COMPLETING. ATTACH ADDITIONAL SHEETS OF PAPER IF MORE SPACE IS NEEDED. |
FORWARD COMPLETED APPLICATION TO: USDA-APHIS-PPQ Permit Unit 4700 River Road, Unit 133 Riverdale, MD 20737-1236 1-877-770-5990; FAX: (301) 734-5786 |
1. NAME AND UNITED STATES ADDRESS OF U.S. RESIDENT/LEGAL ALIEN:
APPLICANT’S NAME:
ORGANIZATION NAME:
U.S. ADDRESS (Include City, State, and ZIP Code):
PHONE: ( ) FAX: ( )
E-MAIL:
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MAILING ADDRESS (if different than physical address): |
2. Plants or Plant Products to be Imported: |
Country of Origin (Province or territory, if applicable) |
Scientific Names of Plants or Plant Products |
Plant Parts (seeds, cuttings, rhizomes, plants, bulbs, fruits, etc.) |
U.S. Port or Ports of Arrival |
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3. Intended use: Plants/parts for planting (Nursery stock) Small lots of seed Fruit and vegetables Other_________________________ |
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4. Means of importation: Mail or Express carrier Cargo shipment Personal baggage or car |
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5. SIGNATURE OF APPLICANT: |
6. PRINTED NAME OF APPLICANT: |
7. DATE: |
PPQ FORM 587 (MD)
MAY 2009
WARNING: Any alteration, forgery, or unauthorized use of this document is subject to civil penalties of up to $250,000 (7 U.S.C. 7734(b)) or punishable by a fine of not more than $10,000, or imprisonment of not more than 5 years, or both (18 U.S.C. 1001).
Instructions for completing PPQ Form 587
Application for Permit to Import Plants or Plant Products
Please TYPE or PRINT legibly to complete. You must complete all of the boxes.
Enter the name and street address of the person responsible for the importation. The applicant must be a United States resident. Enter the organization or company name, if applicable. A physical address of the facility or business is required. You may include a post office box address in addition to the street address for mailing purposes. Enter your daytime telephone number, including the Area Code. Enter your facsimile number, including the Area Code. Enter your e-mail address if applicable.
In the first column, enter a country or countries (if from Canada include Province, if from Mexico include State) from which you want to import the plants or plant products (the term “various” will not be accepted). In the second column, enter the scientific (Latin) name of each plant. If you do not know the scientific name(s), try to find out from the exporter. As a last resort, enter the English common name(s). In the third column, enter the type of plant parts you plan to import for each species. In the fourth column, enter the City and State of the preferred port(s) of arrival. If you do not know the port, enter “N/A.” (Check your permit when you receive it for the approved ports.)
Check the appropriate box. Select “Plants for planting”, if the plants/plant parts you want to import will be planted or sold for planting. Select “Small lots of seed” if you want to import under the small lots of seed program (see below*). Select “Fruits and Vegetables” if you are importing fruits and vegetables for consumption or resale. Select “Other” if the article you want to import does not fall into any of the other categories. List the category or additional information needed to describe the article (i.e., Cut flowers, broomcorn, etc…). * Special instructions for small lots of seed: Small lots of eligible seed may be imported without a phytosanitary certificate with a written permit. See the permit unit website (http://www.aphis.usda.gov/import_export/plants/plant_imports/ smalllots_seed.shtml) for help in determining eligibility. In part #2 list the seed species and countries from which you want to ship each species. If the list of species and/or countries of origin is long, you may enter “eligible taxa.” By using this option, you are accepting responsibility for determining the eligibility of the seeds. A permit is issued for taxa that are enterable with no restrictions beyond port of entry inspection. If port of entry inspectors find prohibited or restricted seeds in your shipment, they will remove the ineligible kinds.
Check the appropriate box or boxes that apply to the means of importation.
The applicant named in box #1 must sign the form.
Printed name of person who signed the form.
Enter the date the form is completed and signed.
If you attach additional sheets of paper, type or print PPQ Form 587, the applicant’s name, and the company name at the top of each page.
Send the completed application by facsimile to (301) 734-5786, or mail to:
USDA-APHIS-PPQ
Permit Unit
4700 River Road, Unit 133
Riverdale, MD 20737-1236
Call our automated phone number at 1-877-770-5990 if you have questions.
File Type | application/msword |
File Title | According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it |
Author | Aphiscfg |
Last Modified By | Government User |
File Modified | 2009-06-17 |
File Created | 2009-06-17 |