Alaska BSAI Crab Quota Share Beneficiary Form

Revised: 2-13-2013

BSAI CRAB RATIONALIZATION
PROGRAM QUOTA SHARE (QS)
BENEFICIARY DESIGNATION FORM

OMB Control No. 0648-0514
Expiration Date: 06-30-2014
U.S. Dept. of Commerce/NOAA
National Marine Fisheries Service (NMFS)
Restricted Access Management Program (RAM)
P.O. Box 21668
Juneau, AK 99802-1668
(800) 304-4846 toll free / 586-7202 in Juneau
(907) 586-7354 fax

Individuals that hold Quota share (QS) in the BSAI Crab Rationalization Program may provide NMFS with the name
of a designated beneficiary to receive survivorship transfer privileges in the event of the QS holder’s death.
If the QS holder does not have a surviving spouse, he/she may name an immediate family member to be the
beneficiary. NMFS may approve an application to transfer QS to the surviving spouse or designated beneficiary,
unless a contrary intent is expressed by the decedent in a Will and provided that sufficient evidence has been provided
to verify the death of the individual.
NMFS will allow the transfer of individual fishing quota (IFQ) only (lease) resulting from the QS transferred to the
beneficiary by right of survivorship, for a period of 3 years following the death of the original QS holder.
Use this form to designate the surviving spouse, or in the absence of a surviving spouse, an immediate family member
to be the beneficiary for these purposes.
BSAI Crab QS/IFQ can only be held by a U.S. citizen.
BLOCK A - IDENTIFICATION OF QS HOLDER
2. NMFS Person ID:

1. Name:
3. Business Mailing Address:

4. Business Telephone Number:

1. Name:

5. Business Fax Number:

6. Business E-mail Address:

BLOCK B – IDENTIFICATION OF BENEFICIARY
2. NMFS Person ID:

3. Business Mailing Address:

4. Business Telephone Number:

5. Business Fax Number:

6. Business E-mail Address:

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BLOCK C - RELATIONSHIP OF BENEFICIARY TO QS HOLDER
Is the beneficiary named on this form the spouse of the QS holder?
YES [ ]

NO [ ]

If NO, explain the family relationship of the beneficiary to the QS holder:

BLOCK D -- SIGNATURE
Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and
belief, the information presented here is true, correct, and complete.
Signature of QS Holder:
Date:

Printed Name of QS Holder (Note: If completed by an authorized representative, attach authorization):

Notary Public:

ATTEST

Affix Notary Stamp or Seal Here:

Commission Expires:

________________________________________________________________________________________________________________________
PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing the
instructions, searching the existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing
the burden estimate or any other aspect of this collection of information, to Assistant Regional Administrator, Sustainable Fisheries Division, NOAA
National Marine Fisheries Service, Alaska Region, P.O. Box 21668, Juneau, AK 99802-1668.
ADDITIONAL INFORMATION
Before completing this form, please note the following: 1) Notwithstanding any other provision of law, no person is required to respond to, nor shall
any person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act,
unless that collection of information displays a currently valid OMB Control Number; 2) This information is mandatory and is required to manage
commercial fishing efforts under 50 CFR part 679 and under section 402(a) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.); 3) Responses to
this information request are confidential under section 402(b) of the Magnuson-Stevens Act as amended in 2006. They are also confidential under
NOAA Administrative Order 216-100, which sets forth procedures to protect confidentiality of fishery statistics.
________________________________________________________________________________________________________________________

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INSTRUCTIONS
BSAI CRAB RATIONALIZATION PROGRAM QUOTA SHARE (QS)
BENEFICIARY DESIGNATION FORM
50 CFR 680.41(g) provides that individuals who hold BSAI Crab Quota Share (QS) may provide NMFS with the name of
a designated beneficiary to receive survivorship transfer privileges in the event of the QS holder’s death.
NMFS may approve an application to transfer QS to the surviving spouse or designated beneficiary, unless a contrary
intent is expressed by the decedent in a Will and provided that sufficient evidence has been provided to verify the death of
the individual.
NMFS will allow the transfer of individual fishing quota (IFQ) only (lease) resulting from the QS transferred to the
beneficiary by right of survivorship, for a period of 3 years following the death of the original QS holder.
Use this form to designate the surviving spouse, or in the absence of a surviving spouse, an immediate family member to
be the beneficiary for these purposes.
BSAI Crab QS/IFQ can only be held by a U.S. citizen.
GENERAL INFORMATION
Type or print legibly in ink and retain a copy of completed application for your records.
Please allow at least 10 working days for your application to be processed.
An application may be submitted to NMFS by mail or delivery. Fax submittal is not acceptable due to the Notary
requirements. RAM will not process an application that does not bear original signatures (faxed applications will be
returned).
When completed, submit the original application
by mail to:

NMFS, Alaska Region
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, AK 99802-1668

or deliver to:

Room 713, Federal Building
709 West 9th Street

Items will be sent to you by first class mail, unless you provide alternate instructions and include a prepaid mailer with
appropriate postage or corporate account number for express delivery. Additional information is available from RAM, as
follows:
Website: http://www.alaskafisheries.noaa.gov/ram/default.htm
Telephone (toll free): 800-304-4846 (press “2”)
Telephone (in Juneau): 907-586-7202 (press “2”)
e-Mail: [email protected]

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COMPLETING THE APPLICATION
BLOCK A – IDENTIFICATION OF QS HOLDER
1. Enter name of QS holder
2. NMFS Person ID: NMFS will supply this number, if you do not already have one.
3. Enter permanent mailing address, including street or P.O. Box, city, state, and zip code.
4. Business Telephone Number, Business Fax Number, and Business E-mail address (if available)

BLOCK B – IDENTIFICATION OF BENEFICIARY
1. Enter name of beneficiary.
2. NMFS Person ID: NMFS will supply this number, if you do not already have one.
3. Enter permanent mailing address, including street or P.O. Box, city, state, and zip code.
4. Business Telephone Number, Business Fax Number, and Business E-mail address (if available)

BLOCK C -- RELATIONSHIP OF BENEFICIARY TO QS HOLDER
Indicate if the beneficiary named on this form is the spouse of the QS holder.
If NO, explain the family relationship of the beneficiary to the QS holder:

BLOCK D -- SIGNATURE
All signatures must be witnessed by a Notary Public (or, in some remote areas, the community Postmaster or
Postmistress).
The QS Holder must enter printed name, signature, and date signed. Signature indicates that the information presented is
true, correct, and complete.
The Notary Public must enter name, date commission expires, and apply Notary Public stamp or seal.

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