"Application for Wildlife Hobby Permit (Code 530)" - Missouri

Application for Wildlife Hobby Permit (Code 530) is a legal document that was released by the Missouri Department of Conservation - a government authority operating within Missouri.

Form Details:

  • Released on December 1, 2017;
  • The latest edition currently provided by the Missouri Department of Conservation;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Missouri Department of Conservation.

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Download "Application for Wildlife Hobby Permit (Code 530)" - Missouri

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OFFICE USE ONLY
MISSOURI DEPARTMENT OF CONSERVATION
PHONE: (573) 522-0107
P.O. BOX 180
FAX: (573) 751-4864
JEFFERSON CITY, MO 65102
EMAIL: COMMERCIALPERMITS@MDC.MO.GOV
Application for
Wildlife Hobby
Permit (
)
CODE 530
All required (*) fields must be completed or application will be returned to applicant for completion.
SECTION 1: If renewing a commercial permit, enter the permit number here.
Permit #:
SECTION 2: Individual Information (Permit will be issued in the individual’s name.)
*County:
*Individual Name:
If applicable – provide fictitious business name registered with MO Secretary of State
Doing Business As (
):
*Address:
*City:
*State:
*ZIP Code:
If PO BOX, provide physical address:
*Telephone:
Email:
PERMIT TYPE
PRICE
☐ Wildlife Hobby Permit (Code 530)
$10.00
TAG TYPE
PRICE
# REQUESTED
TAG TOTAL
Pheasant Leg Bands (per 100)
$10.00
X
=
_______________
________________
Quail Leg Bands (per 100)
$10.00
X
=
_______________
________________
Total Amount Due: $
________________
LOCATION – Complete this section if wildlife is held at a location other than address above.
Location (County):
Section:
Township:
Range:
Location Address (if applicable):
Area Acreage:
If your street address is different than your mailing address please complete this section. Complete address must be provided in
case contact by a conservation agent is required. If you live in a rural area please provide directions to your location.
Name:
Address:
City:
State:
Zip Code:
Directions:
*SPECIES – List species to be covered by permit
Conservation Agent Use Only
Signature constitutes acceptance of all rules pertaining to the above permit(s) according to the Wildlife Code of Missouri.
☐ Approved
☐ Disapproved
Applicant Signature: __________________________________________________
Date: ____________
Signature: ________________
Date: ____________________
All permits expire June 30 unless otherwise provided in the Wildlife Code of Missouri.
This is not a permit and does not entitle the applicant to operate.
12/2017
Page 1 of 2
OFFICE USE ONLY
MISSOURI DEPARTMENT OF CONSERVATION
PHONE: (573) 522-0107
P.O. BOX 180
FAX: (573) 751-4864
JEFFERSON CITY, MO 65102
EMAIL: COMMERCIALPERMITS@MDC.MO.GOV
Application for
Wildlife Hobby
Permit (
)
CODE 530
All required (*) fields must be completed or application will be returned to applicant for completion.
SECTION 1: If renewing a commercial permit, enter the permit number here.
Permit #:
SECTION 2: Individual Information (Permit will be issued in the individual’s name.)
*County:
*Individual Name:
If applicable – provide fictitious business name registered with MO Secretary of State
Doing Business As (
):
*Address:
*City:
*State:
*ZIP Code:
If PO BOX, provide physical address:
*Telephone:
Email:
PERMIT TYPE
PRICE
☐ Wildlife Hobby Permit (Code 530)
$10.00
TAG TYPE
PRICE
# REQUESTED
TAG TOTAL
Pheasant Leg Bands (per 100)
$10.00
X
=
_______________
________________
Quail Leg Bands (per 100)
$10.00
X
=
_______________
________________
Total Amount Due: $
________________
LOCATION – Complete this section if wildlife is held at a location other than address above.
Location (County):
Section:
Township:
Range:
Location Address (if applicable):
Area Acreage:
If your street address is different than your mailing address please complete this section. Complete address must be provided in
case contact by a conservation agent is required. If you live in a rural area please provide directions to your location.
Name:
Address:
City:
State:
Zip Code:
Directions:
*SPECIES – List species to be covered by permit
Conservation Agent Use Only
Signature constitutes acceptance of all rules pertaining to the above permit(s) according to the Wildlife Code of Missouri.
☐ Approved
☐ Disapproved
Applicant Signature: __________________________________________________
Date: ____________
Signature: ________________
Date: ____________________
All permits expire June 30 unless otherwise provided in the Wildlife Code of Missouri.
This is not a permit and does not entitle the applicant to operate.
12/2017
Page 1 of 2
Check enclosed (Made payable to: Missouri Department of Conservation)
Credit/Debit card holder agrees to perform the obligations set forth in the Cardholder’s agreement with the Issuer.
As required by State Law, payments by debit or credit card will be charged an extra convenience fee according to the chart
below. The fee will be added to the amount of the purchase and the cardholder’s statement will show the combined amount.
This fee is paid to the payment processor, not the Missouri Department of Conservation.
Transaction Amount
Fee Amount
$0-$50.00
$1.25
$50.01-$75.00
$1.75
$75.01
$2.15
$100.01 and up
2.15%
Credit Card Type:
Visa
MasterCard
Discover
Credit/Debit Card Number: ___________________________________________________________________________
Expiration Date: ____________________________
3-Digit Security Code: ____________________
Phone Number (Required): ___________________
Signature: ____________________________________
Mail application to:
Missouri Department of Conservation
Attn: Commercial Permits
P.O. Box 180
Jefferson City, MO 65102
Fax: (573) 751-4864
Email: COMMERCIALPERMITS@MDC.MO.GOV
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