Form 2738 A PDF Details

Each year, the Internal Revenue Service (IRS) releases a tax form known as Form 2738. This form is used to apply for tax-exempt status under section 501(c)(3) of the Internal Revenue Code. The deadline for submitting this form is typically in March, and it must be filed by organizations that wish to operate as tax-exempt entities. There are a number of requirements that must be met in order to qualify for tax-exempt status, and so it is important to understand what these are before applying. In this blog post, we will discuss some of the key requirements for qualifying for tax-exempt status and provide an overview of Form 2738.

QuestionAnswer
Form NameForm 2738 A
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesarizona permanent game fish, az a permanent game fish department, arizona a crossbow permit game fish, arizona permanent game department

Form Preview Example

Arizona Game and Fish Department

For Department Use Only

5000 W Carefree Hwy

Date Received ____________Region___________

Phoenix, Arizona 85086

Approved Date __________Denied Date________

(602)942-3000

 

www.azgfd.gov

Approved By_________________________

Permanent Permit________

Temporary Permit Valid from _________to ___________

 

Please Print or Type

***Social Security Number is voluntary to be used for Sportsman’s Database Only***

Application for a Permanent/Temporary Crossbow Permit

Fee: Complimentary

The Arizona Game and Fish Department may issue a Crossbow permit to those who have one or more of the following physical limitations. An amputation involving body extremities required for stable function to use conventional archery equipment; A spinal cord injury resulting in a disability to the lower extremities, leaving the applicant nonambulatory; A wheelchair restriction; A neuromuscular condition that prevents the applicant from drawing and holding a bow; A failed functional draw test that equals 30 pounds of resistance and involves holding it for four seconds; A failed manual muscle test involving the grading of shoulder and elbow flexion and extension or an impaired range-of-motion test involving the shoulder or elbow; or A combination of comparable physical disabilities resulting in the applicant's inability to draw and hold a bow.

Name

 

 

 

 

Date of Birth

 

Phone

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address

 

 

 

 

City

 

 

State

Zip

 

 

 

 

 

 

 

 

 

 

 

Physical Address

 

 

 

 

Resident

 

 

Nonresident

 

 

 

 

 

 

 

 

 

 

 

Dept. ID/SSN

 

Email

 

 

 

Champ Permit Number

 

 

 

 

 

 

 

 

 

 

Gender

Height

 

Weight

Eyes

 

 

Hair

 

 

 

 

 

 

 

 

 

 

Applicant Signature

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

It shall be unlawful for any person to obtain by fraud or misrepresentation a license to take wildlife. Such license fraudulently obtained shall be void from the date of issuance. I hereby certify that the above statements are true.

Form 2738-A Revised 1/15

(Print Name)

Health Care Provider Certification

I hereby certify that ____________________________________meets the requirements for a Crossbow

Permit.

Indicate whether the disability is temporary or permanent and, when temporary, specify the expected duration of the physical limitation.

Permanent Disability__________________________

 

Temporary Physical Limitation from Date_______________________

To Date_____________________

Health Care Provider’s Name_________________________________________________________________

(Print Name)

License

Number__________________________________________________________________________________

Name of Medical

Facility__________________________________________________________________________________

Address of Medical

Facility___________________________________________________________________

City______________________________________________State___________________Zip______________

Phone Number_____________________________________________________________________________

Health Care Provider’s

Signature_______________________________________________________Date______________________

Health Care Provider means a person who is licensed to practice by the federal government, any state, or U.S. territory with one of the following credentials: Medical Doctor, Doctor of Osteopathy, Doctor of Chiropractic, Nurse Practitioner or Physician Assistant.

It shall be unlawful for any person to obtain by fraud or misrepresentation a license to take wildlife. Such license fraudulently obtained shall be void from the date of issuance. I hereby certify that the above statements are true.

Form 2738-A Revised 1/15

How to Edit Form 2738 A Online for Free

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