Form SLAP22.45-3 "Annual Nevada Special Fishing Permit Application" - Nevada

What Is Form SLAP22.45-3?

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 March 1, 2018;
  • 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 SLAP22.45-3 by clicking the link below or browse more documents and templates provided by the Nevada Department of Wildlife.

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Download Form SLAP22.45-3 "Annual Nevada Special Fishing Permit Application" - Nevada

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____________________________________________________________________________________________________________
APPLICATION
ANNUAL NEVADA SPECIAL FISHING PERMIT
Fee: $ 25
(22.24)
New Applicants – See requirements on page 2.
Please PRINT all information except for your signature. Incomplete or illegible applications will be returned.
PROCESSING TIME: Allow fifteen (15) days.
SLAP Enitity 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.
PUBLIC OR PRIVATE NON-PROFIT –
(Institution or business entity the permit is for.)
:
INSTITUTION OR BUSINESS ENTITY 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:
RESPONSIBLE PARTY – Person responsible for permit
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:
In order for the Department to anticipate use on certain waters please complete the following questions.
1.
Is this application for a large event for the organization?
YES
NO
(circle answer)
______________________________________________
2.
If YES for #1 – what is the location of event?
_________________________________________________________
3.
Anticipated date(s) of event?
___________________________________________
4.
Estimated number of participants utilizing permit?
Permit is for the individual officers/employees who supervise the group. No limit on group size, no limit on number of
chaperones, no limit on number of times the organization goes fishing.
I, the signator, in signing this application, hereby state that I am entitled to this permit under the laws of the State
of Nevada and that no false information or false statement has been made by me to obtain this permit.
_____________________________________________________________
__________________________________
Signature of Applicant
Date
FOR DEPARTMENT USE ONLY
Date Received _______________
Date Returned for Additional Information: _______________
Department Representative: ___________________________________
Date Approved: _______________
Date Disapproved: _______________
REASON FOR DISAPPROVAL:
____________________________________________________________________________________________________________
STATE OF NEVADA – Department of Wildlife
SLAP 22.45-3
Rev. 03/18
1 of 2
____________________________________________________________________________________________________________
APPLICATION
ANNUAL NEVADA SPECIAL FISHING PERMIT
Fee: $ 25
(22.24)
New Applicants – See requirements on page 2.
Please PRINT all information except for your signature. Incomplete or illegible applications will be returned.
PROCESSING TIME: Allow fifteen (15) days.
SLAP Enitity 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.
PUBLIC OR PRIVATE NON-PROFIT –
(Institution or business entity the permit is for.)
:
INSTITUTION OR BUSINESS ENTITY 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:
RESPONSIBLE PARTY – Person responsible for permit
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:
In order for the Department to anticipate use on certain waters please complete the following questions.
1.
Is this application for a large event for the organization?
YES
NO
(circle answer)
______________________________________________
2.
If YES for #1 – what is the location of event?
_________________________________________________________
3.
Anticipated date(s) of event?
___________________________________________
4.
Estimated number of participants utilizing permit?
Permit is for the individual officers/employees who supervise the group. No limit on group size, no limit on number of
chaperones, no limit on number of times the organization goes fishing.
I, the signator, in signing this application, hereby state that I am entitled to this permit under the laws of the State
of Nevada and that no false information or false statement has been made by me to obtain this permit.
_____________________________________________________________
__________________________________
Signature of Applicant
Date
FOR DEPARTMENT USE ONLY
Date Received _______________
Date Returned for Additional Information: _______________
Department Representative: ___________________________________
Date Approved: _______________
Date Disapproved: _______________
REASON FOR DISAPPROVAL:
____________________________________________________________________________________________________________
STATE OF NEVADA – Department of Wildlife
SLAP 22.45-3
Rev. 03/18
1 of 2
____________________________________________________________________________________________________________
Instructions for Nevada Special Fishing Permit
____________________________________________________________________________________________________________
Reference: Nevada Revised Statutes 502.077
Conditions of the Nevada Special Fishing Permit:
a) Special Fishing Permits are for use only by members, adults with a disability, student, pupil, patients,
or children of approved non- profit organizations.
b) The Special Fishing Permit must be in the possession of an officer or employee of the organization
who is supervising a member, adult with a disability, student, pupil, patient or child is fishing.
c) For a member, adult with a disability, student, pupil, patient, or child to fish in a legal manner, he must
be in the company of an officer or employee of the organization provided such person has a valid
Nevada fishing license and present at the site of the event at which fishing is occurring pursuant to the
special fishing permit.
d) All persons using permits are subject to all existing fishing regulations.
e) It is unlawful for any person other than a member, adult with a disability, student, pupil, patient, or
child who is in one of these organizations or who is supervised by and in the company of an officer or
employee of one of these organizations to fish with a permit issued by the Department.
Permit Requirement:
The Department shall issue Nevada Special Fishing permit to each public and private non-profit:
(a) Mental health facility or hospital that provides mental health services;
(b) Facility for the detention or correctional care of juveniles;
(c) Rehabilitation center within a hospital;
(d) Facility or establishment that provides care for older persons;
(e) Facility which provides temporary foster care for children who are not delinquent;
(f) Club, foundation, program, educational institution or other social group operated for the benefit of
children
(g) Club, foundation, program, educational institution or other social group operated for the benefit of
adults with disabilities.
New Applicants:
New applicants must submit a letter or brochure describing the services provided by their institution or
organization. Proof of the organization’s non-profit status is also required and should be included with
the application.
Where to Send Application and Payment:
The completed application and required fee and letter(s) should be submitted to the Nevada Department
of Wildlife, License Office, Nevada Special Fishing Permit, 6980 Sierra Center Parkway, Suite 120,
Reno, NV 89511.
Denial of Application:
Whenever an application is denied, the Department shall notify the applicant in writing of the reason for
the denial.
____________________________________________________________________________________________________________
STATE OF NEVADA – Department of Wildlife
SLAP 22.45-3
Rev. 03/18
2 of 2
Page of 2