Retired Standard Commercial Fishing License (RSCFL) Convert to Standard

Residency of North Carolina*

Resident
Non-Resident

Choose conversion type*

SCFL - no age restrictions is assignable
RSCFL - 65 years or older, not assignable, not in business name

Information of the Licensee

Participant ID

Name

First Middle Last Suffix

RSCFL Number to be converted

Shellfish Endorsement

Yes
No

Individual Participant Information

Participant ID

Name

First Middle Last Suffix

ID Type

Driver's License
State ID
Military ID
Resident Alien ID
Passport

ID Number

ID Expire Date

Date of Birth

Email

Race

Gender

Male
Female

Height

Weight

Eye Color

Hair Color

Physical Address

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

County

Mailing Address

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

County

Home Phone

Business Phone

Fax

Cell Phone

Economic Survey

(must be completed by Responsible Party)

At least 50% of income derived from commercial fishing?

Yes
No

Certification Statement

If claiming resident status in North Carolina

I have been a legal resident for more than six months
If domiciled in North Carolina between 60 days and six months, I have completed and submitted with this application a notarized Certificate of Eligibility for North Carolina Residency.

If applying for a Standard or Retired Standard Commercial Fishing License as a North Carolina Resident, I also certify that

I filed a North Carolina State Income Tax Return for the previous calendar or tax year
I was not required to file a North Carolina State Income Tax Return for the previous calendar or tax year

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

SCFL Application Fee

Price:

SCFL Non Resident Application Fee

Price:

RSCFL Application Fee

Price:

RSCFL Non Resident 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 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.

I agree

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 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.

I agree

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.