Transcription of 2018 - 2019 Recreational Hunting and Fishing Tag …
1 18-11841 Rev. 6/2018 2018 - 2019 Recreational Hunting and Fishing Tag ApplicationMail to: SCDNR License Office PO Box 11710 Columbia, SC 29211-1710 (803)734-3833 Visit for additional licenses and information. M-F 8:30-4:50 PM ETApplicant InformationCustomer # or Social Security # Gender Race Date of Birth C -- -- //Name (as it appears on your SC Driver s License or ID Card) First M Init Last Suffix (Sr, Jr, III, etc)Home , Street City State Zip SC County of ResidenceMailing (only if different from Home address)
2 ,Street or PO Box City State Zip SC Driver s License or ID# - - - - Phone Home Cell Work Phone Home Cell Work State of Issue ResidentNonresidentHunting TagsQtyFeeQtyFeeDeer Tags (set of 11)x $ =N/AAntlerless Deer Tags (max 4)x $ =x $ =Unrestricted Antlered Buck Tag (must be purchased before any additional antlered tags may be purchased)N/A1x $ =Unrestricted Antlered Buck TagN/A1x $ =Restricted Antlered Buck Tag (max 2)x $ =x $ =Bear Tag (max 1)x $ =x $ =Turkey Tags (set of 3)x $ =x $ =Nongame Fish DevicesJug Permit (max 1)x $ =x $ =Set Hook Permit (max 1)x $ =x $ =Eel Pot Tag (reporting requirements apply)x $ =x $ =Gill Net Tag (not for shad or herring) x $ =x $ =Trap Tag ( Recreational limit 2)x $ =x $ =Trotline Tag ( Recreational limit 1)x $ =x $ =Saltwater License/ TagsShrimp Baiting License/Tags (max 1)x $ =x $ =TOTAL DUE Make Check Payable to SCDNRH unter Education Certification (HE) Hunter Education Certification is required for persons born after June 30, 1979 who apply for Hunting privileges.
3 Hunter Education Number State of Issue I affirm that I am not under suspension for any natural resources violation and I am eligible to apply for, hold, and use the above SCDNR licenses and permits and that the information provided above is true and correct. Signature of Applicant Date Amount of Check $ Any personal information collected by SCDNR for licenses, watercraft titles, and registrations, except social security number, driver s license number, gender, and race, is subject to disclosure under the Freedom of Information Act. However, if released, state law prohibits the use of this information for solicitation or commercial disclosure of your social security number is required to obtain SC Hunting and Fishing licenses. This complies with SC Code Annon 63-17-1080 and Federal law 42 USCA 666(a)(13), which requires a licensing agency to provide this information to the Child Support Enforcement Unit of the Department of Social Services to establish, modify and enforce child support orders.
