FS-2700-35(b) Outfitter/Guide Reservoir/High Country TripTicket

Special Use Administration

FS-2700-35(b)_wasFS-FG2_v_04_2009

Special Use Administration - Individuals - Forest Service

OMB: 0596-0082

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FS-2700-35(b) (05/09)

OMB 0596-0082

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UNIT GRAPHIC INSERTED HERE

INSERT UNITS NAME HERE> OUTFITTER/GUIDE

RESERVOIR/HIGH COUNTRY

TICKET REQUEST




Company Name: <Insert the Company Name Here > Permit No: <Insert permit No>


Send Trip Ticket to: <Insert the information on sending the trip ticket >


Trip Ticket Start Date: < mm/dd/yyyy > Trip End Date: < mm/dd/yyyy >


Departure Time: <hh:mm> Number of Clients: <Number of Clients>


Location: < Enter the location information for the trip>


Guide Name: < Enter the name of the guide > Camping: Yes No


Total Charge for Trip: $ <Charge Amount> Invoice Number: <Invoice number>


Client Name

Client e-mail or Postal Address












Special Notes:




Additional Cc’s: < Additional cc number 1> < Additional cc number 2>


Submitted By: <Name submitting this request> Date: <mm/dd/yyyy>

Tracking Number








According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0082. The time required to complete this information collection is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.


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To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call toll free (866) 632-9992 (voice). TDD users can contact USDA through local relay or the Federal relay at (800) 877-8339 (TDD) or (866) 377-8642 (relay voice). USDA is an equal opportunity provider and employer.

File Typeapplication/msword
File Title OUTFITTER/GUIDE
Authorgparker
Last Modified Bygparker
File Modified2009-04-10
File Created2009-04-08

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