Application for Military Charter Halibut Permit

Revised: 05/12/2018

CHARTER
HALIBUT
LIMITED
ACCESS
PROGRAM

OMB Control No. 0648-0592 Expiration Date: 05/31/2021

APPLICATION FOR
MILITARY CHARTER
HALIBUT PERMIT

U.S. Dept. of Commerce/NOAA
National Marine Fisheries Service (NMFS)
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, AK 99802-1668
(800) 304-4846 toll free / 586-7202 in Juneau
(907) 586-7354 fax

BLOCK A – MILITARY INFORMATION
Enter the branch of the United States Armed Services represented:

Attach official documentation from the Branch of Service you represent to verify the authority to apply for the MWR
Military Charter Halibut permits on behalf of a United States Military Morale, Welfare and Recreation (MWR)
Program.

BLOCK B – APPLICANT INFORMATION
1. Applicant’s Name:

2. Business Mailing Address (Street or P.O. Box, City, State, Zip Code):

3. Business Telephone Number:

4. Business Fax Number:

5. E-mail Address:

BLOCK C – MILITARY CHARTER HALIBUT PERMIT(S) REQUEST
List the number of Military Charter Halibut Permits you are requesting for each area:

for 2C and

for 3A

Application for Military Charter Halibut Permit

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BLOCK C –MILITARY MWR APPLICANT SIGNATURE
Under penalty of perjury, I certify by my signature below that I have examined the information and the claims provided on this
application and, to the best of my knowledge and belief, the information presented here is true, correct, and complete. The
individual signing this application is required to provide documentation of his/her authority to apply on behalf of the applicant.

Signature of Applicant:

Date:

Printed Name of individual completing this application:

Rank in Service of individual completing this application
on behalf of CQE:

PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average one hour per response, including the time for
reviewing the instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing the burden, to Assistant Regional Administrator, Sustainable Fisheries
Division, Alaska Region, NMFS, P.O. Box 21668, Juneau, AK 99802-1668.
ADDITIONAL INFORMATION
Before completing this form please note the following: 1) NMFS may not conduct or sponsor this information request, and
you are not required to respond to this information request, unless the form displays a currently valid OMB control number;
2) This information is being used to implement the Charter Halibut Program for IPHC Regulatory Areas 2C or 3A; 3) Federal
law and regulations require and authorize NMFS to manage charter halibut programs in Alaska; 4) Submission of this
information is mandatory for any entity participating in charter halibut fishing; 5) This information is used to monitor the
Charter Halibut Program under the Northern Pacific Halibut Act of 1982; 6) Responses to this information request are not
confidential.

Application Instructions MILITARY CHARTER HALIBUT PERMIT
NMFS will issue a military charter halibut permit without an angler endorsement to an applicant provided that the
applicant is a Morale, Welfare and Recreation Program of the United States Armed Services (MWR). A military
charter halibut permit is non-transferable and may be used only in the regulatory area (2C or 3A) designated on the
permit.

GENERAL INFORMATION
Application forms are available from National Marine Fisheries Service (NMFS) offices and on the NMFS, Alaska
Region, website at http://www.alaskafisheries.noaa.gov.
When completed, submit the application:
By mail to:

NMFS Alaska Region
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, AK 99802-1668
Application for Military Charter Halibut Permit

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Hand Deliver to:

Room 713, Federal Building
709 West 9th Street

Or Fax to:

(907) 586-7354 fax

Please allow at least ten working days for your application to be processed. Items will be sent by first class mail,
unless you provide alternate instructions and include a prepaid mailer with appropriate postage or corporate account
number for express delivery.
It is important that all blocks are completed and attachments provided. Failure to answer any of the questions or
provide any of the required documents could result in delays in the processing of your request for a transfer.
Direct any questions you may have to NMFS, RAM at:
1-800-304-4846 (option 2) or 907-586-7202 (option 2).

COMPLETING THE APPLICATION
BLOCK A – MILITARY INFORMATION
Enter the branch of the United States Armed Services represented.
Attach official documentation from the Branch of Service you represent to verify the authority to apply for the
MWR Military Charter Halibut permits on behalf of a United States Military Morale, Welfare and Recreation
(MWR) Program
BLOCK B – APPLICANT INFORMATION
1. Applicant’s name ( name of the United States Military Morale, Welfare and Recreation Program)
2. Business mailing address (Street or P.O. Box, city, state, zip code)
3-5. Business telephone number, business fax number, and business e-mail
addressBLOCK C – MILITARY CHARTER HALIBUT PERMIT(S) REQUEST
List the number of Military Charter Halibut Permits you are requesting for each area, 2C and 3A.

BLOCK D – MILITARY MWR APPLICANT SIGNATURE
The individual completing this application must print his/her name, provide his/her rank in service, and sign and
date this application. This individual must attach official documentation from the branch of the United States
Armed Services he/she represents to verify the authority to apply for the Military Charter Halibut Permit on behalf
of the MWR.

Application for Military Charter Halibut Permit

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