Form SLAP22.44 "Application for Raptor Propagation" - Nevada

What Is Form SLAP22.44?

This is a legal form that was released by the Nevada Department of Wildlife - a government authority operating within Nevada. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on October 1, 2016;
  • 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 SLAP22.44 by clicking the link below or browse more documents and templates provided by the Nevada Department of Wildlife.

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Download Form SLAP22.44 "Application for Raptor Propagation" - Nevada

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____________________________________________________________________________________________________________
APPLICATION
RAPTOR PROPAGATION
Permit Fee: $0
(22.44)
2-YEAR
Permit expires December 31.
I hereby make application for:
(Mark the appropriate box and then read and follow the instructions.)
New application: Complete the entire applicant information block and all sections. Sign and date the
application.
Renewal: Complete the entire applicant information block and then complete all other sections in the
application where changes are being requested. CLEARLY DESCRIBE CHANGES. Sign and date the
application.
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
:
(If same as responsible party indicate SAME)
SLAP Entity ID
NSTITUTION OR
USINESS
NTITY NAME
MAILING ADDRESS:
FEDERAL TAX ID:
CITY:
STATE:
ZIP:
E-MAIL ADDRESS:
PHYSICAL ADDRESS:
CITY:
STATE:
ZIP:
TELEPHONE:
R
P
– Person responsible for permit
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:
OCCUPATION:
EMPLOYER:
WORK ADDRESS:
1. List each raptor species to be propagated and hybrids thereof.
SPECIES OR HYBRIDS
SPECIES OR HYBRIDS
___________________________________________________________________________________________________________
STATE OF NEVADA – Department of Wildlife
SLAP 22.44
Rev. Oct 2016
Page 1 of 2
____________________________________________________________________________________________________________
APPLICATION
RAPTOR PROPAGATION
Permit Fee: $0
(22.44)
2-YEAR
Permit expires December 31.
I hereby make application for:
(Mark the appropriate box and then read and follow the instructions.)
New application: Complete the entire applicant information block and all sections. Sign and date the
application.
Renewal: Complete the entire applicant information block and then complete all other sections in the
application where changes are being requested. CLEARLY DESCRIBE CHANGES. Sign and date the
application.
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
:
(If same as responsible party indicate SAME)
SLAP Entity ID
NSTITUTION OR
USINESS
NTITY NAME
MAILING ADDRESS:
FEDERAL TAX ID:
CITY:
STATE:
ZIP:
E-MAIL ADDRESS:
PHYSICAL ADDRESS:
CITY:
STATE:
ZIP:
TELEPHONE:
R
P
– Person responsible for permit
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:
OCCUPATION:
EMPLOYER:
WORK ADDRESS:
1. List each raptor species to be propagated and hybrids thereof.
SPECIES OR HYBRIDS
SPECIES OR HYBRIDS
___________________________________________________________________________________________________________
STATE OF NEVADA – Department of Wildlife
SLAP 22.44
Rev. Oct 2016
Page 1 of 2
Provide a statement indicating the justification and or objective for which the Raptor Propagation permit is
sought.
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 the completed application to:
Nevada Department of Wildlife
License Office – Raptor Propagation
6980 Sierra Center Pkwy, Ste-120
Reno, NV 89511
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 22.44
Rev. Oct 2016
Page 2 of 2
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