Application for Annual Crab Individual Processing Quota (IPQ) Permit

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

Applicant Information

Name of Applicant

Applicant's NMFS Person ID

Is your business mailing address permanent or temporary?

Permanent
Temporary

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

Type of Annual IPQ for which Application is made

Indicate which fisheries applicant is applying for IFQ

Identification of Ownership Interest

If the Applicant identified in Block A is NOT an individual (i.e. is a corporation, partnership or some other entity) the name(s) of all owners of the Applicant must be provided, together with the percent of ownership. If a listed owner is not an individual, provide the same information for each owner until all owners and their percent of ownership are revealed to the individual level.

Name of Owner	% Interest

ROFR Contract

Is any of the PQS you hold subject to right of first refusal (ROFR) with an Eligible Crab Community (ECC)?

Yes
No

If YES, provide the name of the ECC entity associated with the PQS

IF YES, do the PQS holder and the ECC entity identified above , have in place at the time of this application a current ROFR contract that includes all of the ROFR contract terms specified in Chapter 11 section 3.4.4.1.2 of the Fishery Management Plan for Bering Sea/Aleutian Islands King and Tanner Crabs?

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

Applicant Signature

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

Certification of Transferee

NAME:

Type your full name to sign this secure webform

Signature

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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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.