New York State Dept Of Environmental Conservation Resident Sporting License Application
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2DEC ID Number:
NEW YORK STATE DEPT OF ENVIRONMENTAL CONSERVATION
RESIDENT SPORTING LICENSE APPLICATION
Circle license type(s) you are applying for and circle fee:
First
MI
LICENSE TYPE ‐ RESIDENT
Last
Bowhunting ‐ Need Big‐Game Privilege
$21.00
Street
Bowhunting (Senior 70+) Need Big‐Game Privilege
FREE
City
State
Zip
Bowhunting (40%+ Military Disability)Need Big‐Game Privilege
FREE
County
Conservation Legacy(Super Sportsman, Habitat Stamp &
Home Tel
Work Tel
$96.00
Conservationist)
Date of Birth
Age
Sex
Eye Color
Height
Fishing ‐ Season (16‐69)
$29.00
M
F
Fishing (Senior 70+)
$5.00
Status of Legal Residence
Fishing (40%+ Military Disability)
$5.00
Resident of New York State for more than 30 days. Proof required: DMV
Fishing (One day) (Date_______________)
$5.00
driver’s license or non‐driver’s ID card with valid NYS address – photocopies
Fishing (Seven day)
$15.00
acceptable. Full time students attending school in New York state for the
Beginning Date: ____________ Ending: ____________
school year must provide proof of enrollment from Registrar’s office.
Jr. Bowhunting (14‐15)
$9.00
Jr. Hunting (12‐15)
$5.00
Jr. Trapping (under 16)
$6.00
DMV Drivers License #
Expiration Date
Muzzleloading Need Big‐Game Privilege
$21.00
______________________________________________
_____________
Muzzleloading (Senior 70+) Need Big‐Game Privilege
FREE
Muzzleloading (40%+ Military Disability) Need Big‐Game
Legally Blind – Fishing Only
FREE
FREE
Privilege
Native American ‐ Residing on Reservation
FREE
Marine Registry
FREE
Sportsman Bowhunting Muzzleloading Trapping Fishing
Small/Big Game
$29.00
Active Military‐‐Small/Big Game Trapping Fishing
Small Game
$26.00
FREE
See # 7 Under General Instructions on the back
Sportsman (16‐69) (Small & Big Game, Fishing)
$47.00
CERTIFICATION I hereby affirm under penalty of perjury that information
Sportsman ( 40%+ Military Disability) (Small & Big Game,
$5.00
provided on this form is true to the best of my knowledge and belief. False
Fishing)
statements are punishable as a Class A misdemeanor pursuant to Section
Sportsman (Senior 70+) (Small & Big Game, Fishing)
$10.00
210.45 of the Penal Law.
Super Sportsman (Small/Big Game, Fishing, Muzzleloading,
$88.00
X _________________________________________________________
Bowhunting & Turkey Permit)
Trapping
$21.00
SIGNATURE
Trapping (Senior 70+)
$5.00
Credit Card Type
Trapping (40%+ Military Disability)
FREE
Visa
Master Card
American Express
Discover
Trapper Super Sportsman (Small & Big Game, Trapping,
Credit Card Number
Expires
$88.00
Muzzleloading, Fishing and Turkey Permits)
Turkey Permit ‐ Need Small Game Privilege
$10.00
DEER MANAGEMENT PERMIT
OTHER SALES
Application Fee (Instant Deadline October 1) Free to
Conservationist (Subscription only)
$10.00
holders of Resident Jr. Bowhunting, Jr. Hunting and also
Free
Conservation Patron (Conservationist and Habitat Stamp)
$12.00
free to Lifetime Sportsman Licenses purchased before
Habitat Stamp (Donation to Habitat Account, no pin available)
$5.00
10/01/09.
Lifetime Privilege Card (Replacement)
$5.00
All other applicants must pay $10 non‐refundable
$10.00
Sportsman Education Certificate (Replacement)
$1.00
application fee
Trail Supporter Patch
$5.00
Deer Management Permits – Fill in WMU you wish to apply for. You may
apply for up to 2 DMPS. They may be in the same or different WMUs.
Donation to Conservation Fund (amount donated here)
1st Permit WMU
2nd Permit WMU
Venison Donation Coalition (amount donated here)
If you wish to apply as a landowner (50 or more acres of land within a WMU),
If you wish to apply as a disabled vet (NYS resident with a 40% or greater
fill in your
service‐connected disability), fill in your
Tax Map ID # here:
SWIS code here:
NYS Division of Veteran Affairs case number here:
RESIDENT LIFETIME LICENSES
Bowhunting
$235.00
Sportsman (Age 0‐4)
$380.00
Fishing (Age 0‐69)
$460.00
Sportsman (Age 5‐11)
$535.00
Fishing (Age 70+)
$65.00
Sportsman (Age 12‐69)
$765.00
Muzzleloading
$235.00
Sportsman (Age 70+)
$65.00
Small and Big Game
$535.00
Trapping
$395.00
TOTAL FEE
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