Application for Bsai Crab Hired Master (skipper) Permit

Vessel Name

Vessel Use / Endorsement*

Pleasure
Commercial

Official Number*

Confirm Official Number*

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

PURPOSE OF APPLICATION

Application Purpose

Add Authorized Hired Skipper
Delete Authorized Hired Skipper

IFQ Permit(s) numbers for which this authorization applies

IFQ PERMIT HOLDER (APPLICANT) INFORMATION

Name of IFQ Permit Holder

First Last

NMFS Person ID

Name of Cooperative, if applicable

Cooperative’s NMFS ID:

Name of Cooperative’s Authorized Representative

First Last

Business Mailing Address:

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

This address is:

Permanent
Temporary

Business Telephone No.

Business Fax No.

Business Email Address

VESSEL UPON WHICH CRAB IFQ WILL BE HARVESTED

Vessel Name:

ADF&G Number

USCG Official Number

Does the Crab IFQ Permit Holder hold an ownership interest of at least 10% in the named vessel?

Yes
No

USCG Abstract of Title or Certificate of Documentation

Max. file size: 2 MB.

attach a contemporary USCG Abstract of Title or Certificate of Documentation that demonstrates that the minimum ownership requirement has been satisfied with respect to the named vessel; no other documentation of ownership is satisfactory.

If the Crab IFQ Permit Holder is a Crab Harvesting Cooperative, does a member of the cooperative hold an ownership interest of at least 10% in the named vessel?

Yes
No

Print name of cooperative member holding a vessel ownership interest of at least 10% in the named vessel

IDENTIFICATION OF HIRED SKIPPER(s)

Name	Actions

There are no Entries.

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.