State Form 51801 PDF Details

Are you looking to do business in the state of California? Before you can get started, there are certain forms and procedures that need to be taken into consideration. One such form is State Form 51801, which plays an important role in ensuring businesses remain compliant with applicable laws and regulations. In this blog post, we'll take a closer look at the purpose of State Form 51801 and the process for submitting it accurately. So keep reading to learn more about what this form entails and how to complete it properly!

QuestionAnswer
Form NameState Form 51801
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesAppFormIndiana salvage indiana special purpose salvage permit form

Form Preview Example

APPLICATION FOR SPECIAL PURPOSE

SALVAGE PERMIT

State Form 51801 (R / 5-08)

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 46204-2781

Telephone: (317) 233-6527

Fax Number: (317) 232-8150

Name of Applicant

 

 

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

Last Name

 

First Name

 

Middle Initial

 

 

 

 

Date of Birth

 

 

Applicant’s Driver’s License Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address

 

 

 

 

 

Telephone Number (

)

 

City

 

 

 

State

 

 

ZIP Code

 

 

 

 

County

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-Mail Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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 (

)

 

 

 

 

 

 

1. Please list the species that will be salvaged:

 

MAMMALS:

Yes

No

If yes, please list species:

 

 

REPTILES:

Yes

No

If yes, please list species:

 

 

AMPHIBIANS:

Yes

No

If yes, please list species:

 

 

BIRDS*:

Yes

No

If yes, please list species:

 

 

*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:

1)

Name

 

Telephone Number

 

 

Address (City, State, ZIP Code)

 

 

 

2)

Name

 

Telephone Number

 

 

Address (City, State, ZIP Code)

 

 

 

3)

Name

 

Telephone Number

 

 

Address (City, State, ZIP Code)

 

 

 

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 35-44-2-1), I certify that the information supplied by me is true and correct to the best of my knowledge.

Signature of Applicant

 

Date

FOR OFFICE USE ONLY

Approved by

 

Date

Comments

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