Georgia Retail Fish Dealer Home » Georgia » Commercial License Application » Retail Fish Dealer A brief description of the form or Application to be filled out here. Vessel NameVessel Use / Endorsement* Pleasure Commercial Official Number*Confirm Official Number*This application is for Commercial License valid until this year March 31st Commercial License valid starting April 1st Your initialsRegistration type Individual Business Renewal DNR Customer # (if known)Residency GA Resident (90 days) Non-Resident Name First Middle Last Drivers License #DL StateSSN if an Individual ApplicationBusiness NameFEIN if a Business ApplicationDate of Birth MM slash DD slash YYYY Mailing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is your physical address same as mailing address? Yes No Physical Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email PhoneGender Male Female Proof of ResidencySelect a form of identification Georgia Driver's License Georgia ID Card Please upload a valid Georgia Driver's License or Georgia ID CardMax. file size: 2 MB.Select one I am a United States citizen or legal permanent resident eighteen (18) years of age or older; or I am a qualified alien or nonimmigrant under the federal Immigration and Nationality Act, Title 8 U.S.C., as amended; I am eighteen (18) years of age or older; and I am lawfully present in the United States. My alien number issued by the Department of Homeland Security or other federal immigration agency is: Alien NumberSelect Licenses (Resident) Resident Commercial Trapping Landowner Trapping License Retail Fish Dealer Wholesale Fish Dealer Game Holding Permit-QUAIL ONLY Commercial Quail Breeder Resident Fur Dealer Fur Dealers Agent Raccoon Fur Seller Commercial Fish Hatchery Catch Out Pond Resident Taxidermy Resident Commercial Fishing Resident Trawler Crew License Seafood Dealer License Select Licenses (Nonresident) Nonresident Commercial Trapping Landowner Trapping License Retail Fish Dealer Wholesale Fish Dealer Game Holding Permit-QUAIL ONLY Commercial Quail Breeder NonResident Fur Dealer Fur Dealers Agent Raccoon Fur Seller Commercial Fish Hatchery Catch Out Pond NonResident Taxidermy NonResident Commercial Fishing NonResident Trawler Crew License Seafood Dealer License Select Resident Commercial Fishing Endorsements Catfish Basket (Freshwater) Freshwater Mussels Lake Seminole Gill Net Bait Minnow (Salt Water) Bait Shrimp Cannonball Jellyfish* Catfish (Salt Water) Crab Eel Finfish (Salt Water) Food Shrimp Horseshoe Crab Shad Shellfish Whelk Select Non-Resident Commercial Fishing Endorsements Catfish Basket (Freshwater) Freshwater Mussels Lake Seminole Gill Net Bait Minnow (Salt Water) Bait Shrimp Cannonball Jellyfish* Catfish (Salt Water) Crab Eel Finfish (Salt Water) Food Shrimp Horseshoe Crab Shad Shellfish Whelk Permanent # if renewalBoat #Contact InformationName First Last Email* Enter Email Confirm Email Phone*This field is hidden when viewing the formSingular Fee? Yes No Resident Catfish Basket (Freshwater) Endorsement Price: Resident Freshwater Mussels Endorsement Price: Resident Lake Seminole GIll Net Endorsement Price: Resident Bait Minnow (Salt Water) Endorsement Price: Resident Bait Shrimp Endorsement Price: Resident Cannonball Jellyfish Endorsement Price: Resident Catfish (Salt Water) Endorsement Price: Resident Crab Endorsement Price: Resident Eel Endorsement Price: Resident Finfish (Salt Water) Endorsement Price: Resident Food Shrimp Endorsement Price: Resident Horseshoe Endorsement Price: Resident Shad Endorsement Price: Resident Shellfish Endorsement Price: Resident Whelk Endorsement Price: Non Resident Catfish Basket (Freshwater) Endorsement Price: Non Resident Freshwater Mussels Endorsement Price: Non Resident Lake Seminole Gill Net Endorsement Price: Non Resident Bait Minnow (Salt Water) Endorsement Price: Non Resident Bait Shrimp Endorsement Price: Non Resident Cannonball Jellyfish Endorsement Price: Non Resident Catfish (Salt Water) Endorsement Price: Non Resident Crab Endorsement Price: Non Resident Eel Endorsement Price: Non Resident Finfish (Salt Water) Endorsement Price: Non Resident Food Shrimp Endorsement Price: Non Resident Horseshoe Crab Endorsement Price: Non Resident Shad Endorsement Price: Non Resident Shellfish Endorsement Price: Non Resident Whelk Endorsement Price: Application Fee Price: Application Fee 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 agreeI 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 webformSignature*CAPACITY OF PERSON SIGNING (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)Date MM slash DD slash YYYY Authorization* I agreeI 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 CardCard Details Cardholder Name Having Trouble with your card? My card information is not workingCheck this box to move forward without your Credit Card.BILLING ADDRESS Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country By clicking submit you agree to these Terms and Conditions and the above authorization of payment.
