Pacific Remote Island Areas Pelagic Troll and Handline Permit

Contact Information

Name

First Last

Email

Enter Email Confirm Email

Phone

Type

Hawaii Longline Limited Entry Permit – Renewal or Transfer
Western Pacific General Longline Permit
Western Pacific Receiving Vessel Permit
Pacific Remote Island Areas Troll & Handline
Guam (large vessel)
Pacific Remote Island Areas
Precious Coral

Precious Coral

Permit Area

Vessel Information

Vessel Name

Vessel Use / Endorsement

Pleasure
Commercial

Vessel Official Number

Confirm Vessel Official Number

Vessel Owner

Radio Call Sign

Permit Holder(s)

First, Middle, & Last Name or Business Name

Taxpayer ID Number (SSN or EIN)

DATE OF BIRTH (Individual) OR INCORPORATION (Business) OF PERMIT HOLDER:

Business Contact

First, Middle, & Last Name, if not same as permit holder

Title

Corporate officer, business owner, partner

Business Mailing Address

City/Village

State

Zipcode

Business Phone

Cell

Email

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

Applicant Name

First Middle Last

Name and Signature of Permit Holder, Corporate Officer, Partner, or Designated Agent

Signature

Date

Applicant Title

Permit Holder
Corporate member or officer, or partner
Designated agent

NOAA Fisheries Permits Account

User Name

Password

Allow access to NOAA Fisheries Permits Account

Managing owner and NOAA Fisheries Permits account holder please be advised the NOAA Fisheries Service requires we obtain authorization from you (account holder) to access NOAA Fisheries Permits account for the processing of your permit. By checking this box and providing us with your NOAA Fisheries Permits account name and password you are authorizing and consenting to CFPC’s (our) access to your NOAA Fisheries Permits 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.

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.

For Hawaii Longline Permit Transfer: to be completed and signed by originating permit holder (transferor). Under penalty of perjury, I hereby declare that I, the undersigned, am the current permit holder or authorized to complete and certify this application on behalf of the current permit holder, and the information contained herein is true, correct, and complete to the best of my knowledge.

PERMIT TRANSFEROR:

Type your full name to sign this secure webform

Permit Number Being Transferred

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.