National Saltwater Angler Registry online application

National Saltwater Angler Registry and State Exemption Program

National Saltwater Angler Registry_angler registration form

OMB: 0648-0578

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National Saltwater Angler Registry

https://www.st.nmfs.noaa.gov/nnri/anglerForm.jsp

Individual Angler Registration Form
PLEASE NOTE: If you plan to fish in ANY state or U.S. territory EXCEPT Hawaii, Puerto Rico, or the
very likely that the state will require you to obtain a saltwater recreational fishing license or regis
activity, in which case you will be AUTOMATICALLY registered with the National Saltwater Angler
register here.

An individual angler registration covers only one angler. If you would like to register more than o
complete a separate registration for each angler.
* is required.

Angler Information
*First Name:

Middle Initial:

*Last Name:

Suffix:

*Date of Birth:

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

--Select--

(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

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 c
need to enter more than one address or register more than once if you own more than one home or fish in m
*Address Line 1:
(street number and street name, e.g. 123 Main St)
Address Line 2:

The system will attempt to s
address information. You m
confirm certain address info

(apt/floor/suite, e.g. Apt #123)
*City:
*State:

--Select--

*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 abo
Information obtained from these surveys is used to determine the health and sustainability of the fishery an
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
participate in an angler survey.
*Phone Number:

Phone Extension:

(no punctuation, e.g. 8005551212)
*Phone Type:

--Select--

Please indicate the time period during which you would like to be contacted to participate in a survey.
*Phone Time:

--Select--

Intended Fishing Location(s)

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National Saltwater Angler Registry

https://www.st.nmfs.noaa.gov/nnri/anglerForm.jsp

Please check the box to the left of each state in which you intend to fish during the next year. This informati
which surveys you are eligible for and will not restrict your ability to fish in other locations.
* You must check at least one Intended Fishing Location
Alaska:
Alaska
Atlantic:
Connecticut

Delaware

District of Columbia

Florida (East Coast)

Massachusetts

Maryland

Maine

North Carolina

New Jersey

New York

Pennsylvania

Rhode Island

Florida (West Coast)

Louisiana

Mississippi

Oregon

Washington

Guam

Northern Mariana
Islands

Virginia
Caribbean:
Puerto Rico

U.S. Virgin Islands

Gulf of Mexico:
Alabama
Hawaiian Islands:
Hawaii
Pacific:
California
Western Pacific:
American Samoa

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File Typeapplication/pdf
File TitleNational Saltwater Angler Registry
AuthorGordon.Colvin
File Modified2021-04-14
File Created2021-04-14

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