Certificate Of Experience Form
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1State 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
This form is to be completed by a registered or master guide(s) only, if you are applying under Option A. You may photocopy
this form if necessary.
You must have this form completed for each additional game management unit the applicant is applying for.
I,
, License Number:
(Registered or Master Guide)
hereby certify that
(Applicant)
has been employed by me as a class of licensed guide for the following year(s)
in GMU(s)
.
I certify that the above statements are true and correct.
Signature of Registered or Master Guide
Printed Name
Date
08-4393a (Rev. 7/99)
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