Form Dep Wild App 002 PDF Details

Are you looking for a comprehensive guide to completing Form Dep Wild App 002? If so, you’ve come to the right place! This blog post will provide an overview of everything you need to know about the form – from what documents are required and how to fill it out correctly, to where and when it should be filed. We’ll also give general advice on ensuring your application is as successful as possible. With all this information at your disposal, you'll be better prepared than ever before in tackling the process behind Form Dep Wild App 002. So read on and get ready for a detailed look into one of the crucial stages of filing for permits with wildlife departments across America!

QuestionAnswer
Form NameForm Dep Wild App 002
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestaxidermy taxidermy online applcation liences form

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STATE OF CONNECTICUT

DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF NATURAL RESOURCES

Application for License to Practice Taxidermy

Part I: Applicant Information

DEP USE ONLY

Permit No.

Deposit Ref.

Name:

 

 

Mailing Address:

 

 

City/Town:

State:

Zip Code:

Business Phone:

ext.

Fax:

I expect to conduct my business as a Taxidermist at:

 

 

 

 

 

 

 

 

Part II: Fee Information

The application fee for the License to Practice Taxidermy is $105.00

Part III: Certification

“I hereby make application for a license to practice taxidermy.

I certify that I will permit, at any time, any Law Enforcement Officer to examine and inspect any premises used by me for the practice of taxidermy or for the storage of specimens.

I agree to make an annual report to the Department of Environmental Protection of the number and species of birds and quadrupeds mounted.

I am a citizen of the United States and a bona fide resident of Connecticut.

I certify that this application is on complete and accurate forms as prescribed by the commissioner without alteration of the text.

I declare, under the penalties of false statement, that the submitted information is true, accurate and complete to the best of my knowledge and belief.”

Signature of Applicant

 

Date

 

 

 

Name of Applicant (print or type)

 

Title (if applicable)

Please make check payable to the Department of Environmental Protection. Mail completed application and fee to:

Department of Environmental Protection License and Revenue Unit

79 Elm Street

Hartford, CT 06106-5127

Bureau of Natural Resources

 

 

DEP-WILD-APP-002

1 of 1

Rev.08/02/10