Quota Spring Turkey Application Worksheet

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1 1. Please print your Customer ID or driver license number or social security number AND date of birth. Customer ID No. Or Driver License No. Or Social Security No. AND Date of Birth 2. Please print your name. MM / DD / YYYY APPLICATION PERIODS All periods begin at 10:00 a.m. Eastern time and end at 11:59 p.m. Eastern time Phase I November 01, November 30, 2017 Phase II December 04, December 14, 2017 Phase III December 18, April 22, 2018 First Middle Last 3. If exempt from purchasing a Management Area Permit, please indicate the exemption that you qualify for: Florida Resident no-cost Fishing/ing Certificate: D Exp Date: Florida Resident Age 65 or older Youth Under Please indicate your 4-digit hunt choice(s) (# that appears to the left of each hunt) in the boxes provided. 1st Choice 2nd Choice 3rd Choice 4th Choice 5th Choice 5. You can apply online at (choose 'Apply for Limited Entry/Quota Permits') or you can complete this form and present it to any license agent or tax collector office and they will submit your application for you. Submitting false information or using another person s identity without their consent is considered identity theft and may result in felony charges and the loss of hunting privileges. The Florida Fish and Wildlife Conservation Commission (FWC) collects social security numbers (SSN) for the issuance of recreational and professional fishing or hunting licenses or permits to an individual in accordance with chapter 379 F.S. and 42 USC 666 for the purposes of administration of the Title IV-D program for child support enforcement, use by the Commission, and as otherwise provided by law. FOR AGENT USE ONLY To Submit an Application: INSTRUCTIONS FOR TAX COLLECTOR OFFICES AND LICENSE AGENTS In RLIS, navigate to the Customer Lookup Screen and enter the customer s date of birth and customer ID number, Florida Driver s License number, or the last four digits of the customer s Social Security and last name. Under the Customer s Detail section, select Apply for Limited Entry/Quota. Choose the appropriate application and proceed through with prompts according to the customer's requests. Verify all permit choice information before submitting, and print document receipt for the customer.

2 Northwest Region 3001 Apalachee Zones B and C 03/17/ /18/ Apalachee Zones B and C 03/23/ /25/ Apalachee Zones B and C 03/30/ /01/ Apalachee Zones B and C 04/06/ /08/ Apalachee Zones B and C 04/13/ /15/ Apalachee Zones B and C 04/20/ /22/ Apalachicola Bradwell Unit 03/17/ /18/ Apalachicola Bradwell Unit 03/30/ /01/ Beaverdam Creek 03/17/ /20/ Beaverdam Creek 03/28/ /01/ Blackwater Hutton Unit 03/17/ /19/ Blackwater Hutton Unit 03/30/ /01/ Blackwater Hutton Unit 04/13/ /15/ Box R 03/17/ /20/ Box R 03/29/ /01/ Box R 04/12/ /15/ Chipola River Altha Tract 03/17/ /19/ Chipola River Altha Tract 03/30/ /01/ Chipola River Altha Tract 04/13/ /15/ Choctawhatchee River North 03/17/ /19/ Choctawhatchee River North 03/30/ /01/ Econfina Creek 03/17/ /25/ Econfina Creek Cat Creek Area 03/17/ /19/ Econfina Creek Cat Creek Area 03/30/ /01/ Econfina Creek Cat Creek Area 04/13/ /15/ Econfina Creek Fitzhugh Carter Area 03/17/ /19/ Econfina Creek Fitzhugh Carter Area 03/30/ /01/ Econfina Creek Fitzhugh Carter Area 04/13/ /15/ Escribano Point 03/17/ /19/ Escribano Point 03/30/ /01/ Escribano Point 04/06/ /08/ Escribano Point 04/20/ /22/ Joe Budd 03/17/ /18/ Joe Budd 03/24/ /25/ Joe Budd 03/31/ /01/ Joe Budd 04/07/ /08/ Joe Budd 04/14/ /15/ Joe Budd 04/21/ /22/ L. Kirk Edwards 03/17/ /19/ L. Kirk Edwards 03/30/ /01/ L. Kirk Edwards 04/13/ /15/ Lafayette Creek 03/17/ /19/2018 5

3 3167 Lafayette Creek 03/23/ /25/ Lafayette Creek 03/30/ /01/ Lafayette Creek 04/06/ /08/ Lafayette Creek 04/13/ /15/ Lafayette Creek 04/20/ /22/ Perdido River 03/17/ /25/ Perdido River 03/26/ /08/ Tate's Hell 03/17/ /22/ Tate's Hell Womack Creek Unit 03/17/ /20/ Tate's Hell Womack Creek Unit 03/29/ /01/ Tate's Hell Womack Creek Unit 04/05/ /08/ Wakulla 03/17/ /18/ Wakulla 03/24/ /25/ Wakulla 03/31/ /01/ Wakulla 04/07/ /08/ Wakulla 04/14/ /15/ Wakulla 04/21/ /22/ North Central Region 3031 Andrews 03/23/ /26/ Andrews 04/13/ /15/ Bayard 03/17/ /19/ Bayard 03/30/ /01/ Bayard 04/13/ /15/ Belmore 03/17/ /19/ Belmore 03/23/ /25/ Belmore 03/30/ /01/ Big Bend Snipe Island Unit 03/17/ /25/ Big Bend Snipe Island Unit 03/26/ /01/ Big Shoals 03/22/ /24/ Big Shoals 04/12/ /14/ Camp Blanding 03/19/ /25/ Camp Blanding 03/31/ /06/ Cary 03/17/ /19/ Cary 03/23/ /25/ Cary 03/30/ /01/ Citrus 03/20/ /23/ Citrus 04/03/ /06/ Citrus 04/17/ /20/ Cypress Creek 03/17/ /25/ Devil's Hammock 03/17/ /20/ Devil's Hammock 03/21/ /25/

4 3045 Flying Eagle 03/17/ /20/ Flying Eagle 03/23/ /27/ Fort White 03/17/ /21/ Fort White 03/24/ /28/ Four Creeks 03/17/ /19/ Four Creeks 03/23/ /25/ Four Creeks 03/30/ /01/ Goethe 03/17/ /23/ Goethe 03/24/ /01/ Goethe 04/02/ /08/ Hatchet Creek 03/17/ /19/ Hatchet Creek 03/23/ /25/ Hatchet Creek 03/30/ /01/ Holton Creek - Mobility Impaired 03/23/ /25/ Holton Creek - Mobility Impaired 04/13/ /15/ Jennings Forest 03/17/ /19/ Jennings Forest 03/20/ /22/ Jennings Forest 03/23/ /25/ Lafayette Forest 03/17/ /19/ Lafayette Forest 03/23/ /25/ Little River 03/17/ /19/ Little River 03/30/ /01/ Middle Aucilla 03/17/ /22/ Potts 03/17/ /20/ Potts 03/23/ /27/ Raiford 03/17/ /25/ Ralph E. Simmons 03/17/ /19/ Ralph E. Simmons 03/30/ /01/ Ralph E. Simmons 04/13/ /15/ Steinhatchee Springs 03/17/ /20/ Steinhatchee Springs 03/21/ /25/ Suwannee Ridge - Mobility Impaired 03/23/ /25/ Suwannee Ridge - Mobility Impaired 04/13/ /15/ Thomas Creek Kings Road Unit 03/17/ /19/ Thomas Creek Kings Road Unit 03/26/ /28/ Thomas Creek Kings Road Unit 04/02/ /04/ Twin Rivers 03/23/ /25/ Twin Rivers 04/13/ /15/ Northeast Region 3065 Buck Lake 03/17/ /20/ Buck Lake 03/22/ /26/

5 3067 Caravelle Ranch 03/17/ /20/ Caravelle Ranch 03/21/ /25/ Charles H. Bronson 03/17/ /20/ Charles H. Bronson 03/23/ /26/ Charles H. Bronson 03/30/ /02/ Dunns Creek 03/17/ /19/ Dunns Creek 03/30/ /01/ Dunns Creek 04/13/ /15/ Etoniah Creek 03/17/ /20/ Etoniah Creek 03/23/ /26/ Etoniah Creek 03/30/ /01/ Gores Landing 03/17/ /20/ Gores Landing 03/21/ /25/ Guana River 03/23/ /25/ Guana River 03/30/ /01/ Half Moon 03/17/ /19/ Half Moon 03/23/ /25/ Half Moon 03/30/ /01/ Lake George 03/17/ /20/ Lake George 03/29/ /01/ Lake George 04/12/ /15/ Little Big Econ 03/17/ /20/ Little Big Econ 03/22/ /25/ Little Big Econ 03/29/ /01/ Marshall Swamp 03/17/ /19/ Marshall Swamp 03/23/ /25/ Marshall Swamp 03/30/ /01/ Matanzas 03/17/ /20/ Matanzas 03/29/ /01/ Matanzas 04/05/ /08/ Ocala Church Lake Unit 03/22/ /25/ Ocala Church Lake Unit 03/29/ /01/ Ocala Church Lake Unit 04/05/ /08/ Ocala Church Lake Unit 04/12/ /15/ Ocala Hopkins Prairie 03/22/ /25/ Ocala Hopkins Prairie 03/29/ /01/ Ocala Hopkins Prairie 04/05/ /08/ Ocala Hopkins Prairie 04/12/ /15/ Ocala Lake Delancy 03/22/ /25/ Ocala Lake Delancy 03/29/ /01/ Ocala Lake Delancy 04/05/ /08/ Ocala Lake Delancy 04/12/ /15/ Ocala Pipeline Unit 03/22/ /25/

6 3096 Ocala Pipeline Unit 03/29/ /01/ Ocala Pipeline Unit 04/05/ /08/ Ocala Pipeline Unit 04/12/ /15/ Richloam 03/17/ /25/ Richloam Baird Unit 03/17/ /19/ Richloam Baird Unit 03/23/ /25/ Richloam Baird Unit 03/30/ /01/ Ross Prairie 03/23/ /25/ Salt Lake 03/17/ /20/ Salt Lake 03/21/ /25/ Seminole Forest 03/17/ /21/ Seminole Forest 03/24/ /28/ Seminole Forest Lake Tracy Unit 03/17/ /19/ Seminole Forest Lake Tracy Unit 03/23/ /25/ Seminole Ranch 03/17/ /19/ Seminole Ranch 03/23/ /25/ Seminole Ranch 03/30/ /01/ Three Lakes Prairie Lakes Unit 03/17/ /19/ Three Lakes Prairie Lakes Unit 03/30/ /01/ Three Lakes Prairie Lakes Unit 04/13/ /15/ Tiger Bay 03/17/ /20/ Tiger Bay 03/29/ /02/ Tiger Bay 04/12/ /15/ Tiger Bay Rima Ridge Unit 03/17/ /19/ Tiger Bay Rima Ridge Unit 03/30/ /01/ Tiger Bay Rima Ridge Unit 04/13/ /15/ Tosohatchee 03/17/ /19/ Tosohatchee 03/30/ /01/ Tosohatchee 04/13/ /15/

7 Southwest Region 3237 Arbuckle 03/20/ /22/ Arbuckle 04/03/ /05/ Babcock Ranch Preserve 03/03/ /05/ Babcock Ranch Preserve 03/10/ /12/ Chassahowitzka 03/23/ /25/ Chassahowitzka 04/06/ /08/ Chassahowitzka 04/20/ /22/ Croom 03/20/ /22/ Croom 04/03/ /05/ Croom 04/17/ /19/ Green Swamp 03/17/ /18/ Hickory Hammock 03/22/ /24/ Hickory Hammock 04/12/ /14/ Hilochee 03/23/ /25/ Hilochee 04/06/ /08/ Hilochee Osprey Unit 04/13/ /15/ Hilochee Osprey Unit 04/20/ /22/ KICCO 03/17/ /18/ KICCO 03/24/ /25/ KICCO 03/31/ /01/ KICCO 04/07/ /08/ KICCO 04/14/ /15/ Lake Marion Creek 03/17/ /19/ Lake Marion Creek 03/30/ /01/ Lake Marion Creek 04/13/ /15/ Lake Wales Ridge Royce Unit 03/17/ /19/ Lake Wales Ridge Royce Unit 03/30/ /01/ Walk In The Water 03/27/ /29/2018 5

8 South Region 3184 Allapattah Flats 03/03/ /06/ Allapattah Flats 03/07/ /11/ Big Cypress Addition Unit 03/03/ /08/ CREW Corkscrew Marsh 03/03/ /06/ CREW Corkscrew Marsh 03/07/ /11/ CREW Flint Pen/Rookery Swamp Units 03/03/ /06/ CREW Flint Pen/Rookery Swamp Units 03/07/ /11/ Dinner Island Ranch 03/03/ /05/ Dinner Island Ranch 03/10/ /12/ Dinner Island Ranch 03/31/ /02/ Dupuis WEA 03/06/ /08/ Dupuis WEA 03/16/ /18/ Dupuis WEA 03/23/ /25/ Fisheating Creek West 03/03/ /06/ Fisheating Creek West 03/09/ /12/ Fisheating Creek West 03/16/ /19/ Fisheating Creek West 03/23/ /26/ Fisheating Creek West 03/30/ /02/ Okaloacoochee Slough 03/03/ /06/ Okaloacoochee Slough 03/07/ /11/ Picayune Strand 03/03/ /06/ Picayune Strand 03/07/ /11/ Spirit Of The Wild 03/03/ /05/ Spirit Of The Wild 03/10/ /12/ Spirit Of The Wild 03/31/ /02/ Exempt hunts on this worksheet are NOT indicated in bold print. If you are an exempt hunter and apply for an exempt hunt (either by accident, or as a group member), and are successful, you will not be issued a quota permit and cannot have a guest hunter. The hunts indicated in bold print on this application worksheet have no exemptions and all hunters must have a quota permit, or be the guest of a quota permit holder, to participate in those hunts.

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