Transcription of Resident Disabled Veterans Lifetime Application
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LTL-VET-0818 Page 1 of 2 DEPARTMENT OF GAME AND INLAND FISHERIES Lifetime LICENSE SALES BOX 2978 HENRICO, VA 23228-9700 866-721-6911(Hearing impaired call TDD# 804-367-1278)Commonwealth of virginia Resident Disabled Veteran Application Lifetime License Hunting, Freshwater Fishing, and/or Tr a p p in g, and Disabled Saltwater Fishing Special license for certain Resident Disabled Veterans : Any Resident veteran who is totally and permanently Disabled due to aservice-connected apply for and receive from the Department a nontransferable license, valid for life, permitting theveteran to hunt and fish on any property in the Commonwealth according to restrictions and regulations of Instructions on page 2 (Allow up to 45 days for processing your Application request) All fields with an asterisk * are required below: DGIF Customer ID#: _____ *Applicant s Name: _____ *Gender: Male Female (Please Print) First Middle Initial Last Name *State Issued Driver s or Identification number last 4 digits: _____*Last 4 digits of Social Security No: _____*Telephone: _____- _____-_____ (Cell, Home, Work, Other)*Date of Birth: _____/_____/_____*Mailing Address: _____*City: _____State.
Valid Virginia driver’s license Valid Virginia DMV issued ID card 2) Verification of ‘Total and Permanent’ service-connected disability: Must submit a copy from one of the options below on required proof of qualification documentation with your application: I have included a copy of my Certification of Disability from the U.S. Department ...
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