Applicant Information: Commercial Fisheries Entry Commission 2018 Commercial Fishing Permit Application PO Box 110302 Juneau, AK 99811-0302 Phone: 907-789-6150 Toll-Free: 1-855-789-6150 Fax: 907-789-6170 www.cfec.state.ak.us Please use this form to apply for and/or renew fishing permits for 2018. Payment may be submitted by check, money order or the attached credit card authorization. Additionally, you may submit your 2018 Commercial Fishing Permit Application form by fax or email to dfg.cfec.licensing@alaska.gov. All sections of this form must be completed to avoid delays in processing your application. Permit Holder s Name: Permanent Mailing Address: City: State: Zip: Phone Number: Check if Unlisted *REQUIRED FOR VERIFICATION OF RESIDENCY* Physical Location of residence (where you live): City: State: Zip: How Long (years/months) at the Physical Address? Social Security Number: Date of Birth: Email Address: Temporary Mailing Address (for these permits): City: State: Zip: Fishery Information: Provide the fishery resource, gear, and area code as indicated on the next four pages. Leave the permit number blank if you are applying for a new permit, or if you don t know your permit number and provide the ADFG number of the vessel you will be fishing. Note: If a vessel is required for the fishery, the designated vessel must be licensed for 2018 in order for the permit card to be issued. Fishery Code: Permit Number: Fishery Description: Vessel ADFG Number: Fee: 1. $ 2. $ Nonresidents are required to pay an annual nonresident differential of $215 with issuance of their first 2018 permit: $ Total permit fees due: $ If you held federal individual fishing quota (IFQ) in 2017 you may qualify for the $75 fee in the halibut or sablefish fishery. You must have held IFQs in 2017 and your 2017 landings must have been 8,000 pounds or less of halibut (standardized weight), 9,000 pounds or less of sablefish (round weight). If you did not deliver halibut or sablefish in 2017, you must submit a copy of your IFQ permit showing the total pounds you hold. If you are fishing halibut for a Western Alaska Community Development Quota Program then you must provide the name of the CDQ community group name. - I certify I hold IFQ & landed under 8,000 lbs of halibut in 2017: YES, if yes pay $75.00 - I certify I hold IFQ & landed under 9,000 lbs of sablefish in 2017: YES, if yes pay $75.00 - I certify I will be fishing halibut only for the following Western Alaska CDQ community:, pay $75.00 If you hold more than one salmon net area permit, designate the ONE salmon net area you will fish in 2018: Certification: Please complete this portion to avoid delays in processing. 20 AAC 05.290. Residency Definition, for the purpose of assessing fees for the application for, annual issuance of, or renewal of entry and interim-use permits, an individual is a resident of this state if, on the date of permit application, issuance, or renewal, and throughout the 12-month period before that date, that individual maintained their domicile in this state and neither claimed residency in another state, territory, or country nor obtained benefits under a claim of residency in another state, territory, or country. Residency: Alaska Resident Nonresident Citizenship: U.S. Citizen Alien* (Registration no. ) *Aliens must enclose a copy of their green card I certify under penalty of perjury that the information contained herein is true and complete. Signature of Permit Holder Date (Authorization must be attached if signed or picked-up by someone else) PAGE 1 Form # 05-07A
Dungeness Crab: King Crab: 75 pots or 25% of max gear D9DA LE $75 Pot gear vessel under 60 K09D $75 150 pots or 50% of max gear D9CA LE $150 Pot gear vessel 60 or over K91D $75 225 pots or 75% of max gear D9BA LE $225 Prince William Sound 300 pots or 100% of max gear D9AA LE $225 Pot gear vessel under 60 K09E $75 Ring net D10A LE $75 Pot gear vessel 60 or over K91E $75 Diving gear D11A LE $75 Cook Inlet Pot gear vessel under 60 K09H $75 Pot gear vessel under 60 D09D $75 Pot gear vessel 60 or over K91H $300 Pot gear vessel 60 or over D91D $75 Kodiak Prince William Sound Pot gear vessel under 60 K09K $75 Pot gear vessel under 60 D09E $75 Pot gear vessel 60 or over K91K $525 Pot gear vessel 60 or over D91E $75 Alaska Peninsula Cook Inlet Pot gear vessel under 60 K09M $300 Pot gear vessel 60 or over D91H LE $75 Pot gear vessel 60 or over K91M $300 Ring net D10H LE $75 Dutch Harbor Westward Pot gear vessel under 60 K09O $75 Pot gear vessel under 60 D09J $375 Pot gear vessel 60 or over K91O $3,000 Pot gear vessel 60 or over D91J $525 Bering Sea Chignik Pot gear vessel under 60 K09Q $75 Pot gear vessel under 60 D09L $225 Pot gear vessel 60 or over K91Q $675 Pot gear vessel 60 or over D91L $225 Bristol Bay Alaska Peninsula Pot gear vessel under 60 K09T $675 Pot gear vessel under 60 D09M $225 Pot gear vessel 60 or over K91T $3,000 Pot gear vessel 60 or over D91M $225 Kotzebue Pot gear vessel under 60 K09X $75 Tanner Crab: Pot gear vessel 60 or over K91X $75 Norton Sound Pot gear vessel under 60 T09D $75 Pot gear vessel under 60 K09Z $150 Pot gear vessel 60 or over T91D $75 Pot gear vessel 60 or over K91Z $225 Prince William Sound Pot gear vessel under 60 T09E $150 Hair Crab: Pot gear vessel 60 or over T91E $225 Bering Sea Cook Inlet Pot gear vessel under 60 E09Q $75 Pot gear vessel under 60 T09H $75 Pot gear vessel 60 or over E91Q $225 Pot gear vessel 60 or over T91H $75 Statewide (excluding above) Chignik Pot gear vessel under 60 E09B $150 Pot gear vessel under 60 T09L $225 Pot gear vessel 60 or over E91B $825 Alaska Peninsula Pot gear vessel under 60 T09M $225 King and Tanner Crab: Pot gear vessel 60 or over T91M $225 only Dutch Harbor Tanner pot gear T19A LE $300 Pot gear vessel under 60 T09O $150 Tanner ring net T10A $75 Pot gear vessel 60 or over T91O $225 King Red/Blue pot gear K19A LE $150 Bering Sea King Red/Blue/Brown pot gear K29A LE $525 Pot gear vessel under 60 T09Q $75 King Brown pot gear K39A LE $375 Pot gear vessel 60 or over T91Q $3,000 King Red/Blue & Tanner K49A LE $450 Adak pot gear Pot gear vessel 60 or over T91R $75 King Brown & Tanner pot gear K59A LE $600 King Red/Blue/Brown & Tanner K69A LE $750 Tanner Bairdi Crab: pot gear Kodiak only Pot gear vessel to 120 TB9AK LE $225 Pot gear vessel under 60 TB9BK LE $150 PAGE 2
Weathervane Scallops: Geoduck clams: State Waters Dredge vessel to 80 W2BSW $225 Diving gear J11A LE $225 Dredge vessel over 80 W2ASW $1,050 Federal Waters Clams: Dredge vessel to 80 W2BFW $375 Statewide (excluding geoduck) Dredge vessel over 80 W2AFW $2,850 Shovel R18B $75 Mechanical digger R23B $75 Shrimp: Salmon: Otter trawl P07A LE $75 Beam Trawl P17A LE $75 Purse seine S01A LE $825 Pot gear P91A LE $75 Drift gillnet S03A LE $375 Otter trawl P07D $75 Set gillnet S04D LE $75 Beam Trawl P17D $75 Prince William Sound Pot gear vessel under 60 P09D $75 Purse seine S01E LE $675 Pot gear vessel 60 or over P91D $75 Drift gillnet S03E LE $600 Prince William Sound Set gillnet S04E LE $750 Otter trawl P07E $675 Cook Inlet Beam trawl P17E $75 Purse seine S01H LE $300 Pot gear vessel under 60 P09E $75 Drift gillnet S03H LE $150 Pot gear vessel 60 or over P91E $75 Set gillnet S04H LE $75 Cook Inlet Kodiak Otter trawl P07H $75 Purse seine S01K LE $75 Beam trawl P17H $75 Beach seine S02K LE $75 Pot gear vessel under 60 P09H $75 Set gillnet S04K LE $300 Pot gear vessel 60 or over P91H $75 Chignik Westward Purse seine S01L LE $675 Otter trawl P07J $150 Alaska Peninsula Beam trawl P17J $75 Purse seine S01M LE $225 Pot gear vessel under 60 P09J $75 Drift gillnet S03M LE $375 Pot gear vessel 60 or over P91J $75 Set gillnet S04M LE $225 Atka/Amlia Islands Octopus/Squid: Set gillnet S04F $75 Statewide Bristol Bay Longline vessel under 60 O06B $75 Drift gillnet S03T LE $525 Longline vessel 60 or over O61B $75 Set gillnet S04T LE $150 Pot gear vessel under 60 O09B $75 Kuskokwim Pot gear vessel 60 or over O91B $75 Gillnet S04W LE $75 Mechanical jig O26B $75 Kotzebue Gillnet S04X LE $75 Snails: Lower Yukon Statewide Gillnet S04Y LE $75 Pot gear vessel under 60 N09B $75 Norton Sound Pot gear vessel 60 or over N91B $450 Gillnet S04Z LE $75 Upper Yukon Sea Cucumbers and Sea Urchins: Gillnet S04P LE $75 Fish wheel S08P LE $75 Sea cucumber diving gear Q11A LE $75 Statewide Sea urchin diving gear U11A LE $75 Hand troll S05B LE $75 Kodiak Power troll S15B LE $150 Sea cucumber diving gear Q11K $75 Sea urchin diving gear U11K $75 Statewide (excluding above) Sea cucumber diving gear Q11B $75 Sea urchin diving gear U11B $75 PAGE 3
Herring Food & Bait: Herring Roe continued: Cape Romanzof Purse seine H01A $525 Gillnet G34Y LE $75 Pound gear H21A $75 Norton Sound Prince William Sound Beach seine G02Z LE $150 Purse seine H01E $75 Gillnet G34Z LE $75 Gillnet H34E $75 Kodiak Herring Spawn on Kelp: Otter trawl vessel to 60 H7DK LE $75 Northern Otter trawl vessel to 70 H7CK LE $75 Pound gear L21A LE $150 Otter trawl vessel to 75 H7BK LE $75 Southern Purse seine vessel to 60 H1DK LE $75 Pound gear L21C LE $75 Chignik Prince William Sound Purse seine H01L $75 Dive/hand pick L12E $75 Alaska Peninsula Pound gear L21E LE $75 Purse seine H01M $675 Bristol Bay Gillnet H34M $75 Dive/hand pick L12T LE $75 Kotzebue Beach seine H02X $75 Fresh Water Fish: Gillnet H34X $75 Statewide Beach seine F02B $75 Herring Roe: Set gillnet F04B $75 Hand troll F05B $75 Purse seine G01A LE $975 Longline vessel under 60 F06B $75 Gillnet G34A LE $75 Fish wheel F08B $75 Prince William Sound Pot gear vessel under 60 F09B $75 Purse seine G01E LE $150 Mechanical jig F26B $75 Gillnet G34E LE $300 Cook Inlet Halibut: Purse seine G01H LE $75 Statewide Gillnet G34H $75 Hand troll B05B $75 Kodiak Dinglebar troll B25B $75 Purse seine G01K LE $150 Mechanical jig B26B $75 Gillnet G34K LE $75 Longline vessel under 60 B06B $450 Gillnet and purse seine G31K LE $75 Longline vessel 60 or over B61B $1,125 Chignik Pot gear vessel under 60 B09B $75 Purse seine G01L $75 Pot gear vessel 60 or over B91B $75 Alaska Peninsula Purse seine G01M $75 Sablefish: Gillnet G34M $75 Northern Bristol Bay Longline C61A LE $1,650 Purse seine G01T $300 Southern Gillnet G34T $75 Longline C61C LE $1,500 Kotzebue Pot gear C91C LE $1,500 Purse seine G01X $150 Prince William Sound Beach seine G02X $75 Net gear vessel to 50 C4CE LE $75 Gillnet G34X $75 Fixed gear vessel to 35 C5DE LE $75 Nelson Island Fixed gear vessel to 50 C5CE LE $150 Gillnet G34N LE $75 Fixed gear vessel to 60 C5BE LE $225 Security Cove Fixed gear vessel to 90 C5AE LE $225 Gillnet G34S $75 Statewide (excluding above) Nunivak Island Dinglebar troll C25B $75 Gillnet G34U LE $75 Mechanical jig C26B $75 Cape Avinof Otter trawl C07B $525 Gillnet G34V $75 Longline vessel under 60 C06B $675 Goodnews Bay Longline vessel 60 or over C61B $1,500 Gillnet G34W LE $75 Pot gear vessel under 60 C09B $225 Pot gear vessel 60 or over C91B $1,350 PAGE 4
Ling Cod: Miscellaneous Saltwater Finfish: Statewide Statewide (includes Gulf of Alaska) Hand troll I05B $75 Purse seine M01B $75 Longline vessel under 60 I06B $75 Beach seine M02B $75 Longline vessel 60 or over I61B $75 Hand troll M05B $75 Pot gear vessel under 60 I09B $75 Longline vessel under 60 M06B $300 Pot gear vessel 60 or over I91B $75 Longline vessel 60 to under 90 M6BB $375 Dinglebar troll I25B $75 Longline vessel 90 or over M6AB $3,000 Mechanical jig I26B $75 Pot gear vessel under 60 M09B $1,500 Pot gear vessel 60 or over M91B $1,500 Demersal Shelf Rockfish: Beam trawl M17B $75 Dinglebar troll M25B $75 Hand troll Y05A $75 Mechanical jig M26B $75 Longline vessel under 60 Y06A $75 Pair trawl M37B $75 Longline vessel 60 or over Y61A $150 Otter trawl vessel under 60 M7FB $2,775 Dinglebar troll Y25A $75 Otter trawl vessel 60 to under 90 M7GB $3,000 Mechanical jig Y26A $75 Otter trawl vessel 90 to 125 M7HB $3,000 Otter trawl vessel over 125 M7IB $3,000 Miscellaneous Saltwater Finfish: Gulf of Alaska (including ) Purse seine M01G $75 Beach seine M02G $75 Hand troll M05G $75 Longline vessel under 60 M06G $225 Longline vessel 60 to under 90 M6BG $225 Longline vessel 90 or over M6AG $225 Pot gear vessel under 60 M09G $600 Pot gear vessel 60 or over M91G $1,125 Beam trawl M17G $75 Dinglebar troll M25G $75 Mechanical jig M26G $75 Pair trawl M37G $75 Otter trawl vessel under 60 M7FG $1,425 Otter trawl vessel 60 to under 90 M7GG $3,000 Otter trawl vessel 90 to 125 M7HG $3,000 Otter trawl vessel over 125 M7IG $3,000 Reduced fee: To apply for a reduced permit fee (half of the fee shown), a 2018 Reduced Fee Application is required with a complete copy of your 2016 or 2017 federal income tax return, or a copy of your QUEST card or other supporting documents showing you are currently receiving Public Assistance. The Reduced Fee Application may be obtained from our website at: www.cfec.state.ak.us, or your local ADFG office. The reduced fee criteria for 2018 is based upon Federal Food Stamp Guidelines. AS 16.05.815 and AS 16.05.480, social security numbers and other information required on this form may be used for fisheries research, management and licensing purposes and may be disclosed to: the Alaska Department of Fish and Game, the National Marine Fisheries Service, staff of the Pacific States Marine Fisheries Commission who are employed by the Alaska Fisheries Information Network Project, the North Pacific Fisheries Management Council, Department of Public Safety, Department of Revenue, Child Support Enforcement Agencies for child support purposes, and to other agencies or individuals as required by law or court order. Name, address, and licenses held are public information that may be released. PAGE 5
Commercial Fisheries Entry Commission Credit Card Authorization PO Box 110302 Juneau, AK 99811-0302 Phone: 907-789-6150 Toll-Free: 1-855-789-6150 Fax: 907-789-6170 www.cfec.state.ak.us I authorize the Commercial Fisheries Entry Commission (CFEC) to charge the card listed below. This payment is for the items and amount listed, and is valid for a one-time use. Please indicate the permit and/or vessel numbers in the space provided and the total amount you are authorizing your card to be charged. FEES TO BE CHARGED TO CARD Item(s) Enter Permit & Vessel Numbers Fee Amount Permit(s): $ Vessel(s): $ Transfer Fees: $ Duplicate Fees: $ Immediate Fishing Fees: $ Check here to have your licenses express mailed and that you agree to pay the current USPS express mail rate PLUS the CFEC service fee of $15.00. Total amount to be charged $ Name of Cardholder: Cardholder Phone Number: Cardholder Signature: Date: Card type: Visa Mastercard Discover Expiration Date: / Credit Card #: - - - Note: The Commercial Fisheries Entry Commission does not retain credit card information. PAGE 6