Pennsylvania Application for Boat Operators License Home » Pennsylvania » Commercial » Application for Boat Operators License APPLY FOR BOAT OPERATOR’S LICENSE IN PENNSYLVANIA A brief description of the form or Application to be filled out here. Vessel Name Vessel Use / Endorsement Pleasure Commercial Official Number Confirm Official Number Contact InformationName First Last Email* Enter Email Confirm Email Phone*Reason for Application Original License Renewal Replacement Re-Test Name and AddressDate of Birth MM slash DD slash YYYY Formal Boating Education (Describe)Has a Pennsylvania Boat Operator’s License ever been revoked, suspended or denied? Yes No If yes, describe STATEMENT OF EXPERIENCE (INITIAL APPLICATION ONLY)Types and Size of VesselWatersDate From/ToName and Address of Vessel Owner EXAMINATION DATA (INITIAL APPLICATION ONLY)Oral Examination Pass Failed Practical Demonstration Pass Failed WCO Signature & Badge #: Remarks: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 agreeNAME:*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 MM slash DD slash YYYY 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. 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