OLDING APPLICATION
COMPLETE APPLICATION IN FULL - TYPE OR PRINT CLEARLY - ATTACH ADDITIONAL SHEETS IFNECESSARY.
NO PERMIT WILL BE ISSUED WITHOUT A COMPLETED APPLICATION AND CORRECT FEE. IF THE APPLICATION
IS INCOMPLETE, IT WILL BE RETURNED TO YOU AND NO PERMIT WILL BE ISSUED UNTIL ALL REQUIRED
INFORMATION IS SUBMITTED TO THE OFFICE OF PERMIT MANAGEMENT.
ATTACH PHOTOCOPIES OF ANY CURRENT PERMITS, INCLUDING FEDERAL PERMITS IN YOUR POSSESSION.
Attach a list of Federal permit/permits you are in the process of applying for.
IMPORTANT NOTE REGARDING QUARTERLY REPORTS: The IMPORT, EXPORT, BIRTH and
DEATH reports MUST BE SUBMITTED EACH YEAR ON A QUARTERLY BASIS. THESE
REPORTS ARE REQUIRED FOR THE ZOOLOGICAL HOLDING PERMIT! IF THE QUARTERLY
REPORTS ARE NOT RECEIVED BY THE DUE DATES, YOU MAY BE SUBJECT TO PENALTY
OR FINE. REPORTS MUST BE SUBMITTED EVEN IF NO CHANGES OCCURRED DURING THE
QUARTER.
IMPORTANT NOTE No additional Potentially Dangerous species of any kind may be obtained
without prior written approval from the Wildlife Permits Unit, Exotic and Nongame Permit staff
and your facility must undergo an inspection before receipt of the animal. Requests for
approval must be in writing and include information on the proposed origin of the Potentially
Dangerous Species; possession purposes; experience with species; description of diet,
caging, etc. [SEE REGULATIONS: N.J.A.C. 7:25-4.7, 4.8 AND 4.9]. This includes animals on loan
from other institutions or replacements of deceased animals.
NAME OF INSTITUTION ___________________________________________________________
NAME OF OWNER/DIRECTOR______________________________________________________
INSTITUTION ADDRESS___________________________________________________________
Street
_______________________________________________________________________________
City State Zip Code with Extension
NJ COUNTY_________________________SCHEDULE: Days and Hours open________________
Institution Phone:(_____)__________________Fax Number:_______________________________
E-mail Address: __________________________________________________________________
Website Address (if applicable): ______________________________________________________
OWNER/DIRECTOR HOME ADDRESS _______________________________________________
MUST BE PROVIDED Street
_______________________________________________________________________________________________________________________
City State Zip Code with Extension
Owner/Director Home Phone: (_____) _________________________________________________
REQUIRED
Emergency Contact (Name & Cell Phone or Beeper Number): (_____) ____________________
______________________________________________________________________________________________ 2
!
ATTACH PHOTOCOPIES OF CURRENT, APPLICABLE
PERMITS INCLUDING STATE PERMITS, USDA PERMITS, U.S.
FISH & WILDLIFE SERVICE PERMITS, ETC.
YOUR PERMIT WILL NOT BE REVIEWED OR ISSUED UNTIL
THIS MANDATORY INFORMATION HAS BEEN SUPPLIED.
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
VETERINARIAN NAME ____________________________________________________________

Required
ADDRESS ______________________________________________________________________
Street
_______________________________________________________________________________________________________________________
City State Zip Code with Extension
VETERINARIAN PHONE: (_____)____________________________________________________
Required
_______________________________________________________________________________
IMPORTANT NOTICE REGARDING NEW JERSEY'S WILD BIRD BILL: A-649 Amending R.S. 23:4-50.
After December 10, 1991 - the only regulated birds that can be brought into the state of New Jersey
(SEE REGULATIONS FOR EXEMPT SPECIES) that are WILD-CAUGHT BIRDS, must have been in
captivity legally before that date. All other birds must be captive-bred. You must have WRITTEN
PROOF from the source of the birds THAT SPECIFIES EVERY REGULATED BIRD THAT IS BROUGHT
INTO NEW JERSEY IS CAPTIVE-BRED OR THAT IT WAS IN CAPTIVITY LEGALLY BEFORE December
10, 1991.
_________________________________________________________________________________________________________________________
Important Notice
________________________________________________________________________________
******Effective immediately under the authority of the New Jersey Division of
Fish and Wildlife: Captive Game and Exotic and Nongame regulations,
THERE IS A BAN UNTIL FURTHER NOTICE ON THE IMPORTATION OF
WHITE-TAILED DEER, BLACK-TAILED DEER, MULE DEER, RED DEER,
ELK AND MOOSE INTO THE STATE OF NEW JERSEY. This is due to the
growing concern of the spread of CHRONIC WASTING DISEASE into wild
and farmed herds of animals in the deer family throughout the United
States. ******
___________________________________________________________________________________________________________ 3
All Applicants bringing regulated hoofed stock from outside New Jersey MUST PROVIDE a
photocopy of their CURRENT USDA PERMIT. Also ATTACH PHOTOCOPIES OF CURRENT
PERMITS AND HEALTH CERTIFICATES FOR MAMMALS. All applicants bringing regulated hoofed
stock from outside of New Jersey must supply copies of health certificates certifying that the wildlife is
free of Tuberculosis and Brucellosis and any other communicable disease. It is mandatory to comply
with the USDA Tuberculosis Eradication in Cervidae: Uniform Methods and Rules (Cervid UM&R).
Cervids not known to be affected with or exposed to tuberculosis that originate from other herds (i.e.
non-Accredited, non-Modified or non-Qualified herds) may be moved interstate if they are
accompanied by a certificate stating that such cervids have been classified negative in two official
tuberculosis tests that were conducted no less then 90 days apart, that the second test was
conducted within 90 days prior to the date of movement, and that the animals were isolated from
all other members of the herd during the testing period. Additionally, the Cervid UM&R has NO
minimum age standards for testing of cervids for interstate movements from herds that are
unclassified. Photocopies of health certificates must be submitted with your application. For more
information contact the United States Department of Agriculture.
________________________________________________________________________________
FOR MORE INFORMATION, CONTACT THE UNITED STATES DEPARTMENT of
AGRICULTURE (USDA), ANIMAL and PLANT HEALTH INSPECTION SERVICE
(APHIS):
USDA/APHIS/ANIMAL CARE EASTERN REGION
920 Main Campus Drive, Suite 200, Unit 304-O
Raleigh NC 27606-5210
Phone: (919) 855-7100
____________________________________________________________________________________________________________
IMPORTANT NOTE: NO NEW JERSEY ZOOLOGICAL HOLDING OWNER
AND/OR FACILITY MAY OBTAIN ANY POTENTIALLY DANGEROUS
WILDLIFE SPECIES WITHOUT PRIOR WRITTEN APPROVAL FROM THE
WILDLIFE PERMITS UNIT STAFF.
No Zoological Holding activity is allowed before your permit application has been received
with the correct fee, health certificates, documentation, and any other current, relevant state
or federal required permits, and your application has been approved and a permit has been
issued.
_______________________________________________________________________________________________________________________________________
A minimum of four weeks from receipt by the
Wildlife Permits Unit
Exotic and Nongame Wildlife Species
section is required to process a permit application. 4
The Division of Fish & Wildlifes primary concern is public safety and animal welfare.
!

!
NEW JERSEY IS A NO CONTACT STATE. WILDLIFE MUST BE EXHIBITED IN SUCH A
MANNER AS TO PREVENT ANY POSSIBILITY OF PUBLIC CONTACT. NON-COMPLIANCE WITH
ANY REGULATION COULD RESULT IN FINES, PENALTIES AND REVOCATION OF PERMIT.
!

!
EXAMPLES OF PROHIBITED CONTACT INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING:
"
Picture taking of the public holding regulated exotic and nongame wildlife.
"
Hand feeding of regulated exotic and nongame wildlife by the public.
"
Exhibition of any potentially dangerous wildlife outside of approved cage.
The requested regulated

exotic and nongame wildlife species must have the appropriate, current
health certificates to ensure that they do not pose a threat to humans, native wildlife or agriculture,
and that they are capable of Zoological Holding activities as indicated in your application.
It is the applicant's responsibility to provide veterinary care and proper diet for all regulated wildlife
species. In order to avoid problems with animal health and to ensure public safety, feeding of
regulated exotic and nongame wildlife species by the public is STRICTLY PROHIBITED.
All regulated Exotic and Nongame Wildlife entering New Jersey must have t