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Disabled Veteran License Application

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Disabled Veteran License Application
INSTRUCTIONS FOR FREE DISABLED VETERANS LICENSE



visit our website at: www.njfishandwildlife.com



Legislation signed by former Governor Whitman provides for the issuance of free hunting and fishing licenses for resident disabled

veterans.



For the purposes of this program, the legislation defines Disabled Veterans as:



"...any resident of the State who has been honorably discharged or released under honorable circumstances from active service in any

branch of the Armed Forces of the United States and who has been declared by the United States Department of Veterans Affairs, or its

successor, to have a service-connected disability of any degree..."



Disabled veterans may apply for licenses in person at the offices listed below or via mail to the address below (send copies of

disability documents and original previous hunting licenses when applying through the mail).



Applicants must provide:



1. proof of service - connected disability by producing a letter of certification from the Veterans

Administration, a wallet sized card from the VA indicating service - connected disability or

a photocopy of your monthly disability check which indicates service - connected disability.



2. proof of honorable discharge (DD-214 or similar document).



3. proof of residency by showing driver's license, hunting license, etc.



4. provide a hunter education course (archery, shotgun or rifle) certificate

applicable for the license applied for or previously issued resident archery

firearm license or rifle permit. Resident licenses from other states issued

to hunters prior to establishing residency in NJ will be accepted if the

license indicates which weapon type it was valid for. Non-resident

licenses from other states are not acceptable.



5. completed "Supplemental License Application (Child Support)" or copy of

on-line certification (see www.njfishandwildlife.com for on-line certification).



OFFICES HAVING LICENSES FOR DISABLED VETERANS



Pequest Trout Hatchery and Natural Resource Education Center

605 Pequest Road

Oxford, (Warren County) 908-637-4125



Central Region Office

1 Eldridge Road

Robbinsville, (Monmouth County) 609-259-2132



Southern Region Office

220 Blue Anchor Road

Sicklerville, (Camden County) 856-629-0090





APPLICATIONS CAN BE MAILED TO:



ATTN: Disabled Veteran Licensing

Division of Fish and Wildlife

605 Pequest Rd.

Oxford, NJ 07863

908-637-4125

DFG-078B New Jersey Department of Environmental Protection

3/05 Division of Fish and Wildlife

DISABLED VETERANS

RESIDENT FISHING/HUNTING LICENSE APPLICATION

INSTRUCTIONS: See reverse side.

Birthdate: _____________ Height: __________ Weight: ___________ Hair Color: _____________ Eye Color: ______________



Name: ___________________________________________________________ Phone # (____ ) ___________________________



Street: ___________________________________________________________ Social Security # __________________________



City: _________________________ State: _______ Zip Code: _________ What year license(s) are you applying for : _________________



Previous License # or Certificate # for Firearm: ___________________________________________________ Year: ___________



Previous License # or Certificate # for Bow & Arrow: ______________________________________________ Year: ___________



Previous License # or Certificate # for Trapping: ___________________________________________________ Year: ___________



Have you lived in New Jersey for six months? Yes No NO CHARGE

LICENSE REQUIREMENTS FEE VALUED AT

RESIDENT FISHING Must be a resident of New Jersey for at least six months $22.50

Issued to residents 65 to 69 years old. Residents over 70 may fish

SENIOR FISHING with proof of age. $12.50

No license required for children under 16 years old.

Required, in addition to the regular fishing license, of every resident 16

RESIDENT TROUT STAMP and older, except for those over 70 who may fish with proof of age, who $10.50

shall take or attempt to take trout from any fresh waters of the state.

A resident firearm hunting license from a previous year or a Hunter

RESIDENT FIREARM Education Certificate must be submitted with application. Copies will $27.50

not be accepted except for applicant's copy issued with license.



SENIOR FIREARM Issued to residents 65 years or older. Same requirements apply as

with the resident firearm license. $15.50

PHEASANT & QUAIL STAMP Required in addition to hunting license while hunting pheasant or

quail on designated wildlife management areas. $40.00

A resident bow & arrow hunting license from a previous year or a Hunter

RESIDENT BOW & ARROW Education Certificate must be submitted with application. Copies will $31.50

not be accepted except for applicant's original copy issued with license.



SENIOR Issued to residents 65 years or older. Same requirements apply as with the

BOW & ARROW resident bow & arrow license. $16.50

A resident trapping license of a previous year or a Hunter Education

RESIDENT TRAPPING Certificate must be submitted with application. Copies will not be $32.50

accepted except for applicant's copy issued with license.

A combination license for fishing, firearm, and bow & arrow hunting.

Stamps must be purchased if needed. A resident license of a previous

RESIDENT ALL year or a Hunter Education Certificate must be submitted with $72.25

AROUND SPORTSMAN application for both firearm and bow & arrow. Copies will not be

accepted except for applicant's original copy issued with license.

RESIDENT WATERFOWL Required in addition to hunting license while hunting waterfowl.

STAMP $ 5.00

RESIDENT RECREATIONAL Must be a resident of New Jersey. $10.00

CLAM

Permanent License

SR. CITIZEN RECREATIONAL Must be 62 years or older and a resident of New Jersey. $ 2.00

CLAM

RECREATION CRAB POT Must be a resident of New Jersey. $ 2.00

NJ Child Support Certification Form

(Required by Child Support Program Improvement Act, N.J.S.A. 2A:17-56.7a, et seq.)



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Agency Use:

License Type ______________________________ Number_____________________________________

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