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Microsoft Word - Final HMS CES No Fishing for HMS Form 2Jul13

ICR 202607-0648-007 · OMB 0648-0371 · Object 170876400.

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application/pdf
Microsoft Word - Final HMS CES No Fishing for HMS Form 2Jul13
dschreiber
PScript5.dll Version 5.2.2
2026-07-08
2013-07-02
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OMB 0648‐0371 Exp. XX/XX/20XX

NO FISHING FOR HIGHLY MIGRATORY SPECIES (HMS) REPORTING FORM
HMS Permit #

Vessel Name: ______________________________________
M

M

D

D

/

During the entire week of

M M

D

D

/

to

, year

this vessel

DID NOT FOR‐HIRE FISH for Atlantic HMS (tuna, billfish, shark, or swordfish).
Please check the box below and provide the date the vessel will resume for‐hire HMS fishing activity, if the
vessel is currently inactive (e.g. due to repair, out‐of‐season, etc.) M M
D D

/

This vessel WILL NOT FOR‐HIRE FISH for HMS until
Phone: (

Signature: __________________________

, year

) _________ ‐ ___________

Please keep the yellow copy for your records and mail the white copy to: QuanTech, Inc., 2020 14th Street North, Suite 560, Arlington, VA 22201
OMB 0648‐0371 Exp. XX/XX/20XX

NO FISHING FOR HIGHLY MIGRATORY SPECIES (HMS) REPORTING FORM
HMS Permit #

Vessel Name: ______________________________________
M

M

D

D

/

During the entire week of

M M

D

D

/

to

, year

this vessel

DID NOT FOR‐HIRE FISH for Atlantic HMS (tuna, billfish, shark, or swordfish).
Please check the box below and provide the date the vessel will resume for‐hire HMS fishing activity, if the
vessel is currently inactive (e.g. due to repair, out‐of‐season, etc.) M M
D D

/

This vessel WILL NOT FOR‐HIRE FISH for HMS until
Phone: (

Signature: __________________________

, year

) _________ ‐ ___________

Please keep the yellow copy for your records and mail the white copy to: QuanTech, Inc., 2020 14th Street North, Suite 560, Arlington, VA 22201
OMB 0648‐0371 Exp. XX/XX/20XX

NO FISHING FOR HIGHLY MIGRATORY SPECIES (HMS) REPORTING FORM
HMS Permit #

Vessel Name: ______________________________________
M

During the entire week of

M

D

/

D

M M

to

D

/

D

, year

this vessel

DID NOT FOR‐HIRE FISH for Atlantic HMS (tuna, billfish, shark, or swordfish).
Please check the box below and provide the date the vessel will resume for‐hire HMS fishing activity, if the
vessel is currently inactive (e.g. due to repair, out‐of‐season, etc.) M M
D D
This vessel WILL NOT FOR‐HIRE FISH for HMS until
Signature: __________________________

Phone: (

/

, year

) _________ ‐ ___________

Please keep the yellow copy for your records and mail the white copy to: QuanTech, Inc., 2020 14th Street North, Suite 560, Arlington, VA 22201