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HODE

SLAND

EPARTMENT OF

NVIRONMENTAL

ANAGEMENT

235 Promenade Street, Providence, RI 02908-5767

TDD 401-831-5508

Office of Boat Registration & Licensing 3

Floor, Room 360 (401) 222-6647

2016 PRINCIPAL EFFORT LICENSE (Age 65+) RENEWAL APPLICATION

Mailing Address

Residence Address

(Cannot be a PO Box)

Name:______________________________

Street:______________________________

Street:_____________________________

City,State,ZIP:________________________

City,State,ZIP:_______________________

Applicant ID:_________________________

DOB:______________________________

Current License Information

New License Information:

License Type: PEL

License Number: ______________________ License Number: _____________________

Expiration Date: 12/31/2015

Expiration Date: 12/31/2016

Occupation: __________________________

*** (MUST BE RENEWED NO LATER THEN 02/29/2016) ***

Renewal Grace Period with $200.00 Late Fee March 1, 2016 – April 29, 2016

It is unlawful to fish or sell fishery products without a current 2016 license

The information below is REQUIRED in order to renew your license

Whelk

Principal Effort License

$0.00

Reporting

Endorsements:

Method-

Quahog (Renewal)

$0.00

Mandatory

Soft Shell Clam (Renewal)

$0.00

Logbook -

$25.00

Shellfish Other

$0.00

Endorsement

Whelk – Conch (Renewal) –

$0.00

VTR

Reporting Required

Electronic

Fishery Endorsements

(Additional $75.00 Each)

Non Lobster Crustacean

$ 75.00

NOTES

Non Restricted Finfish

$ 75.00

Please make check or money order payable to:

Logbook

$25.00

State of RI – DEM & mail or deliver to address

TOTAL DUE: $

above

Every vessel engaged in Commercial Fishing

must be declared on a Commercial Vessel Declaration Application

Rules & Regulations are available at

or The Office of Boat Registration & Licensing

Social Security Number must be on file with the Dept or applicant must submit Letter of Good Standing

from the RI Division of Taxation prior to renewal of marine license

esident RIGL20-1-3(8) Resident means an individual who has had his or her actual place of residence and

has lived in the state of RI for a continuous period of not less than six (6) months:

I hereby certify that I am a RI resident and the information contained herein is true and correct:

Signature:________________________ Date : _____________ RI DL# ________________

Telephone Number : ___________________ (Optional)

Note: Licensed fishers are obligated to comply with possession limits for finfish as provided in the Marine

Fisheries listserve, dedicated phone line at (401) 423-1920, or webpage at

Licensed shellfishers are obligated to

comply with conditional closure areas as provided on DEM’s dedicated phone line at (401) 222-2900.

Principal Effort License (Age 65+) Renewal Application Form - Rhode Island Department Of Environmental Management

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