PPQ 587 Application for Permit to Import Plants or Plant Product

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control FORM APPROVED

number. The valid OMB control numbers for this information collection are 0579-0049, 0172, 0173, and 0319. The time required to complete this information OMB NO. 0579-0049,

collection is estimated to average .5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining 0172, 0173, & 0319

the data needed, and completing and reviewing the collection of information.

U.S. DEPARTMENT OF AGRICULTURE ANIMAL AND PLANT HEALTH INSPECTION SERVICE PLANT PROTECTION AND QUARANTINE APPLICATION FOR PERMIT TO IMPORT PLANTS OR PLANT PRODUCTS

INSTRUCTIONS: PLEASE TYPE OR PRINT CLEARLY. PERMITS ARE NOT ISSUED TO P.O. BOXES. READ THE ENTIRE APPLICATION BEFORE COMPLETING. ATTACH ADDITIONAL SHEETS OF PAPER IF MORE SPACE IS NEEDED.

FORWARD COMPLETED APPLICATION TO USDA-APHIS-PPQ Permit Unit 4700 River Road, Unit 133 Riverdale, MD 20737-1236 1-877-770-5990; FAX: (301) 734-5786

2. Plants or Plant Products to be Imported:

1. NAME AND UNITED STATES ADDRESS OF APPLICANT: APPLICANT’S NAME: ORGANIZATION NAME: U.S. ADDRESS: PHONE: ( ) FAX: ( ) E-MAIL:

MAILING ADDRESS (If different then physical address):

Country of Origin (If Canada, give Province, if Mexico, give State)	Scientific Names of Plants or Plant Products	Plant Parts (seeds, cuttings, rhizomes, plants, bulbs, fruits, etc.)	U.S. Port or Ports of Arrival

3. Intended use: Plants for planting (Nursery stock) Small lots of seed Fruit and vegetables  Other_________________________

4. Means of importation: Mail or Express carrier Cargo shipment Personal baggage or car

5. SIGNATURE OF APPLICANT: 6. PRINTED NAME OF APPLICANT:

7. DATE:

PPQ FORM 587 (MD) (JUL 2007)

WARNING: Any alteration, forgery, or unauthorized use of this document is subject to civil penalties of up to $250,000 (7 U.S.C.s 7734(b)) or punishable by a fine of not more than $10,000, or imprisonment of not more than 5 years, or both (18 U.S.C.s 1001).