Flatfish Exchange Application - 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*

Date of Transfer Request:

Fishing Year:

Indicate type of Participant:

CDQ Group
A80 Cooperative

CDQ GROUP OR A80 COOPERATIVE INFORMATION

Name

First Last

ID Number

Business Telephone Number:

Business Fax Number:

Business Email Address:

Name

First Last

eFish Account

User Name

Password

Allow access to eFish Account*

Managing owner and eFish account holder please be advised the United States Department of Commerce computer system (eFish) requires we obtain authorization from you (account holder) to access eFish for the processing of your permit. By checking this box and providing us with your eFish account name and password you are authorizing and consenting to CFPC’s (our) access to your eFish account and enable CFPC (us) to act as your authorized agent and attorney in fact to submit any pertinent information needed to complete the application herein and no other purpose, and that you understand we are a private permit processor.

AMOUNT EXCHANGED

Adjustment to ABC Reserve Amount

Species Code	Amount

For Amount: (If CDQ, nearest 0.001 mt) (If A80, nearest mt)

Adjustment to CQ Amount

Species Code	Amount

For Amount: (If CDQ, nearest 0.001 mt) (If A80, nearest mt)

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.