Address Change Form - Commercial Fishing Permits Center

Vessel Name

Vessel Use / Endorsement*

Pleasure
Commercial

Official Number*

Confirm Official Number*

Permit Holder or Vessel Owner Name:

First Last

Permit Number

ADFG Number

CFEC ID

Old Permanent Mailing Address

Street Address Address Line 2 City State ZIP Code

Phone Number

Check if Unlisted

Check if Unlisted

New Permanent Mailing Address

Street Address Address Line 2 City State ZIP Code

Phone Number

Check if Unlisted

Check if Unlisted

Residency Information

"For the purpose of assessing fees for the application for, annual issuance of, or renewal of entry and interim-use permits, an individual is a resident of this state if, on the date of permit application, issuance, or renewal, and throughout the 12-month period before that date, that individual maintained their domicile in this state and neither claimed residency in another state, territory, or country nor obtained benefits under a claim of residency in another state, territory, or country." 20 AAC 05.290.

Do you qualify as an Alaska resident under this definition?

Yes
No

If you claim Alaska residency, please provide some additional information for verification:

What is your current physical address?

(no PO boxes)

Street Address City State ZIP Code

Within the previous 365 days, have you resided anywhere else?

Yes
No

If yes, where?

Do you have a current Alaska driver's license or other Alaska ID?

Yes
No

If yes, provide number

Are you currently registered to vote in Alaska?

Yes
No

Please provide a brief explanation of why you qualify as an Alaska resident

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

Test Product

Price:

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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My card information is not working

Check this box to move forward without your Credit Card.

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.