APPLICATION FOR A PERMIT TO TAKE DECLARED RARE FLORA IN A
NON-DEPARTMENTAL MANAGEMENT OPERATION
(Pursuant to Section 23F of the Wildlife Conservation Act 1950, as amended)
NOTE TO ALL APPLICANTS:

Please complete ALL sections. Further information may be obtained from the Department's Flora Administrative
Officer, 9219 9513 or [email protected].

In this application form DRF = Declared Rare Flora (also referred to as Threatened Flora)
Completed Application should be forwarded to:
Flora Administrative Officer, Species & Communities Branch,
Department of Parks and Wildlife (DPaW),
Locked Bag 104, Bentley Delivery Centre, WA 6983.
Or can be emailed to [email protected], attention Flora Administrative Officer.
1.
Scientific name(s) of DRF to be taken: (if more than one taxon please list all)
2.
Date(s) of the proposed activity which will result in taking of DRF:
to
3.
Location of proposed activity: (please attach a map)
Nature of the proposed activity (for burning indicate likely fire intensity and relevant information):
Note: “to take” also refers to inadvertent or accidental impact to the DRF and surrounding habitat.
If renewing a DRF permit, also include details here of what was taken under the previous permit & why you
require the permit to be renewed.
4.
(a) Purpose of and need for the proposed activity:
(b) Consequence of not carrying out the operation:
Page 1 of 3
Application for a permit to take DRF for non-departmental management operation
(c) Cost of alternative measures: (eg to exclude DRF from burning; include any change in fire risks)
5.
DPaW Population Number/s of the DRF (if known):
(a) Total number(s) and condition of plants in DRF population(s) subject to the proposed
activity (include reproductive maturity):
(b) Number(s) of plants and parts of plants likely to be taken (e.g. leaves, flowers, fruits, seeds on
ground, stem, roots, above ground plants, whole plants) at the time proposed:
6.
Total number of populations, number of plants and condition of the species:
(a) in the local context:
(b) on all lands if known: (attach a table if necessary)
7.
Detail regenerative characteristics of the DRF as applicable to activity, e.g. recovery after fire:
8.
Detail proposals for monitoring the effect of the activity on the DRF:
9.
Other relevant information: (eg discussion with DPaW District staff, Species and Communities
Branch or Research Division; whether the proposed activity is going through any other approvals
process e.g. clearing permit application, POW, Ministerial Statement)
Page 2 of 3
Application for a permit to take DRF for non-departmental management operation
10. Additional comments in support of application: (eg discussion with local District)
11. Applicant Details (Name of the individual to whom a permit is to be issued):
Title:
Surname:
First name:
Address (postal):
Postcode
Associated Research Institution/Company/Group (if applicable)
Daytime phone number:
Previous Permit No.
Email Address:
Expiry date:
12. Signed:
Date:
Note:
• "to take" in relation to the Wildlife Conservation Act includes to gather, pluck, cut, pull up, destroy, dig up, remove or
injure the flora or to cause or permit the same to be done by any means.
• Applications to take Declared Rare Flora must be submitted at least 4 weeks prior to the "taking" of the species.
• All applications must be referred in the first instance for the attention of the Flora Administrative Officer, Species &
Communities Branch, Department of Parks and Wildlife, Locked Bag 104, Bentley Delivery Centre WA 6983. A
submission will be forwarded to the Hon Minister for Environment (or their delegate), based on this application.
• Applicants must complete all sections. Contact the Department's Flora Administrative Officer 9219 9513 if further
information is required.
• It is a condition of a DRF permit that a Threatened and Priority Flora Report Form is to be completed for each
population of DRF that a collection is made. Report Forms and the field manual on how to complete the form can be
downloaded from DPaW’s website at http://www.dpaw.wa.gov.au/plants-and-animals/monitoring/96-standards/140standard-report-forms
• The WA Herbarium guidelines on collection of specimens can be downloaded from the WA Herbarium’s webpage
at http://www.dpaw.wa.gov.au/plants-and-animals/wa-herbarium
• Information on the location of DRF populations can be requested through Species and Communities Branch by
emailing [email protected]
• A list of the current DRF can be obtained from DPaW’s website at http://www.dpaw.wa.gov.au/plants-andanimals/threatened-species-and-communities/threatened-plants
__________________
Revised: June 2016
Page 3 of 3