Revised: 07/07 Section III – N . 2 DEPARTMENT OF CONSERVATION AND NATURAL RESOURCES Wildlife and Freshwater Fisheries Division LIFETIME HUNTING & FISHING LICENSE Application PRINT OR TYPE ONLY - INCOMPLETE APPLICATIONS WILL BE RETURNED Name: ______________________________________________________________ (1) Social Security #: ______ - ____ - ______ Driver’s License # _________________ Date of Birth: ______________ Height: ______________ Weight: ______________ Eyes: ____________________ Hair: ________________ Sex: ________________ Home Address: ________________________________________________________ County: ________________ City: _______________ State: _______ Zip: _______ Phone: Hm (___) _____-_______ Wk (___) _____-_______ Cl (___) _____-_______ ** Enter Hunter Education ID Number: ______________________________________ License Privilege (by age) Under 2 2 – 1112 – 49 50 & over New Upgrade Freshwater Fishing* $150 $200 $250 $150 Hunting* $300 $400 $500 $300 Saltwater Fishing $250 $300 $350 $250 Hunting & Freshwater Fishing* $450 $500 $700 $450 Hunting & Saltwater Fishing* $550 $700 $850 $550 Freshwater & Saltwater Fishing* $400 $500 $600 $400 Hunting, Fresh & Saltwater Fishing* $700 $800 $1,050 $700 Wildlife Heritage** $200 $200 $200 $200 N/A Replacement Lifetime License $ 5 $5 fee if old card not returned. No charge if old license returned. Enter license Number: ____________________ *Freshwater Fishing and Hunting Lifetime License include the Wildlife Heritage Privileges ** The Wildlife Heritage License includes: fishing in freshwater statewide with hook and line from the bank; fishing in WFF operated Public Fishing Lakes (daily lake permits required); hunting small game, except waterfowl, on WFF WMA (WMA map/permit required); and shooting on WFF managed shooting ranges. Upgrading Privilege: Enter current lifetime license number ____________________ If school age child, provide proof of enrollment in an Alabama school. This is to certify under penalty of law, that applicant named above is a bonafide Alabama resident having resided continuously in Alabama a minimum of 90 days immediately preceding this date as required by State Law. NOTE: It is a violation of Alabama law for any nonresident to attempt to purchase an Alabama lifetime hunting / fishing license. Submit: (1) completed application, (2) check or money order, and (3) drivers license copy to: Dept. of Conservation and Natural Resources, Attn: Lifetime License, PO Box 301450, Montgomery, AL 36130-1450, or by walk-in or express mail requests: 64 N Union Street, Ste 457, 36104. Questions: (334) 242-3832 or email@example.com License can also be issued by any WFF District Office, County Probate Office/License Commissioner, electronic license agents (which includes most sporting good and bait & tackle shops in Alabama), our website www.outdooralabama.gov or by calling 1-888-848-6887. Applicant’s Signature: ______________________________ Date: _______________ To be excluded from any list of names sold by ADCNR, please check this box [ ] FOR OFFICE USE ONLY License Number: _______________________________________ Amount Received: _________ Date Issued: ______________ (1) DCNR IS NOW REQUIRED BY SECTION 30-3-194(A) CODE OF ALABAMA 1975 TO COLLECT SOCIAL SECURITY NUMBERS ON ALL RECREATIONAL LICENSES BEING ISSUED/RENEWED.
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