Research Permit Application

Use this application form to apply for Research Permits required under the Wildlife Act 1975 and Flora and Fauna Guarantee Act 1988.

Note that you can use this form to apply for both permits, however you will be issued separate permits under each Act.

Unsure if a permit is required? Please see the pre-application checklist for further guidance and expected processing times.

If you wish to apply for a permit for education and management purposes, please visit the education and management permit application form.

Applicant Details

Title (required) *

First Name (required) *

Other Given Name

Family Name (required) *

Date of Birth (required) *

Organisation

Email Address (required) *

Phone Number (required) *

Address (required) *

Street address

City

State

Postcode

Project Details

What is your research on? Select all that apply. (required) *

Wildlife (including terrestrial invertebrates listed under the Flora and Fauna Guarantee Act 1988)Protected Flora (Flora listed as Protected or Threatened under the Flora and Fauna Guarantee Act 1988)Fish, freshwater crayfish, and aquatic invertebrates (listed under the Flora and Fauna Guarantee Act 1988)

Project Title (required) *

Proposed Start Date (required) *

Proposed Finish Date (required) *

Is this a renewal of an existing research permit? (required) *

YesNo

If yes, please provide details of previous permit below, and Victorian Biodiversity Atlas (VBA) reference number

Permit number (required) *

Expiry Date (required) *

Victorian Biodiversity Atlas (VBA) reference number (required) *

Project Aim (required) *

Wildlife Species

Begin typing in the box below to search for the appropriate species.

Wildlife Species (required) *

Quantity (required) *

Add another species? (required) *

YesNo

Wildlife Species (required) *

Quantity (required) *

Add another species? (required) *

YesNo

Wildlife Species (required) *

Quantity (required) *

Add another species? (required) *

YesNo

Wildlife Species (required) *

Quantity (required) *

Add another species? (required) *

Yes No

Wildlife Species (required) *

Quantity (required) *

Please list below any additional or other wildlife species and quantity.

Wildlife Activities

Please select all relevant boxes.

Wildlife capture/trapping using: (required) *Please select all relevant boxes.

If you selected 'Other capture/trapping method', please specify. (required) *

If you selected 'Breeding in captivity', please provide information about how animals surplus to requirements will be disposed of (required) *

If you chose 'Other research activities' please specify (required) *

Will wildlife be held longer than 24 hours? (required) *

YesNo

Please provide location details where wildlife will be held.

Street Address (required) *

City/Suburb/Town (required) *

Postcode (required) *

Protected Flora Species

If you intend to take flora from any land managed by Parks Victoria, you will also need to apply through ParkConnect for an Access Agreement.

If you have permission from the landholder, no permit is required to take Protected Flora from private land for research purposes.

For further information please view the Threatened Flora, Non-Threatened Protected Flora, and Threatened Communities list.

Do you intend to research any threatened flora species? (required) *

YesNo

Begin typing in the box below to search for the appropriate species.

Please select threatened flora species (required) *

Plant part (required) *

Quantity (required) *

Add another species? (required) *

YesNo

Please select threatened flora species (required) *

Plant part (required) *

Quantity (required) *

Add another species? (required) *

YesNo

Please select threatened flora species (required) *

Plant part (required) *

Quantity (required) *

Add another species? (required) *

YesNo

Please select threatened flora species (required) *

Plant part (required) *

Quantity (required) *

Add another species? (required) *

YesNo

Please select threatened flora species (required) *

Plant part (required) *

Quantity (required) *

Please list below any additional or other threatened flora species and quantity.

Do you intend to research any non-threatened protected flora species? (required) *

YesNo

Please enter species scientific name, plant parts (e.g. Whole plant, Seed, Herbarium specimen), and quantity (required) *

Do you intend to research any threatened communities? (required) *

YesNo

Please select threatened communities (required) *

Proposed area (sqm) (required) *

Listed fish, freshwater crayfish, and aquatic invertebrate species

If you intend to take listed fish/crayfish or aquatic invertebrates from any land managed by Parks Victoria you will also need to apply through ParkConnect for an Access Agreement.

In addition to the permit under the Flora and Fauna Guarantee Act 1988, approval may be required under the Fisheries Act 1995. Please contact the Victorian Fisheries Authority.

Begin typing in the box below to search for the appropriate species.

Please list species (required) *

Quantity (required) *

Please list any additional species and quantity

Use of listed fish, freshwater crayfish, aquatic invertebrates

Please select all relevant boxes.

If you selected 'Other capture/trapping method', please specify (required) *

If you selected 'Keeping/breeding in captivity', please provide information about how animals surplus to requirements will be disposed of (required) *

If you selected 'Other research methods', please specify (required) *

Will species be held for longer than 24 hours? (required) *

YesNo

If yes, provide location details where the animal will be held.

Street Address (required) *

City/Town/Suburb (required) *

Postcode (required) *

Animal Ethics Approval

Animal ethics approval may be required for activities that include; collection of biometric data, tagging and attaching tracking devices, blood / tissue sampling, trapping, attaching telemetry devices, take from the wild and humane euthanasia. For further information visit Animal Welfare Victoria.

If you require animal ethics approval, please provide details below.

Animal Ethics Approval Reference Number

Approval Date

Expiry Date

Please upload your ethics approval

Browse

Please upload your approved ethics application

Browse

Proposed Research Sites

Please note, a research permit approved under the Wildlife Act 1975 does not convey the right of entry to any property or site (including public or Crown Land) to conduct authorised research activities. Prior permission from the landowner or manager is required.

Please note, a research permit approved under the Flora and Fauna Guarantee Act 1988 does not convey the right of entry to any property or site (including public or Crown Land) to conduct authorised research activities. Prior permission from the landowner or manager is required.

If your research involves keeping for research purposes, translocation and/or take from the wild, you must include details on the location where wildlife will be kept below.

If your research involves keeping fish for research purposes, translocation and/or take from the wild, you must include details on the location where fish will be kept below.

If your research involves taking and keeping flora listed as Threatened, you must include relevant location details below. Location details are not required for the keeping or taking of Protected flora. If you propose to translocate any Threatened or Protected flora species, please provide location details below.

Please also include the street address of any location where flora specimens will be kept for the duration of the project.

If you intend to conduct research in a Reference Area as specified under the Reference Areas Act 1978 please list details in the box below.

Location details (required) *

Acknowledgment by Applicant

I,

being the applicant for this Wildlife Act Research Permit, acknowledge that it is an offence under Section 58B of the Wildlife Act 1975 to provide false or misleading information in, or in connection with, the application for a Wildlife Act permit and I state that the information that I have provided is true, correct and complete.

being the applicant for this Flora and Fauna Guarantee Act Research Permit, acknowledge that the information that I have provided is true, correct and complete.

If any of the names shown above are not correct, please re-enter your personal details at the top of this form before submitting the application.

Signature (required) *

Draw signature|Type signatureClear

Date (required) *

Collection, use and disclosure of personal information - Privacy and Data Protection Act 2014

The Department of Environment, Land, Water and Planning (DELWP) is committed to protecting personal information provided by you in accordance with the principles set out in the Victorian privacy laws. This privacy statement applies to the collection and use of personal information, voluntarily provided by you, in relation to administration of licences and authorisations administered under the Wildlife Act 1975.

The information you provide will be used to assess your application, administer any relevant licences or authorisations and carry out compliance relating to those licences or authorisations.

DELWP or its contracted service providers under confidentiality agreements may survey you about your experience with DELWP.

You may apply for access to your personal information at any time to confirm that it is accurate and up to date, upon payment of a prescribed fee (if any). Enquires should be directed to the DELWP Customer Service Centre on 136 186.

The Department of Environment, Land, Water and Planning (DELWP) is committed to protecting personal information provided by you in accordance with the principles set out in the Victorian privacy laws. This privacy statement applies to the collection and use of personal information, voluntarily provided by you, in relation to administration of licences and authorisations administered under the Flora and Fauna Guarantee Act 1988.

The information you provide will be used to assess your application, administer any relevant licences or authorisations and carry out compliance relating to those licences or authorisations.

DELWP or its contracted service providers under confidentiality agreements may survey you about your experience with DELWP.

You may apply for access to your personal information at any time to confirm that it is accurate and up to date, upon payment of a prescribed fee (if any). Enquires should be directed to the DELWP Customer Service Centre on 136 186.