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Guidance for completing Form F - Antibiotic Return (PDF 41 KB)
Form F - Antibiotic Return (PDF 39 KB)
Form F - Antibiotic Return (Word 737 KB)
IntroductionThis guideline is designed to assist you in completing the Form F – Antibiotic Return. Antibiotic substances are controlled under Regulation 5A of the Customs (Prohibited Imports) Regulations 1956. A Form F must be completed for each antibiotic permit issued.
Completing the formThe table below will assist you in identifying the required information for completing the permit application form.
1. Importer information
|Importers name||State your full name.|
|Postal address||Provide the address where you would like future permits to be posted. Permits will be sent by normal mail unless an express post envelope accompanies the application.|
|Company name||Provide the full business name of the company or organisation of the importer.|
|Company address||Provide the address of the company or organisation of the importer if different to postal address|
2. Declaration and Consent
|Make sure you have read and understand the declaration and have signed the consent. Complete the contact details of the importer signing the form.|
Schedule 1: Details of Antibiotics Imported in Financial Year 09/10
|Permit Number||State the permit number for which this Form F is relating to. Please use a separate Schedule 1 for each antibiotic import permit that your company holds.|
|Number of pages for this permit number return||If the antibiotic permit that you reporting on has more substances on it than the Schedule 1 allows for, indicate the number of pages of Schedules you have used.|
|Antibiotic name||Provide the common name of the antibiotic (e.g. penicillin)|
|Trade name||Provide the tradename of the antibiotic product to be imported (e.g. Pentax)|
|Manufacturer||Provide the name of the antibiotic manufacturer|
|Country of origin||Indicate the country where the antibiotic was manufactured|
|End use||Specify the purpose for which the antibiotic is to be used e.g. human, veterinary.|
|Form||Indicate the form of the finished goods, for example tablets, capsules, vials, ampoules etc.|
|Quantity||Specify the total number of packs that make up the proposed shipment. For example 25 packs of 24 tablets; 100 bottles of 100 mL; 1000 boxes of 100 tablets, 250 boxes of ampoules.|
|Pack size||Provide details on the pack type for example; 24 tablet blister pack; box of 6 x 2 mL ampoules.|
|Unit size||Specify the unit size, e.g. 50mL vial, 25mg tablet etc|
|Strength||Specify the strength (concentration) of the antibiotic in metric weight units e.g 2mg/ml. If the concentration of the antibiotic is in IU or similar, you must convert to standard weights and volumes (mg, ml etc)|
Submitting a form F – antibiotic returnYou can submit your Form F – Antibiotic Return in the following ways:
Drug Control Section
Office of Chemical Safety
Department of Health
GPO Box 9848 (MDP 88)
Canberra ACT 2601
Fax: 02 6289 2500
It is the responsibility of the importer to ensure that Form F (included with the issued permit) is returned within 5 days of import for a Limited Authority permit, or within 5 days of the expiry of a Continuing Authority permit to the Office of Chemical Safety. Failure to comply with this condition may result in cancellation of current import permits.
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