Furtaker License Application Form
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1FURTAKER LICENSE APPLICATION
Oregon Department of Fish and Wildlife
4034 Fairview Industrial Drive SE
FURTAKER LICENSE PERIOD:
Salem OR 97302
JULY 1 THROUGH JUNE 30
Phone: (503) 947-6101, Fax: (503) 947-6117
FIRST TIME APPLICATION - First time applicants, and any trapper born after June 30, 1968, must pass a trapper education
course before a trapping license can be issued. Exception: a person trapping exclusively on land owned or leased by that person or
a member of that person’s immediate family.
BRAND # ___________________
Birth Date ________________ SS#_________________________
Name_____________________________________________________
Phone No.____________________________________________
Mailing address_____________________________________________
Physical Address_______________________________________
City_____________________ State______ Zip___________________
City__________________ State_______ Zip________________
Email address_________________________________________________
County of Residence ____________________________________
CHECK LICENSE TYPE
ANNUAL FEE
Adult Resident Hunt and Trap license (Trapper Education Required)
$51.00
Adult Resident Hunt only
$24.00
Adult Non-Resident Hunt and Trap (Trapper Education Required)
$380.00
Adult Non-Resident Hunt only
$380.00
Resident Juvenile Hunt and Trap (Trapper Education Required)
$17.00
Resident Juvenile Hunt only
$17.00
Non-Resident Juvenile Hunt and Trap (Trapper Education Required)
$17.00
Non-Resident Juvenile Hunt only
$17.00
Resident Juvenile under 14 Hunt and Trap (Trapper Education is Required)
Free
Resident Juvenile under 14 Hunt only
Free
Non-Resident under 14 Hunt and Trap (Trapper Education is Required)
Free
Non-Resident under 14 Hunt only
Free
RECORD CARDS:
CIRCLE (May choose E or W, not both)
FEE PER CARD
FEE
E
Eastern Oregon Bobcat Record Card (limit of 1)
(Allows holder to take 5 bobcats)
$ 35.00 X
1
=
W
Western Oregon Bobcat Record Cards (no limit)
(Each card allows holder to take 15 bobcats)
$ 35.00 X
=
R
Otter Record Card (no limit)
(Each card allows holder to take 15 otters)
$ 35.00 X
=
LATE REPORT CARD FEE (Report card must be returned)
$ 50.00
=
TOTAL (License + Record Cards) = $ ____ ____
All Applicants (Please read and sign) **** REQUIRED*****
If I utilize a firearm, I attest that I am not a convicted felon who is prohibited from possessing a firearm under the laws of
Oregon or the United States; and I am not a person who has been found guilty except for insanity of a felony and who is
prohibited from possessing a firearm under the laws of Oregon or the United States.
____________________________________________
PAYMENT METHOD:
Signature
Date
Check/Money Order to ODFW enclosed
VISA Mastercard Discover
OREGON RESIDENTS (Please read and sign)
I, the undersigned, hereby certify and declare that I have resided
Credit Card #:
continuously within Oregon for no less than 6 months
immediately prior to applying for this license.
CVC#_____
Exp. Date:
Signature:
Signature
Date
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