Get Ia Dnr 542-0253 2013-2024

11/2013 cmz This is an application and must be processed before the actual license can be issued. Please allow 5-7 days for the processing of the completed application DNR Form 542-0253. CASHIER S USE ONLY 0233-542-0092-LF-0570 Name IOWA DEPARTMENT OF NATURAL RESOURCES Licensing Section 502 East 9th Street Des Moines IA 50319-0034 515 281-5918 www. iowadnr. gov APPLICATION FOR COMMERCIAL TURTLE HARVESTER Resident or Non-Resident Please submit fees with application If completing online please use the TAB key to navigate your way through this form* DO NOT press Enter. Full Name Phone Address City/State/Zip County Social Security Birth Date State DL/ID DNR Customer If known Eye Color Gender Height Male Female ft. in* lbs. Hair Color Email The Iowa Department of Natural Resources is required to collect social security numbers from all persons obtaining a hunting fishing or other recreational license under section 252J*8 of the Code of Iowa and 42 US Code 666 a 13. You social security number will serve as your principal identification number to determine your eligibility for licenses. It will be provided to law enforcement agencies and the Iowa Child Support Collection Unity to establish modify and enforce child support obligations and to collect liabilities owed to the state or a state agency. It WILL NOT appear on your license. TYPE OF LICENSE Resident Commercial Turtle Harvester Non-Resident Commercial Turtle Harvester FEE AMOUNT PAID 102. 00 OR the amount for the same type of license in the non-resident s state whichever is greater. Your state MUST have reciprocity with Iowa* A 2. 00 processing fee has been added to all license costs. I understand that providing false information on this application will render my application and therefore license invalid and that I may be subject to fines and imprisonment for making a false entry in a public record in violation of Iowa Code 714. 8 4 and for hunting fishing or trapping without a valid license in violation of Iowa Code 483A. By signing below I acknowledge and understand the rules and regulations regarding having this permit and realize that a State Conservation Officer may inspect me at any reasonable time. The Iowa commercial fishing laws can be found in Iowa Code Chapter 482 and the residency laws in Iowa Code Chapter 483A and Iowa Administrative Code Chapter 15. Signature of Applicant Date Failure to submit monthly reports is a violation of law. All monthly reports from the previous year must be received prior to this license being issued* Please remit application and payment to the address at the top of this page. CASHIER S USE ONLY 0233-542-0092-LF-0570 Name IOWA DEPARTMENT OF NATURAL RESOURCES Licensing Section 502 East 9th Street Des Moines IA 50319-0034 515 281-5918 www. iowadnr. gov APPLICATION FOR COMMERCIAL TURTLE HARVESTER Resident or Non-Resident Please submit fees with application If completing online please use the TAB key to navigate your way through this form* DO NOT press Enter. iowadnr. gov APPLICATION FOR COMMERCIAL TURTLE HARVESTER Resident or Non-Resident Please submit fees with application If completing online please use the TAB key to navigate your way through this form* DO NOT press Enter. Full Name Phone Address City/State/Zip County Social Security Birth Date State DL/ID DNR Customer If known Eye Color Gender Height Male Female ft. .