Form SLAP22.01 "Application for Commercial Collection of Unprotected Wildlife - Unprotected Fish" - Nevada

What Is Form SLAP22.01?

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 January 1, 2013;
  • 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 SLAP22.01 by clicking the link below or browse more documents and templates provided by the Nevada Department of Wildlife.

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Download Form SLAP22.01 "Application for Commercial Collection of Unprotected Wildlife - Unprotected Fish" - Nevada

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____________________________________________________________________________________________________________
APPLICATION
COMMERCIAL COLLECTION OF UNPROTECTED WILDLIFE
Fees:
$500 Unprotected Fish
(22.01)
(carp, Sacramento blackfish, crayfish etc.)
Please PRINT all information except for your signature. Incomplete or illegible applications will be
returned.
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.
PURPOSE:
(check one)
Sacramento Blackfish, Carp etc.
Crayfish (Lake Tahoe only)
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:
1. List all additional collectors/employees if this application is for a business entity or institution.
2. Specific location within the state, by county or region, where the wildlife is to be collected:
3. Proposed BEGINNING and END dates for field collecting activities:
4. Purpose for commercially collecting the species listed in this application (end use)
5. Specific methods and equipment to be used in collecting the wildlife listed in this application
____________________________________________________________________________________________________________
STATE OF NEVADA – Department of Wildlife
SLAP 22.01
Rev. Jan 2013
Page 1 of 2
____________________________________________________________________________________________________________
APPLICATION
COMMERCIAL COLLECTION OF UNPROTECTED WILDLIFE
Fees:
$500 Unprotected Fish
(22.01)
(carp, Sacramento blackfish, crayfish etc.)
Please PRINT all information except for your signature. Incomplete or illegible applications will be
returned.
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.
PURPOSE:
(check one)
Sacramento Blackfish, Carp etc.
Crayfish (Lake Tahoe only)
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:
1. List all additional collectors/employees if this application is for a business entity or institution.
2. Specific location within the state, by county or region, where the wildlife is to be collected:
3. Proposed BEGINNING and END dates for field collecting activities:
4. Purpose for commercially collecting the species listed in this application (end use)
5. Specific methods and equipment to be used in collecting the wildlife listed in this application
____________________________________________________________________________________________________________
STATE OF NEVADA – Department of Wildlife
SLAP 22.01
Rev. Jan 2013
Page 1 of 2
6. List the specific name of each species (common and scientific name) and the approximate number of each
species you request to collect. Attach additional sheets if necessary.
Species Name
Number
Species Name
Number
(common and scientific)
(common and scientific)
7. The address of the location at which the wildlife will be held in the possession of the applicant:
8.
YES
NO I have been convicted of violating a state or federal wildlife law or regulation, relating to
the commercialization of wildlife, in the 5 years preceding the date on which I sign this application. If YES,
complete the following. Use additional sheets if necessary.
State
Date Convicted
Description of Violation
Penalty
9. If you wish to have your phone and fax number listed in the permittee directory, please include them here:
Phone:
Fax:
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 license.
___________________________________________
__________________________________
Signature of Applicant
Date
UNPROTECTED FISH: Submit the completed application to the appropriate regional office located in Elko,
Fallon, or Las Vegas.
Eastern Region
- Counties: Elko, Eureka, Lander, White Pine
Western Region - Counties: Carson City, Churchill, Douglas,
Nevada Department of Wildlife
Humboldt, Lyon, Mineral, Pershing, Storey, Washoe
60 Youth Center Road; Elko, NV 89801
Nevada Department of Wildlife
1100 Valley Rd, Reno, NV 89512
Telephone: (775) 777-2300
Telephone: (775) 688-1500
Southern Region - Counties: Clark, Esmeralda, Lincoln, Nye
Nevada Department of Wildlife
4747 Vegas Dr.; Las Vegas, NV 89108
Telephone: (702) 486-5127
FOR DEPARTMENT USE ONLY
Date Received:
Date Returned for Additional Information:
Date Disapproved:
Department Representative:
REASON FOR DISAPPROVAL:
____________________________________________________________________________________________________________
STATE OF NEVADA – Department of Wildlife
SLAP 22.01
Rev. Jan 2013
Page 2 of 2
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