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, 2018 - June 15, 2018 Phase II June 22, 2018 - July 02, 2018 Phase III July 05, 2018 - 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 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 2001 Apalachicola Bradwell Unit 10/20/2018 10/26/2018 10 2002 Apalachicola Bradwell Unit 10/28/2018 11/05/2018 10 2300 Aucilla Pinhook Area 09/15/2018 09/23/2018 20 2301 Aucilla Pinhook Area 10/06/2018 10/14/2018 20 2006 Blackwater Hutton Unit 10/20/2018 10/23/2018 30 2007 Blackwater Hutton Unit 10/24/2018 10/28/2018 30 2009 Box R 10/20/2018 10/26/2018 30 2010 Box R 10/27/2018 11/04/2018 30 2302 Chipola River Altha Tract 10/20/2018 10/26/2018 10 2303 Chipola River Altha Tract 10/27/2018 11/04/2018 10 2012 Econfina Creek Cat Creek Area 10/20/2018 10/26/2018 30 2013 Econfina Creek Cat Creek Area 10/27/2018 11/04/2018 30 2015 Econfina Creek Fitzhugh Carter Area 10/20/2018 10/26/2018 15 2016 Econfina Creek Fitzhugh Carter Area 10/27/2018 11/04/2018 15 2031 Escribano Point 10/20/2018 10/26/2018 10 2032 Escribano Point 10/27/2018 11/04/2018 10 2018 Joe Budd 12/07/2018 12/09/2018 35 2019 Joe Budd 12/14/2018 12/16/2018 35 2020 Joe Budd 12/21/2018 12/23/2018 35 2021 Joe Budd 12/28/2018 12/30/2018 35 2022 Joe Budd 01/04/2019 01/06/2019 35 2304 L Kirk Edwards East 09/27/2018 09/30/2018 5 2305 L Kirk Edwards East 10/11/2018 10/14/2018 5 2306 L Kirk Edwards East 10/25/2018 10/28/2018 5 2228 Lafayette Creek 10/20/2018 10/26/2018 10 2229 Lafayette Creek 10/27/2018 11/04/2018 10 2245 Perdido River 10/20/2018 11/18/2018 40 2400 Plank Road 09/28/2018 09/30/2018 30 2401 Plank Road 10/05/2018 10/07/2018 30 2402 Plank Road 10/12/2018 10/14/2018 30 2403 Plank Road 10/19/2018 10/21/2018 30 2029 Tate's Hell Womack Creek Unit 10/20/2018 10/28/2018 70 2231 Wakulla 10/13/2018 10/15/2018 25 2232 Wakulla 10/19/2018 10/21/2018 25 2233 Wakulla 10/26/2018 10/28/2018 25 2234 Wakulla 11/02/2018 11/04/2018 25 2235 Wakulla 11/09/2018 11/11/2018 25 North Central Region
2034 Andrews 09/21/2018 09/23/2018 45 2035 Andrews 09/28/2018 09/30/2018 45 2038 Bayard 09/22/2018 10/07/2018 20 2039 Bayard 11/10/2018 11/18/2018 20 2251 Belmore 09/21/2018 09/23/2018 45 2252 Belmore 09/28/2018 09/30/2018 45 2253 Belmore 10/05/2018 10/07/2018 45 2041 Big Bend Snipe Island Unit 09/22/2018 09/30/2018 100 2045 Big Shoals 09/24/2018 09/29/2018 35 2046 Big Shoals 10/01/2018 10/06/2018 35 2047 Big Shoals 10/08/2018 10/13/2018 35 2053 Cary 09/21/2018 09/23/2018 70 2054 Cary 09/28/2018 09/30/2018 70 2316 Cary 10/05/2018 10/07/2018 70 2060 Citrus 11/03/2018 11/11/2018 500 2317 Citrus 11/12/2018 11/18/2018 500 2318 Citrus 11/19/2018 11/25/2018 500 2064 Cypress Creek 09/22/2018 10/07/2018 20 2066 Devil's Hammock 09/15/2018 09/18/2018 30 2067 Devil's Hammock 09/19/2018 09/23/2018 30 2068 Devil's Hammock 09/24/2018 09/28/2018 30 2070 Flying Eagle 09/29/2018 10/02/2018 75 2071 Flying Eagle 10/05/2018 10/09/2018 75 2279 Fort White 10/20/2018 10/24/2018 10 2280 Fort White 10/27/2018 10/31/2018 10 2281 Fort White 11/10/2018 11/14/2018 10 2255 Four Creeks 09/21/2018 09/23/2018 55 2256 Four Creeks 09/28/2018 09/30/2018 55 2257 Four Creeks 10/05/2018 10/07/2018 55 2259 Hatchet Creek 09/21/2018 09/23/2018 15 2260 Hatchet Creek 09/28/2018 09/30/2018 15 2261 Hatchet Creek 10/05/2018 10/07/2018 15 2263 Homosassa 10/11/2018 10/14/2018 15 2264 Homosassa 10/25/2018 10/28/2018 15 2265 Homosassa 11/01/2018 11/04/2018 15 2074 Jennings Forest 09/22/2018 09/25/2018 80 2075 Jennings Forest 09/26/2018 09/29/2018 80 2076 Jennings Forest 09/30/2018 10/03/2018 80 2266 Jennings Forest 10/04/2018 10/07/2018 80 2282 Lafayette Forest 09/22/2018 09/26/2018 15 2283 Lafayette Forest 09/28/2018 10/02/2018 15 2284 Lafayette Forest 10/05/2018 10/09/2018 15 2078 Little River 09/22/2018 09/24/2018 20 2079 Little River 09/29/2018 10/01/2018 20
2080 Little River 10/06/2018 10/08/2018 20 2083 Middle Aucilla 09/15/2018 10/14/2018 30 2090 Ralph E. Simmons 09/15/2018 09/23/2018 30 2267 Thomas Creek Kings Road Unit 09/22/2018 09/24/2018 15 2268 Thomas Creek Kings Road Unit 10/01/2018 10/03/2018 15 2269 Thomas Creek Kings Road Unit 10/08/2018 10/10/2018 15 2093 Twin Rivers 09/22/2018 09/28/2018 45 2276 Twin Rivers 09/29/2018 10/07/2018 45 Northeast Region 2095 Buck Lake 09/22/2018 09/30/2018 40 2096 Buck Lake 10/06/2018 10/12/2018 40 2100 Caravelle Ranch North 09/22/2018 09/30/2018 100 2101 Caravelle Ranch South 09/22/2018 09/30/2018 125 2285 Charles H Bronson 09/28/2018 10/04/2018 30 2286 Charles H Bronson 10/05/2018 10/11/2018 30 2307 Charles H Bronson 10/12/2018 10/20/2018 30 2102 Dunns Creek 09/22/2018 10/07/2018 30 2103 Dunns Creek 11/17/2018 11/25/2018 30 2105 Etoniah Creek 09/22/2018 10/07/2018 50 2127 Gores Landing 09/22/2018 10/07/2018 20 2107 Guana River 10/05/2018 10/07/2018 60 2108 Guana River 10/12/2018 10/14/2018 60 2111 Half Moon 10/05/2018 10/07/2018 50 2112 Half Moon 10/12/2018 10/14/2018 50 2098 Herky Huffman/Bull Creek 09/15/2018 09/16/2018 300 2116 Lake George Dexter/Mary Farms Unit 09/22/2018 10/07/2018 30 2118 Little Big Econ 09/28/2018 10/04/2018 20 2119 Little Big Econ 10/05/2018 10/11/2018 20 2308 Little Big Econ 10/12/2018 10/20/2018 20 2287 Marshall Swamp 09/15/2018 09/21/2018 10 2288 Marshall Swamp 09/22/2018 09/28/2018 10 2289 Marshall Swamp 09/29/2018 10/05/2018 10 2290 Marshall Swamp 10/06/2018 10/12/2018 10 2291 Marshall Swamp 10/13/2018 10/21/2018 10 2121 Matanzas 09/22/2018 09/28/2018 30 2122 Matanzas 09/29/2018 10/07/2018 30 2129 Richloam Baird Unit 10/27/2018 10/30/2018 50 2130 Richloam Baird Unit 10/31/2018 11/04/2018 50 2292 Richloam Baird Unit 11/05/2018 11/11/2018 50 2132 Rock Springs Run 09/28/2018 09/30/2018 125 2133 Rock Springs Run 10/05/2018 10/07/2018 125
2309 Ross Prairie 09/21/2018 09/23/2018 10 2136 Salt Lake 09/22/2018 09/30/2018 40 2137 Salt Lake 10/01/2018 10/07/2018 40 2139 Seminole Forest 09/22/2018 09/25/2018 60 2140 Seminole Forest 09/26/2018 09/30/2018 60 2142 Seminole Forest Lake Tracy Unit 09/20/2018 09/23/2018 40 2293 Seminole Forest Lake Tracy Unit 09/27/2018 09/30/2018 40 2144 Seminole Ranch 10/05/2018 10/07/2018 50 2145 Seminole Ranch 10/12/2018 10/14/2018 50 2148 Three Lakes 09/15/2018 09/16/2018 625 2150 Three Lakes Prairie Lakes Unit 09/28/2018 09/30/2018 80 2151 Three Lakes Prairie Lakes Unit 10/05/2018 10/07/2018 80 2153 Tiger Bay Rima Ridge Unit 09/22/2018 10/07/2018 75 2155 Tosohatchee 10/04/2018 10/07/2018 150 2156 Tosohatchee 10/11/2018 10/14/2018 150
Southwest Region 2159 Arbuckle 10/13/2018 10/14/2018 150 2160 Arbuckle 10/20/2018 10/21/2018 150 2161 Arbuckle 10/27/2018 10/28/2018 150 2277 Babcock Ranch Preserve 07/28/2018 07/31/2018 40 2278 Babcock Ranch Preserve 08/04/2018 08/07/2018 40 2164 Babcock/Webb 09/08/2018 09/12/2018 500 2166 Chassahowitzka 09/15/2018 09/23/2018 150 2500 Everglades Headwaters Hatchineha Unit 10/13/2018 10/19/2018 6 2501 Everglades Headwaters Hatchineha Unit 11/03/2018 11/11/2018 6 2241 Hickory Hammock 10/12/2018 10/14/2018 5 2171 Hilochee 02/08/2019 02/10/2019 10 2271 Hilochee Osprey Unit 02/08/2019 02/10/2019 10 2173 KICCO 09/15/2018 09/16/2018 25 2174 KICCO 09/22/2018 09/23/2018 25 2175 KICCO 09/29/2018 09/30/2018 25 2176 KICCO 10/06/2018 10/07/2018 25 2177 KICCO 10/13/2018 10/14/2018 25 2180 Lake Marion Creek 10/13/2018 10/15/2018 35 2181 Lake Marion Creek 10/19/2018 10/21/2018 35 2273 Lake Wales Ridge Royce Unit 09/21/2018 09/23/2018 10 2274 Lake Wales Ridge Royce Unit 10/12/2018 10/14/2018 10 2183 Upper Hillsborough 12/01/2018 12/02/2018 75 2184 Upper Hillsborough 12/08/2018 12/09/2018 75 2185 Upper Hillsborough 12/29/2018 12/30/2018 75 2186 Upper Hillsborough 01/05/2019 01/06/2019 75 2191 Walk In The Water 09/29/2018 09/30/2018 40 2192 Walk In The Water 10/01/2018 10/04/2018 40 2193 Walk In The Water 10/05/2018 10/07/2018 40 2194 Walk In The Water 10/08/2018 10/11/2018 40 2195 Walk In The Water 10/12/2018 10/14/2018 40 2310 Weekiwachee 10/13/2018 10/18/2018 10 2311 Weekiwachee 11/10/2018 11/15/2018 10 2312 Weekiwachee 12/08/2018 12/13/2018 10 2313 Weekiwachee 01/12/2019 01/17/2019 10 2314 Weekiwachee 02/09/2019 02/14/2019 10
South Region 2248 Allapattah Flats 09/08/2018 09/11/2018 50 2249 Allapattah Flats 09/15/2018 09/18/2018 50 2294 Allapattah Flats 09/22/2018 09/25/2018 50 2295 Allapattah Flats 09/29/2018 10/02/2018 50 2315 Big Cypress Addition Unit 09/01/2018 09/30/2018 30 2201 CREW Corkscrew Marsh Unit Hog 08/04/2018 08/12/2018 25 2203 CREW Flint Pen/ Rockery Swamp Units 08/04/2018 08/12/2018 30 2205 Dinner Island Ranch 08/03/2018 08/06/2018 45 2206 Dinner Island Ranch 08/10/2018 08/13/2018 45 2296 Dinner Island Ranch 08/17/2018 08/20/2018 45 2297 Dinner Island Ranch 08/24/2018 08/27/2018 45 2208 Dupuis WEA 09/07/2018 09/09/2018 75 2209 Dupuis WEA 09/14/2018 09/16/2018 75 2210 Dupuis WEA 09/21/2018 09/23/2018 75 2214 Fisheating Creek West 08/17/2018 08/19/2018 20 2215 Fisheating Creek West 08/24/2018 08/26/2018 20 2218 Jones/Hungryland 09/08/2018 09/11/2018 50 2219 Jones/Hungryland 09/15/2018 09/18/2018 50 2242 Jones/Hungryland 09/22/2018 09/25/2018 50 2243 Jones/Hungryland 09/29/2018 10/02/2018 50 2221 Okaloacoochee Slough 08/04/2018 08/10/2018 125 2222 Okaloacoochee Slough 08/11/2018 08/19/2018 125 2225 Spirit Of The Wild 08/03/2018 08/06/2018 20 2226 Spirit Of The Wild 08/10/2018 08/13/2018 20 2298 Spirit Of The Wild 08/17/2018 08/20/2018 20 2299 Spirit Of The Wild 08/24/2018 08/27/2018 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.