Fwc Form 1001at Alligator Harvest Report Form - Florida Fish And Wildlife Conservation Commission
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2ALLIGATOR HARVEST REPORT FORM
Florida Fish and Wildlife Conservation Commission
Carefully read instructions on reverse side prior to completing this form. Please print firmly.
Statewide and Private Lands trappers can use the online form at:
SECTION A - TRAPPER
1. Name of alligator trapping licensee:_____________________________________________________________________
[Last]
[First]
[M.I.]
2. Customer ID / ATL number:
_______________________________
3. Alligator CITES tag number: FLM ___ ___ ___ ___ ___ ___ ___
Alligator mercury tag number: ___ ___ ___ ___
[If issued with harvest permit]
4. Harvest date: ____ / ____ / ____
5. County:__________________________________________________
6. Location:__________________________________________________________________________________________
7. Carcass measurements: Length:____________feet and ____________ inches Tail girth: _____________ inches
Bobtail? Yes No [circle one]
8. Disposition of carcass [circle one]:
Processed
Discarded
Transferred to:_________________________________
9. Sex [circle one]:
Male
Female
Unknown
10. Meat yield:___________ lbs.
[Record zero (0) here if the meat is to be processed for sale at a permitted processing
facility or if the carcass is discarded and meat is not retained by anyone.]
11. The information provided in SECTION A above is correct:___________________________________________________
Signature of Licensed Trapper
Date
SECTION B - PROCESSOR
1. Name of receiving processing facility permittee:___________________________________________________________
[Last]
[First]
[M.I.]
2. Processing facility permit number: APP - _________
3. Signature verifies receipt of the above carcass:___________________________________________________________
Signature of Licensed Processor
Date
4. Disposition of carcass [circle one]:
Processed
Discarded
Transferred to:_________________________________
5. Sex [circle one]:
Male
Female
Unknown
6. Meat yield from alligator with tag number listed in A3 above:____________ lbs.
7. The information provided in sections 4 through 7 are correct:_________________________________________________
Signature of Licensed Processor
Date
FOR CONTRACTED NUISANCE ALLIGATOR TRAPPER USE ONLY:
SNAP Harvest Permit Number: _________________________
Special Purpose Permit Disposition [circle one]:
CR
CK
Area type (if different than SNAP permit): ______________________
CR location: _________________________________
GPS Location (dd.dddddd) Capture.: N_______________ W_________________ Release: N________________ W_________________
WHITE - Commission
PINK - Processing facility
YELLOW - Trapper
FWC FORM 1001AT (5/28/2000)
Rule 68A-25.032; printed 1/2015
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