Wildlife Act of British Columbia
Game Farm
Licence APPLiCATION
This application is for use by individuals applying for a Game Farm Licence in British Columbia.
how to use this form
This is a fillable PDF form. You can type your information into this form or you can print it off and fill it out by hand.
Follow these steps to get started:
1) Download and Save the form to your computer. Note: If you attempt to enter information into this form while
previewing it in your web browser you will NOT be able to save your information and submit this form.
Note: Please ensure that this form is saved to your “Desktop” or “Downloads” folder before filling it out.
2) Open this form with Adobe Reader (free download: http://get.adobe.com/reader/)
3) Fill out the form by typing in your information. Required fields are outlined in Red.
Note: If you do not see the fields outlined in red you may have to click on the Highlight Existing Fields button which
is found in the purple information bar at the top of the screen in Adobe Reader.
privacy note for the collection, use and disclosure of personal information
Personal information is collected by FrontCounter BC under the legal authority of section 26 (c) and 27 (1) of the Freedom of
Information and Protection of Privacy Act (the Act). The collection, use, and disclosure of personal information is subject to the
provisions of the Act. The personal information collected by FrontCounter BC will be used to process your enquiry or application(s).
It may also be shared when strictly necessary with partner agencies that are also subject to the provisions of the Act. The personal
information supplied in the application package may be used for referrals or notifications as required. Personal information may be
used by FrontCounter BC for survey purposes.
For more information regarding the collection, use, and/or disclosure of your personal information by FrontCounter BC, please contact
FrontCounter BC at 1-877-855-3222 or by mail at FrontCounter BC Program Director - FrontCounter BC, Provincial Operation - 441
Columbia Street - Kamloops, BC V2C 2T3.
part a. Applicant (Person or Business receiving the Game Farm Licence)
Business Name (if applicable)
First Name
Incorporation Number (if applicable)
Middle Initial
Last Name
City
Province
Postal Code
Phone
Fax
Email
Street
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part b. farm details
Provide Directions to the Farm
Farm Address (if different from above)
Street
City
Province
Postal Code
Proposed Fenced Area (Hectares)
Property Tax Folio Number
Parcel Identification Number
Land Ownership
Private
Leased
Legal Description of Fenced Area
Attach copy of (a) Land Title, or (b) Current B.C. Assessment Authority Notice. If leased, attach certified or
notarized copy of leasehold agreement.
part C. Development plan (in this section, please describe your proposal thoroughly)
Include a detailed Facilities Drawing of your property in an attached document. Include proposed perimeter and
internal fences, gates, buildings, handling facilities, approximate dimensions of fenced areas, and geographical
landmarks such as dugouts, creeks, wooded areas, hills, etc. Include a compass rose on your sketch.
Species
Heard Size
Fencing Type
Fencing Manufacturer
Breeding Stock Supplier
Name of Supplier
Game Farm Licence Number
Street
City
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Province
Postal Code
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part D. additional information
If you wish to provide additional information (eg., related experience) or request specific information, please do
so using the space provided below. Attach an additional document if necessary.
part e. acknowledgement
I recognize that this application does not imply approval for the issuance of a Game Farm licence. I also authorize The Ministry of
Agriculture, Fisheries, and Food to obtain further information as necessary and declare that the above information is true and accurate.
Signature (Type name if submitting electronically)
Date (DD/MM/YYYY)
It is an offence to knowingly make a false statement in order to obtain a licence. Violations may result in prosecution under
the Wildlife Act, refusal of future licence requests or both. Any licence obtained knowingly using false information is void.
PLEASE FORWARD MY LICENCE TO
Address as Above
or Mail to:
or Email:
(your email address or location of Government Agent / FrontCounter BC Office to be picked up at)
submitting this form
Please send completed application, fees and any supporting documents to FrontCounter BC by following the
submission instructions on the FrontCounter BC website at www.frontcounterbc.ca/fish-wildlife-parks/
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office use only
Licence Fee ($)
Receipt Number
Date Received
B.C.A.A Confirmation
Facilities Sketch
Comments
Provisional Approval
Date
The personal information requested on this form is collected under the authority of the Game Farm Act and is subject
to the provisions of the Freedom of Information and Protection of Privacy Act (RSBC 1996, c. 165). If you have any
questions about the collection and use of this information, please contact the Health Management and Regulatory unit.
Forward Application to:
Ministry of Agriculture and Lands
Animal Health Branch, Livestock Health Management & Regulatory Unit
1767 Angus Campbell Road
Abbotsford BC V3G 2M3
Telephone: (604) 556-3093
Toll Free: 1-877-877-2474
Fax: (604) 556-3015
For further information:
Page 4 of 4
frontcounterbc.gov.bc.ca
Phone: 1-877-855-3222 (North America)
International: ++1-778-372-0729
Version 2.00. / February 2015