Amendment 80 Vessel Replacement - Commercial Fishing Permits Center

Contact Information

Vessel Use / Endorsement*

Pleasure
Commercial

Name

First Last

Email*

Enter Email Confirm Email

Phone*

IDENTIFICATION OF THE AMENDMENT 80 VESSEL BEING REPLACED

Vessel Name

ADF&G Vessel Registration No.

Official Number*

Confirm Official Number*

Amendment 80 QS permit No.

Last year in which vessel harvestedor processed groundfish in anAmendment 80 fishery

Applicant's Name

First Last

NMFS Person ID

Business Mailing Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

This address is:

Permanent
Temporary

Business Telephone No.

Business Fax No.

Business Email Address

Indicate one:

Vessel was lost at sea
Vessel is permantently ineligible to participate
Not applicable

IDENTIFICATION OF THE AMENDMENT 80 REPLACEMENT VESSEL

Vessel Name

ADF&G Vessel Registration No.

Official Number*

Confirm Official Number*

Is the vessel classed?

Yes
No

Is the vessel loadlined?

Yes
No

If the replacement vessel cannot be classed and loadlined, does the vessel meet the requirements of the USCG Alternative Compliance and Safety Agreement (ACSA)?

Yes
No

Was the vessel built in the United States?

Yes
No

Has the vessel ever been rebuilt?

Yes
No

Was it rebuilt in the United States?

Yes
No

Owner Name

First Last

NMFS Person ID:

Business Mailing Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

This address is:

Permanent
Temporary

Business Telephone No.

Business Fax No.

Business Email Address

Application Fee

Price:

Total

$0.00

Consent*

I agree

I CERTIFY THAT THE RECITATIONS CONCERNING THE VESSEL: NAME, TONNAGE, DIMENSIONS, PROPULSION, OWNERSHIP, HAILING PORT, RESTRICTIONS, ENTITLEMENTS, REMARKS AND ENDORSEMENTS CONTAINED IN THE CERTIFICATE OF DOCUMENTATION REMAIN ABSOLUTELY THE SAME.

NAME:*

Type your full name to sign this secure webform

Signature*

CAPACITY OF PERSON SIGNING (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)

Date

Authorization*

I agree

I agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected permits. I understand that my application will be processed in the order in which it is received by Commercial Fishing Permits Center, a private fee-for-service documentation company, not owned or operated by any governmental agency. I understand that application and processing fees are non-refundable as per Commercial Fishing Permits Center's no refund policy. I understand that submitting another application for a license or permit will supersede the current/pending application for that license or permit. I understand that Commercial Fishing Permits Center does not issue or sell any licenses or permits.

Credit Card

Having Trouble with your card?

My card information is not working

Check this box to move forward without your Credit Card.

BILLING ADDRESS

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

By clicking submit you agree to these Terms and Conditions and the above authorization of payment.