Request for Permanent Transfer of Entry Permit by Right of Survivorship

Vessel Name

Vessel Use / Endorsement*

Pleasure
Commercial

Official Number*

Confirm Official Number*

DECEASED Permit Holder Information:

Name of Deceased Permit Holder

Permit Number

CFEC ID Number

SURVIVING SPOUSE INFORMATION:

Name of Surviving Spouse

Social Security Number

Date of Birth

ADFG Number

Permanent Mailing Address

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

Phone Number

Check if Unlisted

Email

Citizenship

U.S. Citizen
Alien

Alien Reg #

Temporary Mailing Address (for mailing of this permit)

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

RESIDENCY INFORMATION: Please carefully review the following definition of residency: "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:

1. What is your current physical address: (No PO boxes)

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

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

Yes
No

If yes, where?

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

Yes
No

If yes, provide number:

***NOTE: If you answered 'no' to question 3 or 4, please provide a brief explanation of why you qualify as an Alaska resident

1. Did the deceased leave a will? If yes, please submit a copy of the will.

No
Yes

2. I certify that I am physically able to harvest fish in the fishery and would like a card issued to me

No
Yes

3. I am not physically able to fish the permit and I intend to _______ the permit.

Please explain what your intentions are for the permit

Commercial Fisheries Entry Commission Credit Card Authorization

Please indicate the permit and/or vessel numbers in the space provided and the total amount you are authorizing your card to be charged.

Enter Permit(s)

Fee amount for Permit(s)

Enter Vessel(s)

Fee amount for Vessel(s)

Transfer Fees ($50):

Duplicate Fees ($20):

Check here to have your licenses express mailed and that you agree to pay the current USPS express mail rate PLUS the CFEC service fee of $15.00.

Total amount to be charged.

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

Having Trouble with your card?

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.