Movement of bulbs to another quarantine approved premises

Manually

Use black or blue pen Print in BLOCK LETTERS

Mark boxes with a tick or a cross.

Your obligations

Complete a separate request form for each bulb transfer and ensure it is signed by both the transferring approved arrangements site and the receiving approved arrangements site.

Both approved arrangements sites must keep a signed copy of the form on file and present it on request to the Department of Agriculture and Water Resources.

1346_0214

Section B: Bulb transfer

To be completed by the transferring approved arrangements site before the bulbs are dispatched

1. Transferring approved arrangements site

Approved arrangements number

Approved arrangements site name

Australian Business Number (ABN) Australian Company Number (ACN)

Street address

Suburb/town/city State/territory Postcode