Amendment 80 Limited Access Permit - Commercial Fishing Permits Center

Vessel Name

Vessel Use / Endorsement*

Pleasure
Commercial

Official Number*

Confirm Official Number*

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

Applicant Identification

Applicant Name

First Last

Tax ID Number

NMFS Person ID

Permanent Business Mailing Address

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

Business Telephone Number

Business Fax Number

E-mail Address (if available)

Amendment 80 Vessel Identification

First Owner

Name of the Amendment 80 vessel owned by applicant

First Last

ADF&G Number

USCG Number

Second Owner

Name of the Amendment 80 vessel owned by applicant

First Last

ADF&G Number

USCG Number

Amendment 80 LLP Identification

List the Amendment 80 LLP license number(s) held by the applicant that will be used in Limited Access Fishery.

License Number(s)

Click to the plus or minus to add or remove, respectively.

Amendment 80 QS Identification

List the Amendment 80 QS permit number(s) held by the applicant that will be used in Limited Access Fishery.

Permit Number(s)

Click to the plus or minus to add or remove, respectively.

Amendment 80 QS Ownership Documentation

Provide the names of all persons, to the individual level, holding an ownership interest in the Amendment 80 QS Permit(s) held by the applicant and the percentage ownership each person and individual holds in the Amendment 80 QS Permit.

Name(s)	Percentage Ownership

EDR Submission

Indicate whether the applicant has submitted a timely and complete the Annual Trawl Catcher/Processor Economic Data Report for each Amendment 80 QS permit held by that person as required under § 679.94.

Yes
No

Application Fee

Price:

RENEWAL ADVANCED PAYMENT OPTION

No Additional Years
2 year renewal
3 year renewal
4 year renewal
5 year renewal

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

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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.