Application for Permit to Import Plant/Plant Materials

Name of Applicant (required)

Email Address

Name and Quantity of Plants/Plant Materials proposed to be imported (Use scientific name)

Source (Full Name and Address of Supplier, including Country of Origin)

Port of Entry

Proposed Date of Arrival (MM/DD/YYYY)

Method of Importation (You may select more than one choice by holding down the shift click)

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