Guide'S License Application - N. H. Fish And Game Department
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1
2N. H. FISH AND GAME DEPARTMENT
BUS1513F.indd/REV. 11/2015
11 Hazen Drive, Concord, NH 03301
FOR OFFICE USE ONLY
License #__________________
Date Issued________________
GUIDE’S LICENSE APPLICATION
RSA 215:4, 215:5
Note: A Department review is required prior to license issue.
NEW (Forward to Law Enforcement Division – Testing required, call (603) 271-3127 for information)
RENEWAL (Application must be accompanied by proper fee)
Check Guide’s License Requested:
______
Resident Hunting
$100.00
______
Nonresident Fishing
$100.00
______
Resident Fishing
$100.00
______
Over 65 Resident Hunting*
$5.00
______
Nonresident Hunting
$100.00
______
Over 65 Resident Fishing*
$5.00
* Must have held a N.H. Guide's License for 5 or more years.
Name ________________________________________________
Alias (maiden name)_____________________________________
_
Date of Birth __________________________________________
Home Telephone ________________________________________
Month
Day
Year
Legal Residence _________________________________________________________________________________________________
Street
City/Town
State
Zip
Mailing Address __________________________________________________________________________________________________
Street or PO Box
City/Town
State
Zip
M/F________
Height________
Weight________
Eye Color________
Hair Color________
Current New Hampshire Hunting/Fishing License Number: ________________________________
The following MUST BE COMPLETED EACH YEAR, if you wish to be listed on the Departments website (which is
updated at the beginning of each month) after your license has been issued:
Business Location ___________________________________________________________________________________________
City/Town
State
Business Name ____________________________________
Business Telephone ___________________________________
Email address _____________________________________
APPLICANT MUST SUBMIT DOCUMENTATION OF CURRENT CERTIFICATION IN THE FOLLOWING:
• Hunter Education Course –
Proof of Hunter Education required for initial Hunting Guide applications only.
• Basic First Aid
Expiration Date ________________________________
• Cardiopulmonary Resuscitation Course
Expiration Date ________________________________
Only Basic First Aid and CPR courses that require the applicant to perform practical skills in the course will be accepted.
Have you been convicted of a violation or a crime within the last seven years?
Yes
No
If yes, what was the nature of the conviction(s)? ____________________________________________________________
In what state? _________________________________
FOR INITIAL GUIDE APPLICANTS – Approval from Law Enforcement Division required.
Have you ever been licensed as a guide?
Yes
No
In what state?_______________
# of years _____________
Year last licensed as a guide: __________
Will you use a boat or canoe in connection with your guiding activities?
Yes
No
State your experience in handling boats, canoes and motors: _____________________________________________________
_____________________________________________________________________________________________________________
Are you familiar with the use of a map and a compass?
Yes
No
(over)
Please enclose a 4" x 9-1/2" self-addressed, stamped envelope.
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