Form PPQ 587 PPQ 587 Application for Permit to Import Pants and Plant Product

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays valid
OMB control numbers. The valid OMB control numbers for this information collection are 0579-0129, 0173, 0190, 0242, 0285, and 0433. The time required to complete this information
collection is estimated to average .5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information.

UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
PLANT PROTECTION AND QUARANTINE

APPLICATION FOR PERMIT TO IMPORT PLANTS
OR PLANT PRODUCTS

INSTRUCTIONS: 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.

1. NAME AND UNITED STATES ADDRESS OF U.S. RESIDENT/LEGAL ALIEN:

OMB APPROVED
0579-0129, 0173, 0190
0242, 0285, and 0433

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

MAILING ADDRESS (If different than physical address):

APPLICANT NAME:
ORGANIZATION NAME:
UNITED STATES ADDRESS (Include City, State, and ZIP Code):

PHONE:

FAX:

E-MAIL:

2. Plants or Plant Products to be Imported:
Country of Origin
Scientific Names of Plants or Plant Products

(Province or Territory,
if applicable)

3. Intended use:

Plant Parts
(seeds, cuttings, rhizomes,
plants, bulbs, fruits, etc.)

U.S. Port or Ports
of Arrival

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:

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. 1001).
PPQ FORM 587 (MD)
MAY 2014