Application for a Certificate of Registration - R657-4 Possession of Pen-reared Game Birds for Aviculture Individuals who wish to acquire and possess live game birds for dog training or the sport of falconry are not required to apply for a certificate of registration, provided that the birds are banded, are not held for more than 60 days and a bill of sale is in possession. Bands can be purchased from the Division of Wildlife Resources Office in Salt Lake or regional offices for a small fee. Individuals who desire to hold live game birds for more than 60 days are required to apply for and receive a certificate of registration for possession of pen-reared birds for aviculture prior to receiving the birds. Aviculture Installation requirements and the complete rule can be located on our web site: https://wildlife.utah.gov/index.php/aviculture.html https://wildlife.utah.gov/index.php/r657-4.html A $10 nonrefundable handling fee & for new applications a $100 inspection fee is required when submitting application. In addition, there is also the COR fee that will be collected upon approval. If you want to pay over the phone, please provide a phone number for payment contact _________________. Applications must be submitted to the Regional Office where the facility is located • Northern Region 515 E 5300 S, Ogden, UT 84405 801-476-2740 • Northeastern Region 318 N Vernal Ave, Vernal, UT 84078 435-781-9453 • Central Region 1115 N Main St., Springville, UT 84663 801-491-5678 • Southeastern Region 319 N Carbonville Rd, Suite A, Price, UT 84501 435-613-3700 • Southern Region 1470 N Airport Rd, Cedar City, UT 84721 435-865-6100 If you have, any questions email or call Anita Candelaria [email protected] 385-332-6154. Commercial COR ($150 fee): The sales of any pen-reared game birds in excess of $5,000 annually. In addition, the Utah Agricultural Code (Title 4, section 29) requires that hatcheries and dealers offering chicks, poults or eggs for sale in Utah be licensed with the Department of Agriculture and Food. Personal COR ($75 fee): The possession and use of an animal for a hobby or for its intrinsic pleasure. Sales allowed but may not exceed $5,000 annually. In addition, the Utah Agricultural Code (Title 4, section 29) requires that hatcheries and dealers offering chicks, poults or eggs for sale in Utah be licensed with the Department of Agriculture and Food. Renewal ($30 fee):. COR #: _______________ Submit facility dimensions and photos Applicant Information Name: _________________________________ Business Name: _________________________________ Phone #:_______________ Email address:________________________ Date of Birth:______________ Address:_______________________________ City:____________________ State:______ Zip:________ Possession for Pen-reared Game Birds Page 1 of 2 Aviculture Installation – Location for holding pen-reared game birds Address:_______________________________ City:___________________ State:______ Zip:________ County:____________________ GPS Coordinates or Include a map:__________________________________________________________ Birds must be purchased from a NPIP licensed source either in state or out of state. Total number of birds allowed will be based on the aviculture facility size and will be determined by the Regional office at the time of inspection. Check Species Sub-species 1 Sub-species 2 Sub-species 3 Pheasant (all sub-species) Quail (Bobwhite, California, Gambel’s, Harlequin, Montezuma, Mountain, Scaled) Partridge (Chukar, Red-legged, Hungarian) Band-tailed Pigeon* N/A N/A N/A Dove* (Common ground, Inca, Morning or White-winged) Pen-reared or wild turkey (Eastern, Oseola, Gould’s, Merriam’s, Rio Grande) Waterfowl* Crane* Other *Species requires a USFWS permit. Contact them for additional requirements I hereby certify that I have read and am familiar with R657-4 pertaining to the activity. I further certify the information submitted in this application for a COR is complete and accurate. I understand that any false statement herein may result in the application being denied. Applicant Signature:_________________________________________ Date:__________________ Notice: The Utah Agricultural Code (Title 4, section 29) requires that hatcheries and dealers offering chicks, poults or eggs for sale in Utah be licensed with the Department of Agriculture and Food. This is in addition to the Certificate of Registration (COR) required by the Division of Wildlife Resources. The Utah Administrative Code (R58-6-2) and Section 145.1 of the National Poultry Improvement Plan (NPIP), define poultry to include game birds. Baby chicks, poults, and hatching eggs imported into the state or sold within and outside the state should originate from flocks participating in the Salmonella pullorum control and eradication program of the NPIP or from flocks that have passed a negative blood agglutination test for that disease. The purpose of this licensure and testing program is for the protection of the poultry industry (including game birds) from Salmonella and other pathogens. For information, contact the Utah Department of Agriculture and Food (801) 982-2235 or https://ag.utah.gov/farmers/animal-industry/animal-health-program/ for information. Possession for Pen-reared Game Birds Page 2 of 2.