Data release form

NOAA Fisheries Alaska Marine Mammal Observer Program

DATA RELEASE FORM FOR COPIES OF TRIPS

• The only individuals who may request and receive copies of completed AMMOP data forms are ADFG fishing permit holders who participated in the fishery monitored by the NOAA/National Marine Fisheries Service/Alaska Marine Mammal Observer Program. A permit holder may only request and receive data completed of observation of that permit holder’s fishing operations.

• Any request for copies of completed observer forms must be submitted in writing on an AMMOP Data Release Request Form (see reverse side), which may be obtained from a NMFS observer or the address below. All signed and completed requests must be sent to the following address:

Program Coordinator, Alaska Marine Mammal Observer Program

National Marine Fisheries Service

Office of Protected Resources

P.O. Box 21668, Room 461

Juneau, Alaska 99802

• Upon release of the requested data, the permit holder becomes responsible for it.

• All requests must be completed in pen.

***SEE FORM ON REVERSE SIDE***

DATA RELEASE REQUEST

_______________________

(Date of Request)

Program Coordinator, Alaska Marine Mammal Observer Program

National Marine Fisheries Service

Office of Protected Resources

P.O. Box 21668, Room 461

Juneau, Alaska 99802

Dear AMMOP Coordinator:

I am a permit holder in the State of Alaska - Southeast Alaska salmon drift gillnet fishery and request the release to myself a copy of all data collected and recorded by an observer from the NOAA/National Marine Fisheries Service- Alaska Marine Mammal Observer Program of my fishing operations on the following date(s):

__________________________________________________________________________

(MMDDYY - please list each date separately, separated by commas)

I understand that I am responsible for these data upon release to me by NOAA/ National Marine Fisheries Service. I further understand that the data I receive may be preliminary and not yet completely reviewed or finalized by the Alaska Marine Mammal Observer Program.

________________________________

(SIGNATURE)

________________________________

(PRINTED NAME)

________________________________

(FISHERY PERMIT #)

Address to which data should be sent:

____________________________________

Street/ PO Box

____________________________________

City, State, Zip

OFFICE USE ONLY:

Date requested data received/ issued ______________________

Signature of data releaser ________________________________________

FORM AMMOP 021-12