Form Pwd 0153-W7000 - Landowner Request For Technical Guidance printable pdf download

Landowner Request for Technical Guidance

1. I hereby request technical assistance of the Texas Parks and Wildlife Department

Wildlife Division staff in my efforts to enhance habitat and manage wildlife populations

on lands under my control.

2. Permission is granted to the Texas Parks & Wildlife Department Wildlife Division staff to

enter upon these lands and conduct, at a mutually agreeable time, wildlife and habitat

inventories which may include the use of ground vehicles, aircraft, nighttime spotlight

counts, or other inventory methods to gather data necessary for the development of

management recommendations.

Section 12.0251 of the Parks and Wildlife Code provides that information collected in response

to a landowner request for technical guidance on private land relating to the specific location,

species identification or quantity of any animal or plant life is confidential and may not be

disclosed. The Department may release game census, harvest, habitat, or program information

if the information is summarized in a manner that prevents the identification of an individual or

specific parcel of land and the landowner.

3. I understand that recommendations will be provided to me or my designated agent in the

form of oral and/or written guidelines, which are non-binding and voluntary on my part.

By my signature, I certify that I am the owner of the below-described property.

Signed:__________________________________________________________________

Landowner

Date

Landowner Name

:________________________________________________

(Please Print)

Landowner Mailing Address

:___________________________________________

(required)

City, State, Zip

:_____________________________________________________

(required)

Landowner Phone Number(s): Please circle your preferred contact number(s)

Home:___________________ Business:___________________ Cell:_________________

Ranch:__________________ Other:__________________ Fax:_____________________

Email:____________________________________________________________________

Name of Property:__________________________________________________________

County:______________________________

Acres:_____________________________

Physical Address / Location of Property:_________________________________________

Title V Compliance: The Texas Parks and Wildlife Department provides this service to land managers without discrimination in respect to race,

color, national origin, age or handicap.

Texas Parks and Wildlife Department maintains the information collected through this form. With few exceptions, you are entitled to be

informed about the information we collect. Under Sections 552.021 and 553.023 of the Texas Government Code, you are also entitled to

receive and review the information. Under Section 559.004, you are also entitled to have this information corrected. For assistance call 512-

389-8119.

PWD 0153-W7000 (09/2013)

Form Pwd 0153-W7000 - Landowner Request For Technical Guidance

Related Articles

Related forms

Related Categories