National Saltwater Angler Registry online application

National Saltwater Angler Registry and State Exemption Program

*First Name:

Middle Initial:

*Last Name:

*Date of Birth:

(e.g. Jr., Sr., III)

(mm/dd/yyyy)

Email Address:

Confirm Email:

Email Address is not a required field. However, you should enter an email address if you would like to:
a) Receive email confirmation of your registration
b) Receive email notification for renewals and returned mail

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0648-0578 can be found here:

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National Saltwater Angler Registry

National Saltwater Angler Registry

Individual Angler Registration Form

PLEASE NOTE: If you plan to fish in ANY state or U.S. territory EXCEPT Hawaii, Puerto Rico, or the U.S. Virgin Islands, it is very likely that the state will require you to obtain a saltwater recreational fishing license or registration for your fishing activity, in which case you will be AUTOMATICALLY registered with the National Saltwater Angler Registry and should NOT register here.

*An individual angler registration covers only one angler. If you would like to register more than one angler, you will need to complete a separate registration for each angler.*

* is required.

Angler Information

Registration Card Mailing Address Information

It is very important that you enter a valid mailing address as this is the address to which your registration card will be mailed. You do not need to enter more than one address or register more than once if you own more than one home or fish in more than one location.
*Address Line 1:		*The system will attempt to standardize and validate address information. You may be prompted to clarify or confirm certain address information.*
(street number and street name, e.g. 123 Main St)
Address Line 2:
(apt/floor/suite, e.g. Apt #123)
*City:
*State:
*Zip Code:
(5 digit zip code only)

Survey Contact Telephone Information

Registration in the National Saltwater Angler Registry establishes your eligibility to participate in surveys about your fishing activity. Information obtained from these surveys is used to determine the health and sustainability of the fishery and make informed decisions about how many fish can be caught the following year. Please enter a permanent (i.e. not temporary or local) phone number where you would prefer to be reached if you are selected to participate in an angler survey.
*Phone Number:						Phone Extension:
(no punctuation, e.g. 8005551212)
*Phone Type:
Please indicate the time period during which you would like to be contacted to participate in a survey.
*Phone Time:

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National Saltwater Angler Registry