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Get Wildlife License 2006-2024

Gov PLEASE PRINT OR TYPE Valid From To **Social Security Number is voluntary-to be used for Sportsman's Database Only** APPLICATION FOR WILDLIFE REHABILITATION LICENSE FEE: NONE CIRCLE ONE: NEW or RENEWAL Renewals may only be requested for permits that were active during the previous licensing period. Name Date of Birth Address City State Department ID Number/SSN: Gender Phone Height Weight Zip Email Eyes Hair Location where wildlife will be held: Facility Name: Phone Address.

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