Application to Consolidate Gulf of Mexico Reef Fish Perm

OMB No. 0648-0205 Form Approval Expires: 05/31/2020

U.S. Department of Commerce, NOAA
NMFS PERMITS OFFICE, F/SER14
263 13th Avenue South
St. Petersburg, FL 33701
Toll Free 877-376-4877 (9:00 a.m. - 4:00 p.m. ET)
727-824-5326 (9:00 a.m. - 4:00 p.m. ET)
https://www.fisheries.noaa.gov/permits-and-forms

APPLICATION TO CONSOLIDATE GULF
OF MEXICO REEF FISH PERMITS

FOR OFFICE USE ONLY
Reviewer’s Initials and Date

FOR OFFICE USE ONLY
Application ID

To consolidate two Gulf of Mexico Reef Fish Permits into one:
1) Enter the permit number of the permit you will retain as Permit 1, e.g. RR-311.
2) Enter the permit number of the permit you will not retain as Permit 2., e.g. RR-420.
3) Sign the form. Note: The owner(s) of both permits must be exactly the same, and all owners must sign this form.
4) Mail or deliver the signed form AND the original permits to be consolidated to the NMFS Permit Office.
To consolidate more than one Gulf of Mexico Reef Fish Permit - complete, sign, and submit this form for each individual permit to be
consolidated.

SECTION 1 - PERMIT DESIGNATION
Permit 1 - the permit you want to keep

Permit 2 - the permit you want to consolidate

SECTION 2 - SIGNATURE - REQUIRED
The undersigned hereby acknowledges that by consolidating Permit 2 into Permit 1, all landings associated with Permit 2 will be
associated with Permit 1 from this point forward. This action cannot be undone - Permit 2 may never be restored.
The undersigned also certifies under penalty of perjury that the foregoing information is true and correct (28 USC 1746; 18 USC 1621;
18 USC 1001, 16 USC 1857).
If the permit holder is a company, an officer or share holder authorized to represent the permit holder, he/she must sign the form, and
indicate their position in the company.
Applicant Signature(s)

Date

Print Name
Position(s) in Company

Public reporting burden for this collection of information is estimated to average 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. Send comments regarding this burden estimate or any
other suggestions for reducing this burden to: PRA Officer, National Marine Fisheries Service, F/SER26, 263 13th Avenue South, St. Petersburg, FL 33701.
The National Marine Fisheries Service requires this information for the conservation and management of marine fishery resources. The data reported will be used to develop,
implement, and monitor fishery management activities for a variety of other uses. Responses to this collection are required to obtain or retain a fisheries permit under the
Magnuson - Stevens Act. Name and address information will be released via a NOAA website. All other data submitted will be handled as confidential material in accordance
with NOAA Administrative Order 216-100, Protection of Confidential Fishery Statistics. Notwithstanding any other provisions of the law, no person is required to respond to,
nor shall any person be subjected 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.
For Privacy Act information related to SERO Permits and Permit Applications go to https://go.usa.gov/xp82E.

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RRC2019.4P; Last Form Revision: 11/15/2019