Wildlife Resource Document
Refer to Outdoor Annual sections on Transfer of Wildlife Resources, Cold Storage/Processing
Facility, and Taxidermist for an explanation of requirements to complete and possess this
document.
I, __________________________________________, _________________________________
(1) Name
(2) Phone
_______________________________________, _______________________, _____, _______
(3) Address
City
State
Zip
give, donate, leave the wildlife resource(s) or parts thereof, listed below to: (complete Sections 4
thru 12), OR possess the wildlife resource(s) or parts thereof, listed below, without other
applicable licenses, stamps, tags, or permits (complete Sections 6 thru 12):
_____________________________________________________________________________
(4) Receiver’s Name
_______________________________________, _______________________, _____, _______
(5) Address
City
State
Zip
_____________________________________________________________________________
(6) Number and Type of Species or Parts
which was killed or caught on _________________________________ at the following location:
(7) Date
_____________________________________________________________________________
(8) Name of Ranch, Area, Lake, Bay, or Stream and County, State, or Country
____________________________________________________________________, ________
(9) Hunt and/or Fish License of person who killed or caught the wildlife resource described in Section 8
(10) State
______________________________________________________
____________________
(11) Signature
(12) Date
Note: Reproduction of this information is allowed, in any form, including a legible hand written version.
PWD 980 – L2000 (10/04)