Form SLAP22.73 "License - Noncommercial Possession of Live Wildlife" - Nevada

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What Is Form SLAP22.73?

This is a legal form that was released by the Nevada Department of Wildlife - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2019;
  • The latest edition provided by the Nevada Department of Wildlife;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form SLAP22.73 by clicking the link below or browse more documents and templates provided by the Nevada Department of Wildlife.

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Download Form SLAP22.73 "License - Noncommercial Possession of Live Wildlife" - Nevada

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___________________________________________________________________________________________________________
APPLICATION
LICENSE – NONCOMMERCIAL POSSESSION OF LIVE WILDLIFE
Fee: $15
(22.73)
I hereby make application for:
(Mark the appropriate box and then read and follow the instructions.)
New application: Complete the entire applicant information block, all sections, sign, date, and submit with
the $15 fee.
Renewal: Complete the entire applicant information block, Sections 3, 5, and 6, including changes and
additions where appropriate; sign, date, and submit with the $15 fee.
•
Please PRINT all information except for your signature. Incomplete or illegible applications will be
returned. PROCESSING TIME: Allow thirty (30) days.
•
SLAP Entity ID (Special Permit and License ID) - New applicants SLAP ID will be assigned when the
permit is issued.
•
Federal Tax ID or SSN only required for new applicants.
I
B
E
I
-
NSTITUTION OR
USINESS
NTITY
NFORMATION
(Institution or business entity the permit is for.)
I
B
E
:
NSTITUTION OR
USINESS
NTITY NAME
(If same as responsible party indicate SAME)
SLAP Entity ID
MAILING ADDRESS:
FEDERAL TAX ID:
CITY:
STATE:
ZIP:
E-MAIL ADDRESS:
PHYSICAL ADDRESS:
CITY:
STATE:
ZIP:
TELEPHONE:
– Person responsible for permit
R
P
ESPONSIBLE
ARTY
NAME [LAST]
[FIRST]
[MIDDLE]
SLAP Entity ID
MAILING ADDRESS:
SSN
CITY:
STATE:
ZIP:
E-MAIL ADDRESS:
PHYSICAL ADDRESS:
CITY:
STATE:
ZIP:
TELEPHONE:
HEIGHT:
WEIGHT:
HAIR:
EYES:
GENDER:
DRIVER’S LICENSE NUMBER
STATE:
DATE ISSUED:
A noncommercial license does not authorize the sale, barter, or trade of wildlife. Wildlife possessed under the
authority of a noncommercial license may not be maintained for public display nor as part of or adjunct to any
commercial establishment. A license will not be issued for a prohibited species except to a current licensee
who is renewing and has been continually licensed to possess that animal since February 28, 1994.
1. Attach a complete description, including a diagram, of the holding facilities, cages, or aquaria that will be
used to confine the wildlife. NOTE: Ignore this if you are renewing last year’s license and there were no facility
changes.
2. If you are required by the U.S. Department of Agriculture and/or U.S. Fish and Wildlife Service to possess
licenses or permits for species listed on this application, please attach copies of those permits to the
application.
____________________________________________________________________________________________________________
STATE OF NEVADA – Department of Wildlife
SLAP 22.73
Rev. Sept 2019 A.M.
Page 1 of 3
___________________________________________________________________________________________________________
APPLICATION
LICENSE – NONCOMMERCIAL POSSESSION OF LIVE WILDLIFE
Fee: $15
(22.73)
I hereby make application for:
(Mark the appropriate box and then read and follow the instructions.)
New application: Complete the entire applicant information block, all sections, sign, date, and submit with
the $15 fee.
Renewal: Complete the entire applicant information block, Sections 3, 5, and 6, including changes and
additions where appropriate; sign, date, and submit with the $15 fee.
•
Please PRINT all information except for your signature. Incomplete or illegible applications will be
returned. PROCESSING TIME: Allow thirty (30) days.
•
SLAP Entity ID (Special Permit and License ID) - New applicants SLAP ID will be assigned when the
permit is issued.
•
Federal Tax ID or SSN only required for new applicants.
I
B
E
I
-
NSTITUTION OR
USINESS
NTITY
NFORMATION
(Institution or business entity the permit is for.)
I
B
E
:
NSTITUTION OR
USINESS
NTITY NAME
(If same as responsible party indicate SAME)
SLAP Entity ID
MAILING ADDRESS:
FEDERAL TAX ID:
CITY:
STATE:
ZIP:
E-MAIL ADDRESS:
PHYSICAL ADDRESS:
CITY:
STATE:
ZIP:
TELEPHONE:
– Person responsible for permit
R
P
ESPONSIBLE
ARTY
NAME [LAST]
[FIRST]
[MIDDLE]
SLAP Entity ID
MAILING ADDRESS:
SSN
CITY:
STATE:
ZIP:
E-MAIL ADDRESS:
PHYSICAL ADDRESS:
CITY:
STATE:
ZIP:
TELEPHONE:
HEIGHT:
WEIGHT:
HAIR:
EYES:
GENDER:
DRIVER’S LICENSE NUMBER
STATE:
DATE ISSUED:
A noncommercial license does not authorize the sale, barter, or trade of wildlife. Wildlife possessed under the
authority of a noncommercial license may not be maintained for public display nor as part of or adjunct to any
commercial establishment. A license will not be issued for a prohibited species except to a current licensee
who is renewing and has been continually licensed to possess that animal since February 28, 1994.
1. Attach a complete description, including a diagram, of the holding facilities, cages, or aquaria that will be
used to confine the wildlife. NOTE: Ignore this if you are renewing last year’s license and there were no facility
changes.
2. If you are required by the U.S. Department of Agriculture and/or U.S. Fish and Wildlife Service to possess
licenses or permits for species listed on this application, please attach copies of those permits to the
application.
____________________________________________________________________________________________________________
STATE OF NEVADA – Department of Wildlife
SLAP 22.73
Rev. Sept 2019 A.M.
Page 1 of 3
3. I request authorization to add or obtain the following species and numbers of each. NOTE: Mountain lions,
bobcats, ungulates, and black bear are required to be tattooed or otherwise permanently marked. Be sure to
list the tattoo or ID number. If you fail to include the scientific name, the application will be returned.
COMMON NAME
SCIENTIFIC NAME
NUMBER
ID NUMBER/TATTOO
4. Name, address, and telephone number of the source where you intend to obtain the wildlife listed in
Section 1.
___________________________________________________________________________
___________________________________________________________________________
5. I presently possess the following species and number of each. NOTE: Mountain lions, bobcats, ungulates,
and black bear are required to be tattooed or otherwise permanently marked. Be sure to list the tattoo or ID
number. If you fail to include the scientific name, the application will be returned.
COMMON NAME
SCIENTIFIC NAME
NUMBER
ID NUMBER/TATTOO
In the past 5 years, have you been convicted of violating a provision of Nevada’s wildlife
6.  YES  NO
laws or regulations, or those of any other state or the U.S. Fish and Wildlife Service which pertain to the
possession of wildlife? If YES, but you did report this on a prior application, skip to the signature line. If YES,
but you did not previously report this, list all convictions below. Use additional paper if necessary.
Date convicted: ___________________ Where convicted: __________________________
Convicted of: _______________________________________________________________
I, the signator, in signing this application, hereby state that I am entitled to this license under the laws of the State of Nevada and that
no false information or false statement has been made by me to obtain this license.
_____________________________________________________________
__________________________________
Signature of Applicant
Date
Submit your completed application and the $15 fee to the appropriate office below:
Western Region
Southern Region
Nevada Department of Wildlife
Nevada Department of Wildlife
Special Licenses and Permits
3373 Pepper Ln.; Las Vegas, NV 89120
1100 Valley Rd, Reno, NV 89512
Telephone: (702) 486-5127
Telephone: (775) 688-1500
Counties: Clark, Esmeralda, Lincoln, Nye
Counties: Carson City, Churchill, Douglas,
Humboldt, Lyon, Mineral, Pershing, Storey,
Washoe
____________________________________________________________________________________________________________
STATE OF NEVADA – Department of Wildlife
SLAP 22.73
Rev. Sept 2019 A.M.
Page 2 of 3
Eastern Region
Nevada Department of Wildlife
60 Youth Center Road; Elko, NV 89801
Telephone: (775) 777-2300
Counties: Elko, Eureka, Lander, White Pine
FOR DEPARTMENT USE ONLY
Department Representative:
Date Received: _______________
Date Approved: _______________
Date Returned for Additional Information: _______________
Date Disapproved: _______________
Letter Sent:
REASON FOR DISAPPROVAL:
____________________________________________________________________________________________________________
STATE OF NEVADA – Department of Wildlife
SLAP 22.73
Rev. Sept 2019 A.M.
Page 3 of 3
Nevada Department of Wildlife Nevada Legal Forms United States Legal Forms

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