ST. CROIX #1 Estate Lower Love RR1 Box 10345 Kingshill, V.I. 00850 Telephone: (340) 778-0997 ST. THOMAS #7944 Estate Dorothea Dorothea, V.I. 00802 Telephone: (340) 774-5182 Fax: (340) 774-1823 ST. JOHN #11 Estate Carolina Coral Bay, V.I. 00830 Telephone: (340) 776-6274 Fax: (340) 693-5065 AUTHORIZED PROCESSOR ONLY PAID: RECEIPT NUMBER: DATE: AUTHORIZED PROCESSOR (Initials): Non INDIGENOUS ANIMAL IMPORT PERMIT Permission is granted for the shipment of to the United States Virgin Islands in compliance with Provisions of Title 19 Virgin Islands Code and the Rules and Regulations promulgated thereto by the Commissioner of Agriculture and approved by the Governor of the Virgin Islands. Permit No.: CONSIGNOR Name: Mailing Address: Physical or Business Address: Telephone: Email : OWNER and LOCAL ADDRESS Name: Mailing Address: Physical: Premise Number Telephone Email: Signature: PERTINENT REGULATIONS: Health Certificate must accompany Import Permit. One permit per species. Specific requirements are listed below. Animals will be inspected by VI Department of Agriculture upon arrival. • Animal is not quarantined or showing clinical signs of contagious or infectious disease • Owner is responsible for the proper care, feeding, housing and disposal method specific for this species-no live food will be allowed entry into VI i.e. insects or rodents. • Animal will not be allowed to breed. DESCRIPTION OF ANIMAL(S): This Import Permit is not transferable or assignable and expires immediately upon arrival of animals (s) in the United States Virgin Islands. Permit is valid for 2 months from date of issuance. Identification Scientific Name Common Name Color Sex No. of Animals DATE of ENTRY PORT Date: ______ Date: ________ Director of Veterinary Services, VI Department of Agriculture Commissioner, VI Department of Agriculture Date: ______ Chief of Wildlife, Department of Planning & Natural Resources - F&W