FWC Form 1000PW (68A-25 032-

ALLIGATOR MANAGEMENT PROGRAM APPLICATION
1515 E. Silver Springs Blvd., Suite 106, Ocala, FL 34470
Submit applications at least 60 days prior to the opening of the harvest period to ensure timely issuance of permits.
(Please circle number of ADDRESS CHANGE from previous year)
1. Applicant: Name (last name first)
Social Security Number
Mailing Address
Street Address (if different)
City
Home phone number (
)
FAX (
)
Date of Birth___________________________________
State
Zip Code
Work phone number (
)
E-mail address
2. PROPERTY NAME________________________________________________________________________
Property Owner Name
Mailing Address
City
State
Zip Code
Home phone number (
)
Work phone number (
)
FAX (
)
E-mail address
If a designee for non-hatchling alligator harvest is requested, complete section 3 below. If NO designee is indicated, the applicant will be the nonhatchling harvest permittee.
3. Non-hatchling harvest designee: Name (last name first)
Social Security Number
Date of Birth___________________________________
Mailing Address
Street Address (if different)
City
State
Zip Code
Home phone number (
)
Work phone number (
)
FAX (
)
E-mail address
If you do not wish to collect eggs or hatchlings, skip sections 4 and 5 below. Designees may collect eggs (a nest survey, Attachment 1, is due by
August 1) and hatchlings (a pod survey, Attachment 2, is due by November 1) after issuance and receipt of harvest permits. Complete sections 4
and 5 below if designees for egg and hatchling collections are requested. If NO designees are indicated, the applicant will be the egg and hatchling
harvest permittee.
4. Egg harvest designee: Name (last name first)
Social Security Number
Date of Birth___________________________________
Mailing Address
Street Address (if different)
City
State
Zip Code
Home phone number (
)
Work phone number (
)
FAX (
)
E-mail address
5. Hatchling harvest designee: Name (last name first)
Social Security Number
Date of Birth___________________________________
Mailing Address
Street Address (if different)
City
State
Zip Code
Home phone number (
)
Work phone number (
)
FAX (
)
E-mail address
6. Provide a legal description of the property including the county(ies) in which the property is located, and provide an
8 1/2 by 11 inch map, such as a DOT county map, that accurately delineates the property boundary and shows the
location of the property within the county(ies) if these items have not been submitted previously. If the property
boundary includes adjoining properties under different ownership, indicate the name of the owner on each parcel.
For our record keeping purposes, please provide the total acreage of the property for which you are
applying
.
FWC Form 1000PW (9/5/2013)
Rule 68A-25.032
7. If you submitted an alligator population survey last year and you returned any of your tags unused you may request
a harvest quota equal to the number of unused tags returned for this property. This option may only be used if you
have not already requested a harvest quota under any of the provisions below. Indicate how many tags you
returned last year for this property ________.
8. If you are requesting a quota based on habitat inventories, submit an alligator habitat map and an alligator habitat
*
inventory form (Attachment 3) , if not previously submitted. If you have previously submitted a map and inventory
form and the alligator habitat delineated and described on the map and form have not changed, initial here
.
New applicants for previously permitted properties must submit newly verified habitat inventories and non-hatchling
alligator surveys as specified in Rule 68A-25.032(1), F.A.C.
9. To request a non-hatchling alligator harvest quota based on a habitat inventory, check here
.
10. To request a non-hatchling alligator harvest quota based on population surveys, submit a population survey.
Only one such request may be submitted each calendar year.
11. T
o request an average harvest quota, check here ____ and ask your wildlife biologist to submit a Certification
of Comparable Surveys.
12. If you would like the non-hatchling harvest designee's name, address, and phone number distributed to individuals
interested in participating in guided alligator hunts, check here
.
13. Please read the following statements carefully and provide the appropriate signatures. If you are both the
landowner and the applicant, provide a signature for both statements. If applying to establish an alligator
management program on public lands, the agency representative who is authorized to make application on behalf
of the government body with management authority over the property described in the application must sign as the
"Landowner."
I certify that the above information is correct. The boundary map (required in section 6 above) and, if required, the alligator habitat inventory
and alligator habitat map submitted as part of this application or on file with the Commission accurately represent the property specifically described
under section 6 above. I understand that, if after review of this application and any other information that the Commission may deem appropriate,
the Commission determines that there is a conflict or question as to whether properties identified under section 6 of this application, or any part
thereof, include sovereign waters of the state, the applicant may be asked to submit additional information to verify that those properties are eligible
for the program. I understand that if the Commission determines that there is a conflict about ownership of subject alligator habitat parcels, it
reserves the right to request additional proof of ownership, such as deeds, surveys, land patents, and sovereign lands determinations to substantiate
the application. I understand that failure to submit such information may result in denial of the application.
Applicant’s Signature
Date________________________
I certify that the information provided under section 6 of this application is correct. I verify that there are no pending legal disputes regarding the
boundary or ownership of the property proposed for alligator harvest and that the lands described under section 6 above that are identified as mine
are under my lawful ownership or control. I also hereby authorize the above named applicant and designees to apply for alligator harvest permits on
the lands identified under section 6 above. If you authorize the above named applicant to combine this property with any contiguous adjacent
properties, please provide your initials here _____.
Landowner’s Name/Representative’s Name & Title
(Please Print)
Signature Date
Any natural resource professional certified by an appropriate professional organization as specified in Rule 68A-25.032(1)(b), F.A.C., may verify
alligator habitat inventories, but only persons meeting the certification requirements of The Wildlife Society as specified in Rule 68A-25.032(1)(b),
F.A.C., may verify alligator, nest, and hatchling pod surveys. Note that it is not feasible to have Commission biologists monitor alligator populations
and tailor harvests to a specific property. The Commission recommends that the applicant and landowner consult with a professional biologist, such
as a certified biologist, to ensure that their harvest objectives are met and that alligator populations on their lands are not negatively impacted.
FWC Form 1000PW (9/5/2013)
Rule 68A-25.032