Form 624/390 "Hunt Permit-Tag/License Application Form" - Arizona

What Is Form 624/390?

This is a legal form that was released by the Arizona Game and Fish Department - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2013;
  • The latest edition provided by the Arizona Game and Fish Department;
  • 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 624/390 by clicking the link below or browse more documents and templates provided by the Arizona Game and Fish Department.

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Download Form 624/390 "Hunt Permit-Tag/License Application Form" - Arizona

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Hunt Permit-Tag/License Application Form
Fourth Choice
First Choice
Second Choice
Third Choice
Fifth Choice
Hunt Number
Hunt Number
Hunt Number
Hunt Number
Hunt Number
Use only standard blue or black ink (no gel ink)
APPLICANT A
APPLICANT B
Date of Birth
Date of Birth
( m
m ) ( d
d ) ( y
y
y
y )
( m
m ) ( d
d ) ( y
y
y
y )
Check One
Check One
Federal Requirement: Social Security Number
Federal Requirement: Social Security Number
Non-resident
Non-resident
Arizona Hunting License Number
Arizona Hunting License Number
(must include the 2 letter prefix)
(must include the 2 letter prefix)
Department I.D. Number if different from SSN
Department I.D. Number if different from SSN
Resident
Resident
Last Name
First
M.I.
Last Name
First
M.I.
Address
Address
City
State
Zip Code
City
State
Zip Code
Daytime Phone Number
Daytime Phone Number
SIGN ON LINE BELOW
SIGN ON LINE BELOW
Signature
  X
Signature
  X
(Must be signed by or for Applicant A)
_____________________________________________
(Must be signed by or for Applicant B)
_____________________________________________
Sex
Weight
Height
Hair
Eyes
AZ Residency
Sex
Weight
Height
Hair
Eyes
AZ Residency
Complete only to apply
Complete only to apply
Ft. In.
Yrs. Mos.
Ft. In.
Yrs. Mos.
for a Hunt License
for a Hunt License
No license
No license
Hunting
Res-G A 
Hunt/Fish
Non-Res-F D 
Hunting
Res-G A 
Hunt/Fish
Non-Res-F D 
refund will be
refund will be
Hunt/Fish
Res-F B 
Youth Hunt/Fish
Non-Res-Y E 
Hunt/Fish
Res-F B 
Youth Hunt/Fish
Non-Res-Y E 
issued if you
issued if you
Youth Hunt/Fish
Res-Y C 
Youth Hunt/Fish
Res-Y C 
are not drawn.
are not drawn.
If unsuccessful, I wish to donate $ ______.____ from my refund to the Big Game Habitat Fund.
If unsuccessful, I wish to donate $ ______.____ from my refund to the Big Game Habitat Fund.
APPLICANT C
APPLICANT D
Date of Birth
Date of Birth
( m
m ) ( d
d ) ( y
y
y
y )
( m
m ) ( d
d ) ( y
y
y
y )
Check One
Check One
Federal Requirement: Social Security Number
Federal Requirement: Social Security Number
Non-resident
Non-resident
Arizona Hunting License Number
Arizona Hunting License Number
(must include the 2 letter prefix)
Department I.D. Number if different from SSN
(must include the 2 letter prefix)
Department I.D. Number if different from SSN
Resident
Resident
Last Name
First
M.I.
Last Name
First
M.I.
Address
Address
City
State
Zip Code
City
State
Zip Code
Daytime Phone Number
Daytime Phone Number
SIGN ON LINE BELOW
SIGN ON LINE BELOW
Signature
  X
Signature
  X
(Must be signed by or for Applicant C)
_____________________________________________
(Must be signed by or for Applicant D)
____________________________________________
Complete only to apply
Sex
Weight
Height
Hair
Eyes
AZ Residency
Complete only to apply
Sex
Weight
Height
Hair
Eyes
AZ Residency
Ft. In.
Yrs. Mos.
Ft. In.
Yrs. Mos.
for a Hunt License
for a Hunt License
No license
No license
Hunting
Res-G A 
Hunt/Fish
Non-Res-F D 
Hunting
Res-G A 
Hunt/Fish
Non-Res-F D 
refund will be
refund will be
Hunt/Fish
Res-F B 
Youth Hunt/Fish
Non-Res-Y E 
Hunt/Fish
Res-F B 
Youth Hunt/Fish
Non-Res-Y E 
issued if you
issued if you
Youth Hunt/Fish
Res-Y C 
Youth Hunt/Fish
Res-Y C 
are not drawn.
are not drawn.
If unsuccessful, I wish to donate $ ______.____ from my refund to the Big Game Habitat Fund.
If unsuccessful, I wish to donate $ ______.____ from my refund to the Big Game Habitat Fund.
FORM 624/390 12/13
Hunt Permit-Tag/License Application Form
Fourth Choice
First Choice
Second Choice
Third Choice
Fifth Choice
Hunt Number
Hunt Number
Hunt Number
Hunt Number
Hunt Number
Use only standard blue or black ink (no gel ink)
APPLICANT A
APPLICANT B
Date of Birth
Date of Birth
( m
m ) ( d
d ) ( y
y
y
y )
( m
m ) ( d
d ) ( y
y
y
y )
Check One
Check One
Federal Requirement: Social Security Number
Federal Requirement: Social Security Number
Non-resident
Non-resident
Arizona Hunting License Number
Arizona Hunting License Number
(must include the 2 letter prefix)
(must include the 2 letter prefix)
Department I.D. Number if different from SSN
Department I.D. Number if different from SSN
Resident
Resident
Last Name
First
M.I.
Last Name
First
M.I.
Address
Address
City
State
Zip Code
City
State
Zip Code
Daytime Phone Number
Daytime Phone Number
SIGN ON LINE BELOW
SIGN ON LINE BELOW
Signature
  X
Signature
  X
(Must be signed by or for Applicant A)
_____________________________________________
(Must be signed by or for Applicant B)
_____________________________________________
Sex
Weight
Height
Hair
Eyes
AZ Residency
Sex
Weight
Height
Hair
Eyes
AZ Residency
Complete only to apply
Complete only to apply
Ft. In.
Yrs. Mos.
Ft. In.
Yrs. Mos.
for a Hunt License
for a Hunt License
No license
No license
Hunting
Res-G A 
Hunt/Fish
Non-Res-F D 
Hunting
Res-G A 
Hunt/Fish
Non-Res-F D 
refund will be
refund will be
Hunt/Fish
Res-F B 
Youth Hunt/Fish
Non-Res-Y E 
Hunt/Fish
Res-F B 
Youth Hunt/Fish
Non-Res-Y E 
issued if you
issued if you
Youth Hunt/Fish
Res-Y C 
Youth Hunt/Fish
Res-Y C 
are not drawn.
are not drawn.
If unsuccessful, I wish to donate $ ______.____ from my refund to the Big Game Habitat Fund.
If unsuccessful, I wish to donate $ ______.____ from my refund to the Big Game Habitat Fund.
APPLICANT C
APPLICANT D
Date of Birth
Date of Birth
( m
m ) ( d
d ) ( y
y
y
y )
( m
m ) ( d
d ) ( y
y
y
y )
Check One
Check One
Federal Requirement: Social Security Number
Federal Requirement: Social Security Number
Non-resident
Non-resident
Arizona Hunting License Number
Arizona Hunting License Number
(must include the 2 letter prefix)
Department I.D. Number if different from SSN
(must include the 2 letter prefix)
Department I.D. Number if different from SSN
Resident
Resident
Last Name
First
M.I.
Last Name
First
M.I.
Address
Address
City
State
Zip Code
City
State
Zip Code
Daytime Phone Number
Daytime Phone Number
SIGN ON LINE BELOW
SIGN ON LINE BELOW
Signature
  X
Signature
  X
(Must be signed by or for Applicant C)
_____________________________________________
(Must be signed by or for Applicant D)
____________________________________________
Complete only to apply
Sex
Weight
Height
Hair
Eyes
AZ Residency
Complete only to apply
Sex
Weight
Height
Hair
Eyes
AZ Residency
Ft. In.
Yrs. Mos.
Ft. In.
Yrs. Mos.
for a Hunt License
for a Hunt License
No license
No license
Hunting
Res-G A 
Hunt/Fish
Non-Res-F D 
Hunting
Res-G A 
Hunt/Fish
Non-Res-F D 
refund will be
refund will be
Hunt/Fish
Res-F B 
Youth Hunt/Fish
Non-Res-Y E 
Hunt/Fish
Res-F B 
Youth Hunt/Fish
Non-Res-Y E 
issued if you
issued if you
Youth Hunt/Fish
Res-Y C 
Youth Hunt/Fish
Res-Y C 
are not drawn.
are not drawn.
If unsuccessful, I wish to donate $ ______.____ from my refund to the Big Game Habitat Fund.
If unsuccessful, I wish to donate $ ______.____ from my refund to the Big Game Habitat Fund.
FORM 624/390 12/13
If any applicant fails to complete any required portion of the application
correctly and legibly, all applicants on that application will be rejected.
Required Information
1. You must use a separate application, a separate pay-
specify the class of license you wish to purchase by
cash will be accepted. Any check returned to the
ment AND a separate envelope for each genus (deer,
checking the appropriate box and include payment
Department for non-payment will result in rejection
for that license with each application. An applicant
of your application.
elk, etc.) for which you apply. No more than one (1)
application (up to 4 applicants) may be included
must possess a license that is valid on the last
12. You must refer to the appropriate Hunting Regula-
in the same envelope. NOTE: All hunt choices for
day of the application deadline for that draw.
tions to obtain the current fees for licenses and/or
each genus, regardless of weapon type, must be
If an applicant does not have a license that
hunt permit-tags or you may call the Department at
requested on the same application.
meets that requirement, they must purchase
(602) 942-3000 for that information.
the license at the time of application. No license
2. You must use valid Hunt Numbers; make sure you
13. Only Hunting; Hunting and Fishing Combo; and
refund will be issued if you are not drawn.
refer to appropriate Hunting Regulations. Do not
Youth Combo licenses are available for residents
Only one license will be issued to you. License
use game management unit numbers.
through the draw. Only Hunting and Fishing Combo
refunds will be made for additional applica-
and Youth Combo licenses are available for non-
3. In accordance with federal requirement, 42 u.S.C.
tions. Licenses will not be issued until the draw
Section 666 A13 and state requirement, A.R.S.
residents through the draw.
occurs.
25-320 (P) and 25-502 (K), you must provide your
14. Enclose check, cashier’s check, or money order pay-
7.
You must enter your Department I.D. Number
Social Security number in the space provided. This is
able to the Arizona Game and Fish Department for
(previously called Sportsman I.D.) if different from
kept on file with the Department of Economic Secu-
the total amount due, along with your application
your Social Security number. This number is only
rity for use in identifying and tracking child support
and mail to:
for those individuals who use a Department issued
offenders. If you are not a U.S. Citizen you must
I.D. Number instead of a Social Security number
write “Not US Citz” in the Social Security field.
Arizona Game and Fish Department
to track bonus points or for non-U.S. citizens. You
Applicants declaring “Not US Citz” must provide a
P.O. Box 74020
must still provide a valid Social Security Number or
Department I.D. Number (refer to item #7).
Phoenix, AZ 85087-1052
“Not US Citz.” NOTE: A Department I.D. Number
4. You must fill in your name, home mailing address,
must be obtained from AZGFD prior to application.
city, state, and zip code. You must include your date
8. The applicant or an appointed individual must sign
of birth. You must specify your date of birth with a
each completed applicant block.
To Determine Amount Due:
two-digit month, a two-digit day, and a four-digit
year. (For example: if you were born on Jan. 5,
9. Each applicant shall complete only one block per
PERMIT TAG
LICENSE FEE
FEE
IF NEEDED
TOTAL
1950, you would write: 01-05-1950 in the Date of
application (for example: Applicant A, Applicant B,
Birth field.)
etc.)
Applicant A
_________ + _________ = $ _________
5. You must check either the resident or non-resident
10. You must include all information per applicant in
Applicant B
_________ + _________ = $ _________
box for each applicant.
one block only. You may not use multiple ap-
Applicant C
_________ + _________ = $ _________
plicant blocks to provide information for one
6. You must either enter your Arizona Hunting License
Applicant D
_________ + _________ = $ _________
applicant.
Number (including the two-character prefix) OR
you must fill out the Form 390 License Application
11. You must include ALL the appropriate license,
Total $ _________
section (bottom portion for each applicant) and
permit, and application fees in each envelope. No
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