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Application forms and guidelines

Guidance for completing Form F - Antibiotic Return

This page provides guidance for completing the Form F - Antibiotic Return.

Guidance for completing Form F - Antibiotic Return (PDF 31 KB)

Form F - Antibiotic Return (PDF 30 KB)
Form F - Antibiotic Return (Word 371 KB)

Introduction

This 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 form

The 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 return

You can submit your Form F – Antibiotic Return in the following ways:
Mail:
Treaties and Compliance Section
Office of Chemical Safety and Environmental Health
GPO Box 9848 (MDP 88)
Canberra ACT 2601

Fax: 02 6289 2500

Email: tmu@health.gov.au

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 and Environmental Health. Failure to comply with this condition may result in cancellation of current import permits.


May 2010

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