Certificate Of Experience From Employing Registered Or Master Guide Form printable pdf download

Certificate Of Experience From Employing Registered Or Master Guide Form

State of Alaska

Department of Community and Economic Development

Division of Occupational Licensing

Big Game Guides and Transporter Licensing Section

P.O. Box 110806

Juneau, Alaska 99811-0806

Telephone: (907) 465-2543

Fax: (907) 465-2974

E-mail: license@dced.state.ak.us

CERTIFICATE OF EXPERIENCE FROM

EMPLOYING REGISTERED OR MASTER GUIDE

Applicant must provide evidence of 25 years of experience as a Class-A assistant guide or Class-A assistant

guide outfitter.

This form is to be completed by a registered master guide(s). You may photocopy this form if necessary.

, License Number:

(Registered Guide)

hereby certify that

(Applicant)

has been employed by me as a licensed assistant guide or Class-A assistant for the following year(s).

Note: list each year individually:

I certify that the above statements are true and correct.

Signature of Registered or Master Guide

Printed Name

Date

*NOTE: If the employing registered/master guide is deceased or otherwise unavailable, the department will

consider an affidavit from another licensed guide or non-relative who is familiar with the applicant’s guiding

experience.

, hereby certify that I am familiar with

(Name of Applicant)

experience as a Class-A Assistant Guide or assistant guide. I have personal knowledge that the applicant has

guiding experience in each of the following years (list each year):

I certify that the above statements are true and correct.

SIGN HERE

Signature of Applicant

Date

SUBSCRIBED AND SWORN to before me this

day of

SEAL

Notary Public

My Commission Expires:

08-4394a (Rev. 8/00)

Certificate Of Experience From Employing Registered Or Master Guide Form