Application Form for the Movement of Wild Mussels into Aquaculture Sites NB 2015 movements will only be authorised if the reconciliation form below covering 2014 Mussel Movements have been FULLY completed Name Address Phone Number Period Required for: Fax Number Email From: To: Source Information Source: Source: Destination(s) Information Destination: Fish Health Authorisation (FHA) Number: Destination: Fish Health Authorisation (FHA) Number: Destination: Fish Health Authorisation (FHA) Number: NOTE: The FHA number for sites in the Republic is available from www./fishhealth.ie (i.e. from the Public Register of Aquaculture Production Businesses). For sites in NI, this information is available on www.dardni.gov.uk/public register of authorised production businesses.xls Mussels CANNOT be deposited on sites which do not have an FHA. Means of Transport Means of Transport (eg by road, sea etc..) Identification (e.g. Vessel Name(s) / Haulage company / Vehicle Registration number) Are you currently aware of any signs of increased levels of mortality on site(s) of origin? Yes No Name…………………………….. NB Signature……………………………….. To avoid unnecessary delay in processing your application, please ensure that the application is fully and accurately completed. All applications must be received a minimum of 3 days prior to the first movement. When completed please return to: Fish Health Unit, Marine Institute, Rinville, Oranmore, Co. Galway Phone: 091 387200 Fax: 091 387201 E-mail: notification@marine.ie Reconciliation Form for Mussel Movements in the 2014 Season NB All seed movements in 2014 must be reported to the Marine Institute as per the terms of the Aquatic Animal Health Authorisations. Did your company source seed in 2014? Yes No If Yes, the form below MUST be fully and accurately completed. Date Source (seed area) Means of Transport (eg by road, sea etc.) Identification (e.g. Vessel Name(s) / Haulage company / Vehicle Registration number) Tonnage Destination (e.g. Bay or Lough FHA Number of the site of destination Date Source (seed area) Means of Transport (e.g. by road, sea etc.) Identification (e.g. Vessel Name(s) / Haulage company / Vehicle Registration number) Tonnage Destination (e.g. Bay or Lough FHA Number of the site of destination