Unaccompanied Personal Effects Declaration Under the Biosecurity and Agriculture Management Act 2007 goods imported into Western Australia are subject to Quarantine restrictions. Failure to comply with restrictions may be an offence, for which penalties apply. To facilitate the clearance of your goods, you should complete this Declaration and submit it to Quarantine WA. Consignment Details Name of Furniture Removalist: Consigned to (Address in WA): Container #: ETA in WA: Contents Declaration Does the consignment contain any of the following: Fresh fruit and vegetables: YesNo Cut Flowers (including dried) and bulbs: YesNo Plants (including house plants): YesNo Seeds (including grain, flower and birdseed): YesNo Honey, honeycomb or beekeeping equipment: YesNo Animals or birds: YesNo Hay, straw or fodder: YesNo Walnuts in shells: YesNo Wool or hides (unprocessed): YesNo Soil, plant growing media and landscaping material, e.g. woodchips, potting mix, mulch: YesNo Used produce, seed, flower, fruit containers/bins or animal (excluding dog and cat) transport containers: YesNo Motor vehicles, motorcycles or machinery: YesNo Garden tools, equipment or lawnmowers: YesNo Please indicate if cleaned of all soil and plant material: CleanSoiled If you answered Yes to any item, briefly describe the goods: Client Declaration I declare that the information I have given is true, correct and complete and that I have understood the questions contained in this form. I understand that making a false or misleading statement may result in a fine under section 92. Name: Date: Contact Number: Signature