Request for Verification of Commercial Fishing License Records

Vessel Name

Vessel Use / Endorsement*

Pleasure
Commercial

Official Number*

Confirm Official Number*

Date of Request

Reason for Request

Date Information Needed

Method to Receive Information

Email
Fax
Mail
Certified Copy

Requester's Name

First Middle Last

Email Address

Day Telephone

Fax Number

Mailing Address

Street Address Address Line 2 City State ZIP Code

Title

Commercial Fishing License Records

Name

First Middle Last

Commercial Fishing ID Number

Date of Birth

Check the box for each license years you are requesting verification

Other

Commercial Fishing License Records

To obtain vessel records, you must have been the owner of the vessel during the time period requested or have a signed notarized statement from the owner releasing the records to you.

Fish and Wildlife Boat Number

Vessel Name

Check the box for each license years you are requesting verification

Other

Commercial Fish Business License Records

Name

First Middle Last

Commercial Fish Business ID Number

Business name

Select Year(s)

Other Year(s)

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

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.