Quota General Gun 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 May 15, June 15, 2017 Phase II June 23, July 03, 2017 Phase III July 06, February 07, 2018 First Middle Last 3. For Phase I applicants only, please check ONE of the following and provide group number if applicable. I am applying as an individual. I am applying as a group leader creating a group. I am applying as a group member joining a group. Group 4. For Phase I applicants - Do you want to be included in the antlerless deer permit drawing in September? Yes No 5. 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 7. 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. To Submit an Application: FOR AGENT USE ONLY 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 For more information on antlerless deer permits for public land hunts, please visit The most recent data for areas and hunts approved for antlerless deer permits is included. Northwest Region 1001 Apalachee Zone A 11/23/ /26/ Apalachee Zone A 12/09/ /17/ Apalachicola Bradwell Unit 11/23/ /26/ Apalachicola Bradwell Unit 12/09/ /13/ Aucilla (Excluding Pinhook Area) 11/04/ /12/ Aucilla Pinhook Area 11/04/ /10/ Aucilla Pinhook Area 11/11/ /17/ Aucilla Pinhook Area 11/18/ /26/ Blackwater - Dog Area 11/23/ /26/ Blackwater - Dog Area 12/16/ /31/ Blackwater - Dog Area 01/15/ /07/ Blackwater - Still Area 11/23/ /26/ Blackwater - Still Area 12/16/ /24/ Blackwater - Still Area 01/22/ /07/ Blackwater Hutton Unit 01/13/ /16/ Blackwater Hutton Unit 01/17/ /21/ Box R 11/23/ /26/ Box R 01/25/ /28/ Box R 01/11/ /14/ Box R 01/18/ /21/ Econfina Creek - Dog Area 11/23/ /26/ Econfina Creek - Dog Area 12/09/ /31/ Econfina Creek - Still Area 11/23/ /26/ Econfina Creek - Still Area 12/09/ /17/ Econfina Creek Cat Creek Area 11/23/ /26/ Econfina Creek Cat Creek Area 01/20/ /23/ Econfina Creek Cat Creek Area 01/24/ /28/ Econfina Creek Fitzhugh Carter 11/23/ /26/ Econfina Creek Fitzhugh Carter 01/20/ /23/ Econfina Creek Fitzhugh Carter 01/24/ /28/ Escribano Point 11/23/ /26/ Escribano Point 01/20/ /23/ Escribano Point 01/24/ /28/ Lafayette Creek 01/20/ /23/ Lafayette Creek 01/24/ /28/ Perdido River 01/13/ /19/ Perdido River 01/20/ /28/ Pine Log 11/23/ /26/ Pine Log 01/20/ /23/
3 1024 Pine Log 01/24/ /28/ Point Washington 11/23/ /26/ Point Washington 12/09/ /17/ Point Washington 01/15/ /31/ Talquin 11/24/ /26/ Talquin 12/09/ /10/ Tate's Hell - Dog Area 11/23/ /26/ Tate's Hell - Dog Area 12/09/ /17/ Tates Hell - Still Area 11/23/ /26/ Tates Hell - Still Area 12/09/ /17/ Tate's Hell Womack Creek - Dog 12/24/ /05/ Tate's Hell Womack Creek - Still 11/23/ /26/ Tate's Hell Womack Creek - Still 12/09/ /17/ North Central Region 1036 Andrews 11/17/ /19/ Belmore 11/09/ /12/ Belmore 11/22/ /26/ Big Bend Hickory Mound Unit 11/04/ /12/ Big Bend Jena Unit 11/04/ /12/ Big Bend Snipe Island Unit 11/04/ /12/ Big Bend Spring Creek Unit 11/04/ /12/ Camp Blanding - Still Area 1 11/20/ /23/ Camp Blanding - Still Area 1 11/24/ /28/ Camp Blanding - Dog Area 11/20/ /28/ Camp Blanding - Dog Area 12/23/ /31/ Camp Blanding - Still Area 2 11/20/ /23/ Camp Blanding - Still Area 2 11/24/ /28/ Cary 11/10/ /12/ Cary 11/17/ /19/ Cary 11/24/ /26/ Cedar Key Scrub 11/04/ /12/ Citrus 12/08/ /10/ Citrus 12/29/ /31/ Devil's Hammock 11/04/ /07/ Devil's Hammock 11/08/ /12/ Flying Eagle 11/04/ /07/ Flying Eagle 11/10/ /14/ Four Creeks 11/10/ /12/ Four Creeks 11/17/ /19/ Four Creeks 11/24/ /26/ Goethe - Dog Area 11/17/ /19/
4 1053 Goethe - Still Area 11/04/ /06/ Goethe - Dog Area 11/20/ /23/ Goethe - Still Area 11/07/ /09/ Goethe - Dog Area 11/24/ /27/ Goethe - Still Area 11/10/ /13/ Hatchet Creek 11/10/ /12/ Hatchet Creek 11/24/ /26/ Jennings Forest 11/06/ /09/ Jennings Forest 11/10/ /13/ Jennings Forest 11/14/ /17/ Jennings Forest 11/18/ /21/ Lochloosa 11/04/ /17/ Lochloosa 11/18/ /03/ Lochloosa 12/04/ /31/ Mallory Swamp - Dog Area 11/11/ /19/ Mallory Swamp - Still Area 11/11/ /19/ Middle Aucilla 11/04/ /30/ Middle Aucilla 12/01/ /31/ Osceola - Dog Area 11/11/ /19/ Ralph E. Simmons 11/18/ /26/ Steinhatchee Springs 11/04/ /12/ Thomas Creek Kings Road Unit 11/17/ /19/ Thomas Creek Kings Road Unit 11/24/ /26/ Twin Rivers 11/06/ /12/ Twin Rivers 11/13/ /19/ Northeast Region 1069 Buck Lake 11/11/ /14/ Buck Lake 11/16/ /20/ Caravelle Ranch 11/11/ /14/ Caravelle Ranch 11/15/ /19/ Charles H Bronson 11/10/ /12/ Charles H Bronson 11/17/ /19/ Charles H Bronson 12/01/ /03/ Dunns Creek 12/07/ /10/ Etoniah Creek 11/09/ /12/ Etoniah Creek 11/16/ /19/ Etoniah Creek 11/23/ /26/ Gores Landing 11/11/ /19/ Guana River 11/17/ /19/ Guana River 11/24/ /26/ Half Moon 11/11/ /13/
5 1084 Half Moon 11/17/ /19/ Herky Huffman/Bull Creek 11/04/ /05/ Jumper Creek 11/04/ /12/ Lake George 11/11/ /14/ Lake George 11/15/ /19/ Lake George Dexter/Mary Farms Unit 11/11/ /19/ Little Big Econ 11/17/ /19/ Little Big Econ 11/24/ /26/ Little Big Econ 12/01/ /03/ Marshall Swamp 11/17/ /19/ Marshall Swamp 11/24/ /26/ Marshall Swamp 12/01/ /03/ Matanzas 11/13/ /19/ Ocala Church Lake - Dog 11/11/ /19/ Ocala Church Lake - Still 11/25/ /03/ Ocala Pipeline Unit 11/11/ /07/ Richloam 11/18/ /26/ Richloam Baird Unit 01/15/ /18/ Richloam Baird Unit 01/19/ /23/ Rock Springs Run 11/10/ /12/ Rock Springs Run 11/17/ /19/ Salt Lake 11/11/ /14/ Salt Lake 11/15/ /19/ Seminole Forest 12/02/ /05/ Seminole Forest 12/06/ /10/ Seminole Forest Lake Tracy Unit 11/09/ /12/ Seminole Ranch 11/17/ /19/ Three Lakes 11/04/ /05/ Three Lakes - Dog 12/07/ /10/ Three Lakes - Dog 12/28/ /31/ Three Lakes Prairie Lakes Unit 11/17/ /19/ Three Lakes Prairie Lakes Unit 11/24/ /26/ Tiger Bay 11/04/ /12/ Tiger Bay Rima Ridge Unit 11/11/ /19/ Tosohatchee 11/16/ /19/ Tosohatchee 11/24/ /26/
6 Southwest Region 1237 Babcock Ranch Preserve 09/22/ /24/ Babcock Ranch Preserve 09/29/ /01/ Babcock Ranch Preserve 12/08/ /10/ Babcock/Webb 11/04/ /12/ Babcock/Webb Yucca Pens Unit 10/28/ /05/ Chassahowitzka 11/04/ /12/ Croom 11/04/ /12/ Green Swamp 12/02/ /05/ Green Swamp 12/06/ /10/ Hickory Hammock 11/04/ /06/ Lake Marion Creek 01/19/ /21/ Lake Marion Creek 02/02/ /04/ Lake Wales Ridge Royce Unit 11/17/ /19/ South Region 1210 Allapattah Flats 11/04/ /08/ Big Cypress Bear Island Unit 11/11/ /19/ Big Cypress Turner River Unit 11/11/ /19/ Big Cypress Addition Unit 11/11/ /01/ CREW Flint Pen/Rookery Swamp Units 11/18/ /26/ Dinner Island Ranch 09/16/ /18/ Dinner Island Ranch 09/22/ /24/ Dinner Island Ranch 09/29/ /01/ Dupuis WEA 11/03/ /05/ Dupuis WEA 11/10/ /12/ Fisheating Creek West 09/29/ /01/ Fisheating Creek West 10/13/ /15/ Jones/Hungryland 10/28/ /30/ Jones/Hungryland 11/04/ /06/ Jones/Hungryland 11/11/ /13/ Okaloacoochee Slough 09/23/ /26/ Okaloacoochee Slough 09/27/ /01/ Picayune Strand 10/07/ /10/ Picayune Strand 10/11/ /15/ Picayune Strand 10/16/ /22/ Spirit Of The Wild 09/16/ /18/ Spirit Of The Wild 09/22/ /24/ Spirit Of The Wild 09/29/ /01/
7 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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