In navigating the complexities of wildlife conservation and research, the State 51801 form emerges as a crucial document for those seeking to engage in the special purpose salvage of wildlife specimens within the jurisdiction of Indiana's Department of Natural Resources. This form serves as an application for either a new request or the renewal of a Special Purpose Salvage Permit, catering to individuals or institutions with educational or scientific interests in salvaging mammals, reptiles, amphibians, and birds. Applicants are required to meticulously provide personal details, specify the species they intend to salvage with an explanation of the purpose, detail the geographic scope of their activity, and identify any collaborators in their endeavors. Furthermore, the form mandates a declaration of the destination for the salvaged specimens. Ensuring all sections are thoroughly completed, backed by additional explanations if necessary, the form not only underscores the state's commitment to preserving its natural heritage but also facilitates a regulated, transparent process for specimen salvage—a critical step for various educational and research pursuits. Compliance with the thorough application process, evidenced by the necessity for a detailed listing of species and a clear elucidation of the salvage purpose, reflects a rigorous interface between regulatory frameworks and scientific exploration.
| Question | Answer |
|---|---|
| Form Name | State Form 51801 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | AppFormIndiana salvage indiana special purpose salvage permit form |
APPLICATION FOR SPECIAL PURPOSE
SALVAGE PERMIT
State Form 51801 (R /
INSTRUCTIONS:
1.Please print or type information.
2.Attach additional sheets for explanation if necessary.
3.All sections must be complete before submitting.
Please check one: New Applicant |
Renewal (Annual Report Required) |
DEPARTMENT OF NATURAL RESOURCES
Division of Fish and Wildlife
Attn: Permit Coordinator
402 W. Washington St., Rm. W273
Indianapolis, IN
Telephone: (317)
Fax Number: (317)
Name of Applicant |
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Last Name |
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Middle Initial |
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Date of Birth |
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Applicant’s Driver’s License Number |
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Street Address |
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Educational Institution/Organization Information
Name of Organization or Educational Institution
Applicant’s Position with Institution/Organization
Describe the type of Organization or Institution
Business Address (if different from above)
Business Telephone Number ( |
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1. Please list the species that will be salvaged: |
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MAMMALS: |
Yes |
No |
If yes, please list species: |
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REPTILES: |
Yes |
No |
If yes, please list species: |
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AMPHIBIANS: |
Yes |
No |
If yes, please list species: |
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BIRDS*: |
Yes |
No |
If yes, please list species: |
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*For birds, please provide your federal permit number or name of person on whose permit you are listed as a subpermittee:
2.Please describe in detail the activity or purpose for salvaging specimens:
3.Please indicate the counties in Indiana where you will be salvaging specimens:
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4. Please list the names and addresses of individuals (if any) who will be assisting you:
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Name |
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Telephone Number |
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Address (City, State, ZIP Code) |
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2) |
Name |
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Telephone Number |
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Address (City, State, ZIP Code) |
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3) |
Name |
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Telephone Number |
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Address (City, State, ZIP Code) |
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5.Please identify the location (name of organization/business and address) where the specimens salvaged under this permit will be deposited:
Name:
Address:
NOTE: If additional space is needed, list information on another sheet.
AGREEMENT
Under the penalties of perjury (IC
Signature of Applicant |
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FOR OFFICE USE ONLY
Approved by |
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Comments
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