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, 2017 - June 15, 2017 Phase II June 23, 2017 - July 03, 2017 Phase III July 06, 2017 - 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 16 6. 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 http://gooutdoorsflorida.com (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.
For more information on antlerless deer permits for public land hunts, please visit http://myfwc.com/license/limited-entry-hunts/general-info/antlerless-deer/. The most recent data for areas and hunts approved for antlerless deer permits is included. Northwest Region 1001 Apalachee Zone A 11/23/2017 11/26/2017 200 1001 Apalachee Zone A 12/09/2017 12/17/2017 200 1002 Apalachicola Bradwell Unit 11/23/2017 11/26/2017 10 1003 Apalachicola Bradwell Unit 12/09/2017 12/13/2017 10 1004 Aucilla (Excluding Pinhook Area) 11/04/2017 11/12/2017 550 1251 Aucilla Pinhook Area 11/04/2017 11/10/2017 20 1252 Aucilla Pinhook Area 11/11/2017 11/17/2017 20 1253 Aucilla Pinhook Area 11/18/2017 11/26/2017 20 1005 Blackwater - Dog Area 11/23/2017 11/26/2017 400 1005 Blackwater - Dog Area 12/16/2017 12/31/2017 400 1006 Blackwater - Dog Area 01/15/2018 02/07/2018 400 1007 Blackwater - Still Area 11/23/2017 11/26/2017 1800 1007 Blackwater - Still Area 12/16/2017 12/24/2017 1800 1007 Blackwater - Still Area 01/22/2018 02/07/2018 1800 1008 Blackwater Hutton Unit 01/13/2018 01/16/2018 30 1009 Blackwater Hutton Unit 01/17/2018 01/21/2018 30 1010 Box R 11/23/2017 11/26/2017 30 1011 Box R 01/25/2018 01/28/2018 30 1012 Box R 01/11/2018 01/14/2018 30 1013 Box R 01/18/2018 01/21/2018 30 1014 Econfina Creek - Dog Area 11/23/2017 11/26/2017 80 1014 Econfina Creek - Dog Area 12/09/2017 01/31/2018 80 1015 Econfina Creek - Still Area 11/23/2017 11/26/2017 50 1015 Econfina Creek - Still Area 12/09/2017 12/17/2017 50 1016 Econfina Creek Cat Creek Area 11/23/2017 11/26/2017 30 1017 Econfina Creek Cat Creek Area 01/20/2018 01/23/2018 30 1018 Econfina Creek Cat Creek Area 01/24/2018 01/28/2018 30 1019 Econfina Creek Fitzhugh Carter 11/23/2017 11/26/2017 15 1020 Econfina Creek Fitzhugh Carter 01/20/2018 01/23/2018 15 1021 Econfina Creek Fitzhugh Carter 01/24/2018 01/28/2018 15 1033 Escribano Point 11/23/2017 11/26/2017 10 1034 Escribano Point 01/20/2018 01/23/2018 10 1035 Escribano Point 01/24/2018 01/28/2018 10 1197 Lafayette Creek 01/20/2018 01/23/2018 10 1198 Lafayette Creek 01/24/2018 01/28/2018 10 1207 Perdido River 01/13/2018 01/19/2018 40 1208 Perdido River 01/20/2018 01/28/2018 40 1022 Pine Log 11/23/2017 11/26/2017 60 1023 Pine Log 01/20/2018 01/23/2018 60
1024 Pine Log 01/24/2018 01/28/2018 60 1025 Point Washington 11/23/2017 11/26/2017 150 1025 Point Washington 12/09/2017 12/17/2017 150 1259 Point Washington 01/15/2018 01/31/2018 150 1026 Talquin 11/24/2017 11/26/2017 70 1027 Talquin 12/09/2017 12/10/2017 70 1028 Tate's Hell - Dog Area 11/23/2017 11/26/2017 750 1028 Tate's Hell - Dog Area 12/09/2017 12/17/2017 750 1029 Tates Hell - Still Area 11/23/2017 11/26/2017 175 1029 Tates Hell - Still Area 12/09/2017 12/17/2017 175 1030 Tate's Hell Womack Creek - Dog 12/24/2017 01/05/2018 70 1031 Tate's Hell Womack Creek - Still 11/23/2017 11/26/2017 70 1031 Tate's Hell Womack Creek - Still 12/09/2017 12/17/2017 70 North Central Region 1036 Andrews 11/17/2017 11/19/2017 30 1211 Belmore 11/09/2017 11/12/2017 45 1212 Belmore 11/22/2017 11/26/2017 45 1037 Big Bend Hickory Mound Unit 11/04/2017 11/12/2017 175 1039 Big Bend Jena Unit 11/04/2017 11/12/2017 135 1041 Big Bend Snipe Island Unit 11/04/2017 11/12/2017 100 1040 Big Bend Spring Creek Unit 11/04/2017 11/12/2017 150 1043 Camp Blanding - Still Area 1 11/20/2017 11/23/2017 200 1044 Camp Blanding - Still Area 1 11/24/2017 11/28/2017 200 1199 Camp Blanding - Dog Area 11/20/2017 11/28/2017 320 1200 Camp Blanding - Dog Area 12/23/2017 12/31/2017 320 1205 Camp Blanding - Still Area 2 11/20/2017 11/23/2017 200 1206 Camp Blanding - Still Area 2 11/24/2017 11/28/2017 200 1213 Cary 11/10/2017 11/12/2017 70 1214 Cary 11/17/2017 11/19/2017 70 1261 Cary 11/24/2017 11/26/2017 70 1045 Cedar Key Scrub 11/04/2017 11/12/2017 25 1046 Citrus 12/08/2017 12/10/2017 500 1047 Citrus 12/29/2017 12/31/2017 500 1048 Devil's Hammock 11/04/2017 11/07/2017 30 1049 Devil's Hammock 11/08/2017 11/12/2017 30 1050 Flying Eagle 11/04/2017 11/07/2017 75 1051 Flying Eagle 11/10/2017 11/14/2017 75 1215 Four Creeks 11/10/2017 11/12/2017 55 1216 Four Creeks 11/17/2017 11/19/2017 55 1254 Four Creeks 11/24/2017 11/26/2017 55 1052 Goethe - Dog Area 11/17/2017 11/19/2017 125
1053 Goethe - Still Area 11/04/2017 11/06/2017 300 1201 Goethe - Dog Area 11/20/2017 11/23/2017 125 1202 Goethe - Still Area 11/07/2017 11/09/2017 300 1255 Goethe - Dog Area 11/24/2017 11/27/2017 125 1256 Goethe - Still Area 11/10/2017 11/13/2017 300 1217 Hatchet Creek 11/10/2017 11/12/2017 15 1218 Hatchet Creek 11/24/2017 11/26/2017 15 1056 Jennings Forest 11/06/2017 11/09/2017 60 1057 Jennings Forest 11/10/2017 11/13/2017 60 1219 Jennings Forest 11/14/2017 11/17/2017 60 1240 Jennings Forest 11/18/2017 11/21/2017 60 1058 Lochloosa 11/04/2017 11/17/2017 50 1059 Lochloosa 11/18/2017 12/03/2017 50 1203 Lochloosa 12/04/2017 12/31/2017 50 1060 Mallory Swamp - Dog Area 11/11/2017 11/19/2017 150 1061 Mallory Swamp - Still Area 11/11/2017 11/19/2017 40 1062 Middle Aucilla 11/04/2017 11/30/2017 30 1063 Middle Aucilla 12/01/2017 12/31/2017 30 1064 Osceola - Dog Area 11/11/2017 11/19/2017 900 1066 Ralph E. Simmons 11/18/2017 11/26/2017 30 1067 Steinhatchee Springs 11/04/2017 11/12/2017 220 1220 Thomas Creek Kings Road Unit 11/17/2017 11/19/2017 15 1221 Thomas Creek Kings Road Unit 11/24/2017 11/26/2017 15 1068 Twin Rivers 11/06/2017 11/12/2017 45 1236 Twin Rivers 11/13/2017 11/19/2017 45 Northeast Region 1069 Buck Lake 11/11/2017 11/14/2017 40 1070 Buck Lake 11/16/2017 11/20/2017 40 1076 Caravelle Ranch 11/11/2017 11/14/2017 225 1077 Caravelle Ranch 11/15/2017 11/19/2017 225 1241 Charles H Bronson 11/10/2017 11/12/2017 30 1242 Charles H Bronson 11/17/2017 11/19/2017 30 1243 Charles H Bronson 12/01/2017 12/03/2017 30 1262 Dunns Creek 12/07/2017 12/10/2017 15 1079 Etoniah Creek 11/09/2017 11/12/2017 50 1080 Etoniah Creek 11/16/2017 11/19/2017 50 1257 Etoniah Creek 11/23/2017 11/26/2017 50 1100 Gores Landing 11/11/2017 11/19/2017 20 1081 Guana River 11/17/2017 11/19/2017 60 1082 Guana River 11/24/2017 11/26/2017 60 1083 Half Moon 11/11/2017 11/13/2017 50
1084 Half Moon 11/17/2017 11/19/2017 50 1073 Herky Huffman/Bull Creek 11/04/2017 11/05/2017 300 1085 Jumper Creek 11/04/2017 11/12/2017 100 1086 Lake George 11/11/2017 11/14/2017 250 1087 Lake George 11/15/2017 11/19/2017 250 1088 Lake George Dexter/Mary Farms Unit 11/11/2017 11/19/2017 30 1092 Little Big Econ 11/17/2017 11/19/2017 20 1244 Little Big Econ 11/24/2017 11/26/2017 20 1245 Little Big Econ 12/01/2017 12/03/2017 20 1246 Marshall Swamp 11/17/2017 11/19/2017 10 1247 Marshall Swamp 11/24/2017 11/26/2017 10 1248 Marshall Swamp 12/01/2017 12/03/2017 10 1095 Matanzas 11/13/2017 11/19/2017 30 1096 Ocala Church Lake - Dog 11/11/2017 11/19/2017 250 1224 Ocala Church Lake - Still 11/25/2017 12/03/2017 250 1263 Ocala Pipeline Unit 11/11/2017 01/07/2018 5990 1101 Richloam 11/18/2017 11/26/2017 900 1102 Richloam Baird Unit 01/15/2018 01/18/2018 50 1103 Richloam Baird Unit 01/19/2018 01/23/2018 50 1104 Rock Springs Run 11/10/2017 11/12/2017 125 1105 Rock Springs Run 11/17/2017 11/19/2017 125 1106 Salt Lake 11/11/2017 11/14/2017 40 1107 Salt Lake 11/15/2017 11/19/2017 40 1109 Seminole Forest 12/02/2017 12/05/2017 60 1110 Seminole Forest 12/06/2017 12/10/2017 60 1111 Seminole Forest Lake Tracy Unit 11/09/2017 11/12/2017 40 1112 Seminole Ranch 11/17/2017 11/19/2017 50 1114 Three Lakes 11/04/2017 11/05/2017 625 1117 Three Lakes - Dog 12/07/2017 12/10/2017 100 1119 Three Lakes - Dog 12/28/2017 12/31/2017 100 1120 Three Lakes Prairie Lakes Unit 11/17/2017 11/19/2017 80 1121 Three Lakes Prairie Lakes Unit 11/24/2017 11/26/2017 80 1124 Tiger Bay 11/04/2017 11/12/2017 150 1125 Tiger Bay Rima Ridge Unit 11/11/2017 11/19/2017 75 1126 Tosohatchee 11/16/2017 11/19/2017 150 1127 Tosohatchee 11/24/2017 11/26/2017 150
Southwest Region 1237 Babcock Ranch Preserve 09/22/2017 09/24/2017 40 1238 Babcock Ranch Preserve 09/29/2017 10/01/2017 40 1239 Babcock Ranch Preserve 12/08/2017 12/10/2017 40 1135 Babcock/Webb 11/04/2017 11/12/2017 500 1137 Babcock/Webb Yucca Pens Unit 10/28/2017 11/05/2017 50 1138 Chassahowitzka 11/04/2017 11/12/2017 150 1139 Croom 11/04/2017 11/12/2017 300 1140 Green Swamp 12/02/2017 12/05/2017 750 1141 Green Swamp 12/06/2017 12/10/2017 750 1142 Hickory Hammock 11/04/2017 11/06/2017 5 1154 Lake Marion Creek 01/19/2018 01/21/2018 35 1155 Lake Marion Creek 02/02/2018 02/04/2018 35 1156 Lake Wales Ridge Royce Unit 11/17/2017 11/19/2017 10 South Region 1210 Allapattah Flats 11/04/2017 11/08/2017 50 1159 Big Cypress Bear Island Unit 11/11/2017 11/19/2017 200 1171 Big Cypress Turner River Unit 11/11/2017 11/19/2017 500 1260 Big Cypress Addition Unit 11/11/2017 01/01/2018 30 1175 CREW Flint Pen/Rookery Swamp Units 11/18/2017 11/26/2017 30 1176 Dinner Island Ranch 09/16/2017 09/18/2017 45 1177 Dinner Island Ranch 09/22/2017 09/24/2017 45 1249 Dinner Island Ranch 09/29/2017 10/01/2017 45 1178 Dupuis WEA 11/03/2017 11/05/2017 75 1179 Dupuis WEA 11/10/2017 11/12/2017 75 1184 Fisheating Creek West 09/29/2017 10/01/2017 20 1185 Fisheating Creek West 10/13/2017 10/15/2017 20 1187 Jones/Hungryland 10/28/2017 10/30/2017 50 1188 Jones/Hungryland 11/04/2017 11/06/2017 50 1204 Jones/Hungryland 11/11/2017 11/13/2017 50 1190 Okaloacoochee Slough 09/23/2017 09/26/2017 125 1191 Okaloacoochee Slough 09/27/2017 10/01/2017 125 1193 Picayune Strand 10/07/2017 10/10/2017 145 1194 Picayune Strand 10/11/2017 10/15/2017 145 1258 Picayune Strand 10/16/2017 10/22/2017 145 1195 Spirit Of The Wild 09/16/2017 09/18/2017 20 1196 Spirit Of The Wild 09/22/2017 09/24/2017 20 1250 Spirit Of The Wild 09/29/2017 10/01/2017 20
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.