Flatfish Exchange Application - Commercial Fishing Permits Center

A brief description of the form or Application to be filled out here.

Vessel Name
Vessel Use / Endorsement * Required
- Pleasure
- Commercial
Official Number * Required
Confirm Official Number * Required
Contact Information
Name
First Last
Email * Required
Enter Email Confirm Email
Phone * Required
Date of Transfer Request:
MM slash DD slash YYYY
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 * Required
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 * Required
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: * Required

Type your full name to sign this secure webform
Signature * Required
CAPACITY OF PERSON SIGNING (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)
Date
MM slash DD slash YYYY
Authorization * Required
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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My card information is not working
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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.

Species Code	Amount

Species Code	Amount

Contact Information

CDQ GROUP OR A80 COOPERATIVE INFORMATION

eFish Account

AMOUNT EXCHANGED