Deep within the regulatory framework that ensures the ethical and responsible management of wildlife in captivity, the State of Wisconsin has instituted a comprehensive approach through the Form 9400-579A. This mandatory annual report is a critical element for individuals and organizations holding a license under Chapter 169 of the Wisconsin Statutes, which encompasses various licenses for the possession of live captive wild animals and the operation of fur farms. The form serves not just as a bureaucratic requirement but as a tool for transparency and conservation, aiding in the monitoring of captive wildlife populations and ensuring adherence to wildlife management best practices. It meticulously gathers data on the number of animals possessed at the start of the year, alongside records of any purchased, propagated, acquired, sold, transferred, died, killed, or escaped animals, culminating in the tally of those possessed at the year's end. By setting a strict submission deadline of January 30th following the license year it covers and imposing penalties for non-compliance, this form underscores the Wisconsin Department of Natural Resources' commitment to wildlife preservation. Moreover, it aligns with the state's open records law, balancing program administration and enforcement with public transparency. This intricate blend of regulatory oversight, wildlife management, and legal adherence encapsulates the multifaceted importance of the Form 9400-579A to both license holders and the broader ecosystem of Wisconsin.
| Question | Answer |
|---|---|
| Form Name | Form 9400 579A |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | 9400 579A wisconsin captive wildlife and fur farm annual report form |
Mail Report To: State of Wisconsin |
Captive Wildlife and Fur Farm Annual Report |
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Department of Natural Resources |
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Bureau of Customer Service and Licensing |
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PO Box 7924, Madison WI |
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Due: On or before January 30 each year
Notice: This form is authorized by s. 169.36(10)(b), Wis. Stats., and may be used by any person who holds a license issued under ch. 169, Wis. Stats., which authorizes the holder to possess live captive wild animals, including the holder of a Wild Fur Farm License. Submittal of an annual report to the Department is mandatory and must be submitted on or before January 30 following the license year that the report covers. Failure to submit a complete annual report to the Department may result in a maximum forfeiture of $200 plus costs and assessments. Extra forms are available or this form may be photocopied if needed. A license holder may use their own annual report form or document (such as a
License Type: (Select the license type this report covers – One license per report)
Captive Wild Animal Farm License |
Wild Fur Farm License |
Scientific Research License |
Bird Dog Training License |
Hound Dog Training License |
Hound Dog Trial License |
Bird Dog Trial License
Dog Club Training License
License Number
Report Year
Licensee Last Name
Street Address
First Name |
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Daytime Telephone Number |
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City |
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ZIP Code |
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Total Number |
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Total Number |
Total Number |
Total Number |
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Total Number |
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Possessed at |
Total Number |
Purchased or |
Sold or |
that Died or |
Total Number |
Possessed at |
Species |
Start of Year |
Propagated |
Acquired |
Transferred |
were Killed |
Escaped |
End of Year |
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I hereby certify the foregoing information is true and correct. I understand that providing incorrect information may result in revocation of my license and possible penalties.
Signature of Licensee
Date Signed
dnr.wi.gov |
Attach additional sheets as needed |