Lifetime Recreational Hunting And Fishing License Application - Sc Wildlife Endowment Fund

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Lifetime Recreational Hunting and Fishing License Application

Mail to: SC Wildlife Endowment Fund • PO Box 11710 • Columbia, SC 29211-1710 • (803)734-3833 M-F 8:30-4:50 PM ET

Lifetime Licenses are only available to those that meet the definition of “Resident” for the purpose of obtaining South

Carolina hunting and fishing licenses. Applicant must meet the residency requirement for at least 180 days immediately

prior to the date of application. Incomplete Applications will be returned.

Instructions for Lifetime License Application

1. Complete and Sign application.

2. Include a photocopy of your unexpired SC Driver’s License or SC state issued ID Card.

3. Include payment. Verify method of payment is signed as required.

Applicant Information

Customer #

Social Security #

Gender

Race

Date of Birth

Name (as it appears on your SC Driver’s License or ID Card)

First

M Init

Last

Suffix (Sr, Jr, III, etc)

Home

Street

City

State

Zip

SC County of Residence

Mailing (only if different from Home address)

Street or PO Box

City

State

Zip

SC Driver’s License or ID#

(Enclose photocopy)

Phone

Home

Cell

Work

Phone

Home

Cell

Work

E-mail Address

Applicant Age

License Type

Fee

Less than 2 Yrs (Enclose copy of birth certificate and Parent/Guardian SC Driver’s License or ID Card)

Combination License (Freshwater Fishing, State Hunting, Big Game)*

300.00

Saltwater Fishing License Add-On to Combination License

120.00

Migratory Waterfowl Permit Add-On to Combination License

66.00

2 Yrs but less than 16 Yrs (Enclose copy of birth certificate and Parent/Guardian SC Driver’s License or ID Card)

Combination License (Freshwater Fishing, State Hunting, Big Game)*

400.00

Saltwater Fishing License Add-On to Combination License

160.00

Migratory Waterfowl Permit Add-On to Combination License

88.00

16 Yrs but less than 64 Yrs (Enclose copy of SC Driver’s License or ID Card)

State Hunting License (HE)

300.00

Freshwater Fishing

300.00

Saltwater Fishing License

300.00

Combination License (Freshwater Fishing, State Hunting, Big Game) (HE)*

500.00

Saltwater Fishing License Add-On to Combination License

200.00

Migratory Waterfowl Permit Add-On to Combination License

110.00

64 Yrs or greater (Enclose copy of SC Driver’s License or ID Card) Do you plan to fish in saltwater? Yes

Gratis Combination License (date of birth before July 1, 1940)*

No Cost

Senior Combination License (date of birth July 1, 1940 or later)*

9.00

Combination Privileges: Freshwater Fishing, Freshwater Set Hook, Saltwater Fishing

State Hunting, Big Game, WMA, Migratory Waterfowl

Senior Fishing License (date of birth July 1, 1940 or later)

9.00

Fishing Privileges: Freshwater Fishing, Freshwater Set Hook, Saltwater Fishing

*No tags are included with a Lifetime License. Tags must be applied for annually.

Hunter Education Certification

(HE) Hunter Education Certification is required for persons born after June 30, 1979 who apply for hunting privileges.

Hunter Education Number

State of Issue

Signature Required

Incomplete applications will be returned.

I affirm that I am not under suspension for any natural resources violation and I am eligible to apply for, hold, and use the above SCDNR

licenses and permits and that the information provided above is true and correct.

Signature of Applicant

Date

Amount of Check $

Any personal information collected by SCDNR for licenses, watercraft titles, and registrations, except social security number, driver’s license number, gender, and race, is subject to disclosure

under the Freedom of Information Act. However, if released, state law prohibits the use of this information for solicitation or commercial purposes.

The disclosure of your social security number is required to obtain SC hunting and fishing licenses. This complies with SC Code Annon 63-17-1080 and Federal law 42 USCA 666(a)(13), which

requires a licensing agency to provide this information to the Child Support Enforcement Unit of the Department of Social Services to establish, modify and enforce child support orders.