Application For Fishing License -Wyoming Game And Fish Department (Page 2 of 2) in pdf

PROOF OF WYOMING RESIDENCY

If you do not have a current Wyoming driver’s license or a current Wyoming Identification card, the following information must be

provided

(Please Print). FAILURE TO PROVIDE THIS INFORMATION SHALL RESULT IN THE DENIAL OF A LICENSE BEING ISSUED.

PLEASE PROVIDE A VERIFIABLE ANSWER TO ONE OF THE FOLLOWING (Please Print):

I, or the person for whom I am applying (Resident applicant under the age of 18), have/has resided at the following address(es) for

the past one (1) year immediately preceding the date of this application:

_______________________________________________/_______________________________________________________

Street Address

Mailing Address

Current or last Wyoming School attended: ________________________ Location: ___________________________________

I was a resident of Wyoming at the time I entered the military and have continued serving in active military duty; AND I have no

claim of residency in any other state for any purpose.

______ YES, I meet the above criteria per W.S. § 23-1-107

I was stationed in Wyoming for ninety (90) days or more, but was NOT a Wyoming resident when I entered the military; AND am

currently an active member of the military; AND I have made no claim of residency in any other state territory or country for any

purpose; AND I have maintained my voter registration in Wyoming.

______ YES, I meet the above criteria per W.S. § 23-1-107

If Active Duty Military, I hereby certify under penalty of perjury that the United States ________________________ (Branch) has

permanently stationed me at ________________________ (Station) Wyoming as of __________ (Date) and I am prepared to

produce a copy of the Official Orders upon request.

If a minor dependent, name of parent or legal guardian who is a Wyoming Resident: ____________________________________

I further understand that the Wyoming Game and Fish Department will check the information provided to verify applicant’s residency in the state of

Wyoming.

_____________________________________________

Resident Applicant’s Signature

Parent/Guardian Signature

(Resident Applicant Under age of 18)

WYOMING GAME AND FISH DEPARTMENT HEADQUARTERS OFFICE

5400 Bishop Blvd., Cheyenne, 82006-0001 ........................................................................ 307-777-4600

WYOMING GAME AND FISH DEPARTMENT REGIONAL OFFICES

420 North Cache, Box 67, Jackson, 83001 .......................................................................... 307-733-2321

432 E. Mill St, Box 850, Pinedale, 82941 ........................................................................... 307-367-4353

2820 State Hwy. 120, Cody, 82414 ..................................................................................... 307-527-7125

700 Valley View Dr., Sheridan, 82801 ................................................................................ 307-672-7418

351 Astle, Green River, 82935 ............................................................................................ 307-875-3223

528 S. Adams, Laramie, 82070 ............................................................................................ 307-745-4046

260 Buena Vista, Lander, 82520 ......................................................................................... 307-332-2688

3030 Energy Lane, Casper, 82604 ....................................................................................... 307-473-3400

CALL TOLL FREE WITHIN WYOMING

JACKSON

1-800-423-4113

PINEDALE

1-800-452-9107

LARAMIE

1-800-843-2352

CODY

1-800-654-1178

LANDER

1-800-654-7862

SHERIDAN

1-800-331-9834

CASPER

1-800-233-8544

GREEN RIVER

1-800-843-8096

CHEYENNE

1-800-842-1934

REVISED 10/2011

Application For Fishing License -Wyoming Game And Fish Department Page 2

Related Articles

Related forms

Related Categories