Lobster Trap Tag Request Form

National Marine Fisheries Service
2012 Lobster Trap Tag Order Form
Do NOT use this form if your address listed on your Federal lobster permit is Connecticut,
Massachusetts, New Hampshire, Rhode Island; or if you possess a State of Maine lobster license;
or if you possess a New York lobster license and you elected Area 6 only. If any of these
conditions apply to you, you must purchase your trap tags through your state agency.
1. If you are not required to purchase trap tags through your state agency, and you have a valid
2012 Federal lobster trap permit, complete Parts A, B, and C of this form.
2.

Send this completed form and payment to:
Stoffel Seals Corporation
P.O. Box 825 – Dept. 3
Nyack, NY 10960-0825

3. Make a copy of this blank form for use when placing subsequent trap tag orders.

A

PLEASE PRINT

Name
P.O. Box /
Street
City/State/Zip
Telephone Number

(

)

Vessel Name

Federal Permit #

Vessel Documentation # or State Registration #

B

PLEASE INDICATE BELOW THE NUMBER OF TRAP TAGS YOU WISH TO PURCHASE:

Note: The lobster management areas that appear on your trap tags will be consistent with those on your
2012 Federal lobster permit. The number of trap tags you may order is equal to the trap allocation indicated
on your 2012 Federal permit, plus an additional 10 percent.

Total Number of Federal Trap Tags Requested:

Method of payment:
CARD NUMBER

Amex

Visa

X $0.16 per tag = $

.

State Tax = $

.

Total Amount Enclosed = $

.

MasterCard

Certified Check/Money Order

____/____/____/____

EXP

_ _ /_ _

Please make cashier’s checks or money orders payable to: Stoffel Seals Corporation.
No cash, personal or corporate checks will be accepted.

If tax exempt, please complete and return a tax exemption form for your state of residence.
Orders received without a tax exemption certificate, or applicable sales tax, will not be processed.

C

Signature

Date

I certify that the information provided on this form is true, complete and correct to the best of my knowledge, and made in good faith.
Making a false statement on this form is punishable by law (18 U.S.C. 1001). Forms that are not signed and dated will not be processed.
OMB# 0648-0202
EXP 4/30/2013

The collection of this information is authorized under the Magnuson-Stevens Fishery
Management and Conservation Act (16 U.S.C. 1801 et. seq.). The information will be used
to manage the American lobster fishery. One of the regulatory steps taken by us is to
carry out its conservation and management objectives in limiting fishing vessel effort. The
purpose and use of the lobster trap tagging program is to provide identification of trap
ownership, and to limit the number of traps for those vessels that fish traps by issuing
lobster trap tags, with a maximum number of tags for each vessel. This assures
consistency throughout the fleet of affected vessels. In addition, it allows us to determine
the number of traps in use in the fishery to better monitor fishing effort in the future.
The public reporting burden for the collection of information is estimated at 5 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. The public burden for using this form to order additional trap tags is
estimated at 2 minutes. Send your comments regarding this burden estimate or any other
aspect of this collection of information, including suggestions for reducing this burden, to
Dan Morris, Acting Regional Administrator, Northeast Region, NMFS, 55 Great Republic
Drive, Gloucester, MA 01930-2298.
In spite of any other provision of law, no one is required to respond to, or be subject to,
the requirements of the Paperwork Reduction Act, unless that collection of information
displays a currently valid Office of Management and Budget Control Number.