2019 Lobster Trap Tag Order Form

National Marine Fisheries Service
2019 Lobster Trap Tag Order Form
Do NOT use this form if the address listed on your Federal lobster permit is in Connecticut,
Massachusetts, New Hampshire, or Rhode Island; or if you possess a State of Maine lobster
license; or if you possess a New York lobster license and you elected Area 6 only. If any of
these conditions apply to you, you must purchase your trap tags through your state
1. If you are not required to purchase trap tags through your state agency, and you have a valid
2018 Federal lobster trap permit, complete Parts A, B, and C of this form.
2. Send this completed form and payment to:
Cambridge Security Seals
One Cambridge Plaza
Pomona, NY 10970

You may also send completed forms authorizing credit card payment via fax (845-290-0676) or
email: [email protected] Cambridge Seals can be contacted at 845-520-4111 x117.
3. Make a copy of this blank form for use when placing subsequent trap tag orders.

A

PLEASE PRINT

Name

P.O. Box /
Street
City/State/Zip
Telephone Number

(

)

Vessel Name

Federal Permit #

Vessel Documentation # or State Registration #

B

PLEASE INDICATE BELOW THE NUMBER OF TRAP TAGS YOU WISH TO PURCHASE:

Note: The lobster management areas that appear on your trap tags will be consistent with those on your
2018 Federal lobster permit. The number of trap tags you may order is equal to the trap allocation indicated
on your 2018 Federal permit, plus an additional 10 percent.

Total Number of Federal Trap Tags Requested:

Method of payment:
CARD NUMBER

Amex

Visa

X $0.14 per tag = $

.

Total Amount Enclosed = $

.

MasterCard

Certified Check/Money Order

____/____/____/____

EXP

_ _ /_ _

Please make cashier’s checks or money orders payable to: Cambridge Security Seals.
No cash, personal or corporate checks will be accepted.

If tax exempt, please complete and return a tax exemption form for your state of residence.
Orders received without a tax exemption certificate, or applicable sales tax, will not be processed.

C

Signature

Date

I certify that the information provided on this form is true, complete and correct to the best of my knowledge, and made in good faith.
Making a false statement on this form is punishable by law (18 U.S.C. 1001). Forms that are not signed and dated will not be
processed. OMB Control No. 0648-0202
Expiration Date: 8/31/2019

The collection of this information is authorized under the Magnuson-Stevens Fishery
Conservation and Management Act (16 U.S.C. 1801 et. seq.). The information will be
used to manage the American lobster fishery. One of the regulatory steps taken by us is
to carry out its conservation and management objectives in limiting fishing vessel effort.
The purpose and use of the lobster trap tagging program is to provide identification of trap
ownership, and to limit the number of traps for those vessels that fish traps by issuing
lobster trap tags, with a maximum number of tags for each vessel. This assures
consistency throughout the fleet of affected vessels. In addition, it allows us to determine
the number of traps in use in the fishery to better monitor fishing effort in the future.
The public reporting burden for the collection of information is estimated at 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. The public burden for using this form to order additional trap tags is
estimated at 2 minutes. Send your comments regarding this burden estimate or any
other aspect of this collection of information, including suggestions for reducing this
burden, to Kim Damon-Randall, Deputy Regional Administrator, Greater Atlantic Region,
NMFS, 55 Great Republic Drive, Gloucester, MA 01930-2298.
In spite of any other provision of law, no one is required to respond to, or be subject to,
the requirements of the Paperwork Reduction Act, unless that collection of information
displays a currently valid Office of Management and Budget Control Number.