Quota Archery Application Worksheet
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- Corey Nicholson
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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, 2018 Phase II June 22, July 02, 2018 Phase III July 05, February 15, 2019 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 2001 Apalachicola Bradwell Unit 10/20/ /26/ Apalachicola Bradwell Unit 10/28/ /05/ Aucilla Pinhook Area 09/15/ /23/ Aucilla Pinhook Area 10/06/ /14/ Blackwater Hutton Unit 10/20/ /23/ Blackwater Hutton Unit 10/24/ /28/ Box R 10/20/ /26/ Box R 10/27/ /04/ Chipola River Altha Tract 10/20/ /26/ Chipola River Altha Tract 10/27/ /04/ Econfina Creek Cat Creek Area 10/20/ /26/ Econfina Creek Cat Creek Area 10/27/ /04/ Econfina Creek Fitzhugh Carter Area 10/20/ /26/ Econfina Creek Fitzhugh Carter Area 10/27/ /04/ Escribano Point 10/20/ /26/ Escribano Point 10/27/ /04/ Joe Budd 12/07/ /09/ Joe Budd 12/14/ /16/ Joe Budd 12/21/ /23/ Joe Budd 12/28/ /30/ Joe Budd 01/04/ /06/ L Kirk Edwards East 09/27/ /30/ L Kirk Edwards East 10/11/ /14/ L Kirk Edwards East 10/25/ /28/ Lafayette Creek 10/20/ /26/ Lafayette Creek 10/27/ /04/ Perdido River 10/20/ /18/ Plank Road 09/28/ /30/ Plank Road 10/05/ /07/ Plank Road 10/12/ /14/ Plank Road 10/19/ /21/ Tate's Hell Womack Creek Unit 10/20/ /28/ Wakulla 10/13/ /15/ Wakulla 10/19/ /21/ Wakulla 10/26/ /28/ Wakulla 11/02/ /04/ Wakulla 11/09/ /11/ North Central Region
3 2034 Andrews 09/21/ /23/ Andrews 09/28/ /30/ Bayard 09/22/ /07/ Bayard 11/10/ /18/ Belmore 09/21/ /23/ Belmore 09/28/ /30/ Belmore 10/05/ /07/ Big Bend Snipe Island Unit 09/22/ /30/ Big Shoals 09/24/ /29/ Big Shoals 10/01/ /06/ Big Shoals 10/08/ /13/ Cary 09/21/ /23/ Cary 09/28/ /30/ Cary 10/05/ /07/ Citrus 11/03/ /11/ Citrus 11/12/ /18/ Citrus 11/19/ /25/ Cypress Creek 09/22/ /07/ Devil's Hammock 09/15/ /18/ Devil's Hammock 09/19/ /23/ Devil's Hammock 09/24/ /28/ Flying Eagle 09/29/ /02/ Flying Eagle 10/05/ /09/ Fort White 10/20/ /24/ Fort White 10/27/ /31/ Fort White 11/10/ /14/ Four Creeks 09/21/ /23/ Four Creeks 09/28/ /30/ Four Creeks 10/05/ /07/ Hatchet Creek 09/21/ /23/ Hatchet Creek 09/28/ /30/ Hatchet Creek 10/05/ /07/ Homosassa 10/11/ /14/ Homosassa 10/25/ /28/ Homosassa 11/01/ /04/ Jennings Forest 09/22/ /25/ Jennings Forest 09/26/ /29/ Jennings Forest 09/30/ /03/ Jennings Forest 10/04/ /07/ Lafayette Forest 09/22/ /26/ Lafayette Forest 09/28/ /02/ Lafayette Forest 10/05/ /09/ Little River 09/22/ /24/ Little River 09/29/ /01/
4 2080 Little River 10/06/ /08/ Middle Aucilla 09/15/ /14/ Ralph E. Simmons 09/15/ /23/ Thomas Creek Kings Road Unit 09/22/ /24/ Thomas Creek Kings Road Unit 10/01/ /03/ Thomas Creek Kings Road Unit 10/08/ /10/ Twin Rivers 09/22/ /28/ Twin Rivers 09/29/ /07/ Northeast Region 2095 Buck Lake 09/22/ /30/ Buck Lake 10/06/ /12/ Caravelle Ranch North 09/22/ /30/ Caravelle Ranch South 09/22/ /30/ Charles H Bronson 09/28/ /04/ Charles H Bronson 10/05/ /11/ Charles H Bronson 10/12/ /20/ Dunns Creek 09/22/ /07/ Dunns Creek 11/17/ /25/ Etoniah Creek 09/22/ /07/ Gores Landing 09/22/ /07/ Guana River 10/05/ /07/ Guana River 10/12/ /14/ Half Moon 10/05/ /07/ Half Moon 10/12/ /14/ Herky Huffman/Bull Creek 09/15/ /16/ Lake George Dexter/Mary Farms Unit 09/22/ /07/ Little Big Econ 09/28/ /04/ Little Big Econ 10/05/ /11/ Little Big Econ 10/12/ /20/ Marshall Swamp 09/15/ /21/ Marshall Swamp 09/22/ /28/ Marshall Swamp 09/29/ /05/ Marshall Swamp 10/06/ /12/ Marshall Swamp 10/13/ /21/ Matanzas 09/22/ /28/ Matanzas 09/29/ /07/ Richloam Baird Unit 10/27/ /30/ Richloam Baird Unit 10/31/ /04/ Richloam Baird Unit 11/05/ /11/ Rock Springs Run 09/28/ /30/ Rock Springs Run 10/05/ /07/
5 2309 Ross Prairie 09/21/ /23/ Salt Lake 09/22/ /30/ Salt Lake 10/01/ /07/ Seminole Forest 09/22/ /25/ Seminole Forest 09/26/ /30/ Seminole Forest Lake Tracy Unit 09/20/ /23/ Seminole Forest Lake Tracy Unit 09/27/ /30/ Seminole Ranch 10/05/ /07/ Seminole Ranch 10/12/ /14/ Three Lakes 09/15/ /16/ Three Lakes Prairie Lakes Unit 09/28/ /30/ Three Lakes Prairie Lakes Unit 10/05/ /07/ Tiger Bay Rima Ridge Unit 09/22/ /07/ Tosohatchee 10/04/ /07/ Tosohatchee 10/11/ /14/
6 Southwest Region 2159 Arbuckle 10/13/ /14/ Arbuckle 10/20/ /21/ Arbuckle 10/27/ /28/ Babcock Ranch Preserve 07/28/ /31/ Babcock Ranch Preserve 08/04/ /07/ Babcock/Webb 09/08/ /12/ Chassahowitzka 09/15/ /23/ Everglades Headwaters Hatchineha Unit 10/13/ /19/ Everglades Headwaters Hatchineha Unit 11/03/ /11/ Hickory Hammock 10/12/ /14/ Hilochee 02/08/ /10/ Hilochee Osprey Unit 02/08/ /10/ KICCO 09/15/ /16/ KICCO 09/22/ /23/ KICCO 09/29/ /30/ KICCO 10/06/ /07/ KICCO 10/13/ /14/ Lake Marion Creek 10/13/ /15/ Lake Marion Creek 10/19/ /21/ Lake Wales Ridge Royce Unit 09/21/ /23/ Lake Wales Ridge Royce Unit 10/12/ /14/ Upper Hillsborough 12/01/ /02/ Upper Hillsborough 12/08/ /09/ Upper Hillsborough 12/29/ /30/ Upper Hillsborough 01/05/ /06/ Walk In The Water 09/29/ /30/ Walk In The Water 10/01/ /04/ Walk In The Water 10/05/ /07/ Walk In The Water 10/08/ /11/ Walk In The Water 10/12/ /14/ Weekiwachee 10/13/ /18/ Weekiwachee 11/10/ /15/ Weekiwachee 12/08/ /13/ Weekiwachee 01/12/ /17/ Weekiwachee 02/09/ /14/
7 South Region 2248 Allapattah Flats 09/08/ /11/ Allapattah Flats 09/15/ /18/ Allapattah Flats 09/22/ /25/ Allapattah Flats 09/29/ /02/ Big Cypress Addition Unit 09/01/ /30/ CREW Corkscrew Marsh Unit Hog 08/04/ /12/ CREW Flint Pen/ Rockery Swamp Units 08/04/ /12/ Dinner Island Ranch 08/03/ /06/ Dinner Island Ranch 08/10/ /13/ Dinner Island Ranch 08/17/ /20/ Dinner Island Ranch 08/24/ /27/ Dupuis WEA 09/07/ /09/ Dupuis WEA 09/14/ /16/ Dupuis WEA 09/21/ /23/ Fisheating Creek West 08/17/ /19/ Fisheating Creek West 08/24/ /26/ Jones/Hungryland 09/08/ /11/ Jones/Hungryland 09/15/ /18/ Jones/Hungryland 09/22/ /25/ Jones/Hungryland 09/29/ /02/ Okaloacoochee Slough 08/04/ /10/ Okaloacoochee Slough 08/11/ /19/ Spirit Of The Wild 08/03/ /06/ Spirit Of The Wild 08/10/ /13/ Spirit Of The Wild 08/17/ /20/ Spirit Of The Wild 08/24/ /27/ 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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