American Fisheries Act (AFA) Permit: Rebuilt, Replacement, or Removed Vessel Application

This form may be used to apply for the replacement or removal of an American Fisheries Act (AFA) Inshore Catcher Vessel Cooperative Permit. You may also use this form as a notification the athe AFA vessel has been rebuilt.

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

FILLABLE_CLASS

Add name of CLASS under Advanced -> Default Value. Ex: Fillable_Alaska_1_999
Vessel Name
Vessel Use / Endorsement
- Pleasure
- Commercial
Official Number
Confirm Official Number
Contact Information
Name
First Last
Email
Enter Email Confirm Email
Phone
Block A - Purpose of Application
This application is to be used for
- Notification of Rebuilt AFA Vessel: Complete Block B. Sign Block E.
- Replacement of AFA Vessel: Complete Block B and Block C. Sign Block E.
- Removal of AFA Catcher Vessel and Assignment of Pollock Catch History of Removed Vessel: Complete Block B, Block C, Block D and Sign Block E.
Block B - AFA Permitted Vessel
Vessel Name
ADF&G Vessel Registration Number
USCG Documentation Number
AFA Permit Number
LLP Groundfish License Number
Gross Tons
Shaft Horsepower
Registered Length (feet)
Owner Name
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
Block C - Identification & Ownership of Replacement Vessel
Vessel Name
ADF&G Vessel Registration Number
USCG Documentation Number
LLP Groundfish License Number
Gross Tons
Net Tons (U.S. tons)
Shaft Horsepower
Registered Length (feet)
Current Length Overall (feet
Owner Names
Business Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business Telephone Number
Business Fax Number
Business Email Address
Block D Assignment of Pollock Catch History of Removed Vessel

Vessel Name	USCG No.	Actions

There are no Entries.

Application Fee
Price:
Application Fee TEST
Price:
Total
$0.00
Certification of Applicant
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
MM slash DD slash YYYY
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.

Contact Information

Block A - Purpose of Application

Block B - AFA Permitted Vessel

Block C - Identification & Ownership of Replacement Vessel

Block D Assignment of Pollock Catch History of Removed Vessel

Certification of Applicant