Application for a Disabled Veterans Special Big Game Hunt - Idaho

This fillable "Application for a Disabled Veterans Special Big Game Hunt" is a document issued by the Idaho Department of Fish and Game specifically for Idaho residents.

Download the PDF by clicking the link below and complete it directly in your browser or through the Adobe Desktop application.

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Application for a Disabled Veterans Special Big Game Hunt
NOTE – this application is not for the nonresident disabled veterans reduced fee program for hunting
Mail completed form to: Attn: Sharon Kiefer, Idaho Department of Fish and Game,
P.O. Box 25, Boise, ID 83707
The Disabled Veterans Special Big Game Tag Program allows a qualified organization to apply for a
special big game hunt tag on behalf of a disabled veteran. A qualified organization is defined as:
1).a 501 (c) (3) or 501 (c) (4) or 501 (c) (19) nonprofit organization, or 2) government agency with a
mission to afford opportunities, experiences and assistance to disabled veterans.
Please type or print legibly
Please List Sponsoring Organization
, hereby requests the issuance of an Idaho hunting license
and tag on behalf of:
Please Print Veteran’s Information
First Name, Initial
Last Name
Street Address
City
State
Zip
Date of Birth
Gender
Height
Weight
Hair Color
Eye Color
Sponsoring Organization’s Mailing Information
Street Address
City
State
Zip
Phone ( )
-
Please select one species:
Deer
Elk
Pronghorn
Moose
Black Bear
Mountain Lion
Please provide the hunt unit you are requesting:
Please list or attach your organization’s mission statement and a copy of your organization’s IRS determination letter to
the attached application.
By signing this application I certify that:
a) I am authorized to make this application for this organization and the named individual;
b) The named individual is certified as disabled by the Department of Veterans Affairs and is eligible to participate
in the Disabled Veterans Special Big Game Hunt;
c) The nominating organization is qualified under Internal Revenue Code Section 501 (c) (3) as a nonprofit
organization with a mission to offer opportunities, experiences and assistance to disabled veterans or;
d) Is a government agency with a mission to offer opportunities, experiences and assistance to disabled veterans;
Signature and Title of Organization Official
Date
Application for a Disabled Veterans Special Big Game Hunt
NOTE – this application is not for the nonresident disabled veterans reduced fee program for hunting
Mail completed form to: Attn: Sharon Kiefer, Idaho Department of Fish and Game,
P.O. Box 25, Boise, ID 83707
The Disabled Veterans Special Big Game Tag Program allows a qualified organization to apply for a
special big game hunt tag on behalf of a disabled veteran. A qualified organization is defined as:
1).a 501 (c) (3) or 501 (c) (4) or 501 (c) (19) nonprofit organization, or 2) government agency with a
mission to afford opportunities, experiences and assistance to disabled veterans.
Please type or print legibly
Please List Sponsoring Organization
, hereby requests the issuance of an Idaho hunting license
and tag on behalf of:
Please Print Veteran’s Information
First Name, Initial
Last Name
Street Address
City
State
Zip
Date of Birth
Gender
Height
Weight
Hair Color
Eye Color
Sponsoring Organization’s Mailing Information
Street Address
City
State
Zip
Phone ( )
-
Please select one species:
Deer
Elk
Pronghorn
Moose
Black Bear
Mountain Lion
Please provide the hunt unit you are requesting:
Please list or attach your organization’s mission statement and a copy of your organization’s IRS determination letter to
the attached application.
By signing this application I certify that:
a) I am authorized to make this application for this organization and the named individual;
b) The named individual is certified as disabled by the Department of Veterans Affairs and is eligible to participate
in the Disabled Veterans Special Big Game Hunt;
c) The nominating organization is qualified under Internal Revenue Code Section 501 (c) (3) as a nonprofit
organization with a mission to offer opportunities, experiences and assistance to disabled veterans or;
d) Is a government agency with a mission to offer opportunities, experiences and assistance to disabled veterans;
Signature and Title of Organization Official
Date

Download Application for a Disabled Veterans Special Big Game Hunt - Idaho

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