Deer Hunt Application Form – Fill Out and Use This PDF

ONTARIO FARMER/LANDOWNER CONTROLLED DEER HUNT APPLICATION

ALL SECTIONS must be complete in order for this application to be valid. Please Print Clearly

Please submit your application by October 1st to allow sufficient time for processing.

SECTION 1 - Wildlife Management Unit (W.M.U.) and Season

The qualifying person(s) named in SECTION 5 apply to hunt deer in Wildlife Management Unit (W.M.U.) ____ ____ ____

SECTION 2 - Applicant’s Personal Information

Applicant’s Name _______________________________________________ Date of Birth	___ ___ / ___ ___ / ___ ___
(Farmer, Landowner, Owner, Joint Owner or Designated Representative)	year	month	day

Applicant: To receive a Farmer/Landowner Validation Tag, write in your Hunting Outdoors Card No. in SECTION 5 below.

Applicant’s Address

___________________________________________________________________________________________________

Street Address

City

Postal Code

SECTION 3 - Applicant’s Qualifications

Applicant: You must qualify under one of the options below to receive a Farmer/Landowner Validation Tag(s). Check one box only.

I own a parcel of land of 20 hectares (50 acres) or more.

or

SECTION 4 - Qualifying Property

Acres _________ Lot _________ Concession ________ Township ________________ County _______________________

SECTION 5 - Applicant Requests Farmer/Landowner Validation Tag(s) for the following Hunter(s)

Applicant: If you wish to receive a Farmer/Landowner Validation Tag please write in your Hunting Outdoors Card No. below.

	Hunters		Hunting Outdoors Card No.
1. APPLICANT		________	708158 ______________________________

Hunters 2, 3 and 4: To qualify for a Farmer/Landowner Validation Tag, hunters must be an immediate relative of APPLICANT An immediate relative is defined as father, mother, spouse, son, daughter, sibling, grandparent or grandchild.

2. Name of Immediate Relative			Hunting Outdoors Card No.	Relationship to Applicant
______________________________			708158 _______________________	____________________
Date of Birth ________/________/________ Postal Code ___________________
Year	Month	Day
3. Name of Immediate Relative			Hunting Outdoors Card No.	Relationship to Applicant
______________________________			708158 _______________________	____________________
Date of Birth ________/________/________ Postal Code ___________________
Year	Month	Day
4. Name of Immediate Relative			Hunting Outdoors Card No.	Relationship to Applicant
______________________________			708158 _______________________	_________________
Date of Birth ________/________/________ Postal Code ___________________
Year	Month	Day

SECTION 6 - Applicant’s Signature

I hereby certify that the above information is correct. It is an offence to knowingly make false statements on this application.

Applicant’s Signature _______________________________________________ Date _____________________________

NOTICE OF COLLECTION OF PERSONAL INFORMATION

Personal information is collected under the authority of the Fish and Wildlife Conservation Act, 1997, SO 1997 and will be used for the purposes of identification, enforcement, research and administration. While personal information may be stored outside Canada and subject to the laws of the jurisdiction where it is stored, private companies under contract to provide the licensing services are contractually obligated to comply with Ontario’s Freedom of Information and Protection of Privacy Act with regard to personal information in their custody. For information about collection practices contact the Outdoors Card Centre at 1-800-387-7011

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