Salmon Delivery - Commercial Fishing Permits Center

Vessel Name

Vessel Use / Endorsement

Pleasure
Commercial

Official Number

Confirm Official Number

This application is for the year:

This application is for:

New License
Renewal of an Existing License
Waiver of Existing Salmon License I will not be fishing for the current year indicated above.

Initials

Waiver Deadline: Salmon Troll, Salmon Delivery-May 1, each year, Salmon Gillnet, Salmon Purse Seine, Salmon Reef Net-3rd Monday in September, each year.

Type of License

Gear

Species

Type

Delivery
Vessel Delivery

License District

Choose one

Grays Harbor Col. River
Puget Sound
Non-Puget Sound
Willapa Harbor Col. River
Other

Designated Vessel Information

Vessel Name

State or Document Number

Hull Identification Number

Overall Length (ft)

Beam (ft)

Horsepower

Engine Type

Gas
Diesel

Net Tonnage

Gross Tonnage

Loran

Yes
No

Radar

Yes
No

Fathometer

Yes
No

10 Inch Number

License Owner(s) ID#

Name

First Last

Initial

Permanent Street Address

Street Address Address Line 2 City State ZIP Code

Mailing Address

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

Permanent Phone

Message Phone

Social Security or UBI License Number (required)

Residency (choose one)

I have been a resident of Washington for the previous 90 days and am not licensed as a resident in any other state.
I am not a resident of Washington State.
I am a member of a recognized treaty indian tribe

Tribe Name

Vessel Owner(s) ID#

Name

First Last

Initial

Mailing Address

Street Address Address Line 2 City State ZIP Code

Phone

Primary License Operator

Name

First Last

Initial

Operator ID#

Birthdate

Sex

Hair

Eyes

Weight

Height

Social Security Number (required)

* Alternate Operators *

Name

First Last

Initial

Birthdate

Operator ID#

Name

First Last

Initial

Birthdate

Operator ID#

Contact Information

Name

First Last

Email

Enter Email Confirm Email

Phone

Application Fee

Price:

Application Fee

Price:

RENEWAL ADVANCED PAYMENT OPTION

No Additional Years
2 year renewal +$75.00
3 year renewal +$150.00
4 year renewal +$225.00
5 year renewal +$300.00

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

Signed at (place)

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

Card Details

Cardholder Name

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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.