The Wild Ginseng Dealer's License Application, officially known as Form 9400-329, serves a crucial role in the regulation and oversight of wild ginseng trade within Wisconsin. This essential document, managed by the Department of Natural Resources, detailed guidelines and requirements for individuals aspiring to engage in the buying, selling, or processing of wild ginseng in alignment with state statutes and administrative codes. The form encapsulates various sections, including personal and business information of the applicant, the specification of license type based on the amount of ginseng intended for trade, and differentiated sections for residents and nonresidents, emphasizing the state's commitment to controlled sustainable harvesting practices. Additionally, it outlines the need for applicants to disclose a social security number or federal employer identification number, adhering to legal statutes for license application, albeit with a strict confidentiality protocol for personal information, which may be used for law enforcement or participation in surveys, among other secondary purposes. The form also provides for ordering ancillary materials necessary for the regulated trade of ginseng, such as Purchase Receipts and Sales Records, underlining the comprehensive approach of the Department to ensure compliance and transparency in the commercial activities surrounding wild ginseng.
| Question | Answer |
|---|---|
| Form Name | Form 9400 329 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | requesters, regulating, Nonresidents, approvals |
Mail to: |
Wild Ginseng Dealer's License Application |
|
Department of Natural Resources |
Form |
|
Ginseng Dealer License Application - CS/1 |
||
|
||
PO Box 7924 |
Effective Date: July 1 through June 30 |
|
Madison, WI |
||
|
Notice: Information requested on this form is required for any application filed pursuant to s. 29.611, Wis. Stats. The Department will not consider your application unless you complete and submit this form. Personal information collected may be used for participation in surveys, eligibility for approvals, law enforcement (including child support and tax delinquency enforcement) purposes and other secondary purposes. The Department may also provide this information to requesters pursuant to Wisconsin's Open Records law, ss. 19.31 - 19.39, Wis. Stats.
A social security number or federal employer identification number is REQUIRED when applying for a license according to chapter 29, Wis. Stats., but it may not be disclosed to anyone except the Department of Workforce Development or the Department of Revenue.
Leave Blank - DNR Use Only
License Number
Date Issued
Issued By
Pursuant to the provisions of s. 29.611, Wis. Stats., I hereby apply for a Wild Ginseng Dealer's License to buy, sell, or process wild ginseng in the State of Wisconsin in the manner provided by the Wisconsin Statutes and Wisconsin Administrative Code.
Applicant Information
Applicant Name
Social Security Number/Federal Employer Identification Number
Company Name (if applicable)
Street or Route
Telephone Number (Include Area Code)
City |
State |
ZIP Code |
County of Residence |
Date of Birth |
Eye Color |
Hair Color |
Weight |
Height |
Male |
Female
Resident - Complete This Portion |
Nonresident - CompleteThis Portion: |
|
I hereby apply for the following ginseng dealer license (please check |
I hereby apply for a nonresident ginseng dealer license to buy, sell or |
|
appropriate box): |
process any amount of Wisconsin wild ginseng. |
|
Class A - License Fee: $100.00 |
|
|
(not more than 100 pounds dry weight) |
|
|
Class B - License Fee: $500.00 |
License Fee: $1,000.00 |
|
(not more than 1,000 pounds dry weight) |
||
|
||
Class C - License Fee: $1,000.00 |
|
|
(any amount of wild ginseng) |
|
|
I hereby certify that I have maintained my permanent residence in |
I hereby certify that I am the person making this application; that the |
|
Wisconsin for the previous thirty days and that my license privileges |
statements made are true and that my license privileges are not |
|
are not otherwise revoked or suspended. I have complied with all of |
otherwise revoked or suspended. |
|
the laws regulating the issuance and purchase of this license. |
|
|
|
|
|
Signature of Applicant (Wisconsin Resident) |
Signature of Applicant (Nonresident) |
|
|
|
|
Date Signed |
Date Signed |
Residents and Nonresidents - Complete this Portion
Please send me the following:
__________ Number of Books of Purchase Receipts (Form
__________ Number of Books of Sales Records (Form
__________ Number of Sets of Certificates of Origin (Form
Leave Blank - DNR Use Only
#
#
#