LIFETIME LICENSE APPLICATION

1 APPLICATION FOR LIFETIME LICENSE Send completed APPLICATION form, supporting documents, and proper fee to: Louisiana Department of Wildlife and Fisheries (LDWF) Attention: Sports Licenses, PO Box 98000, Baton Rouge, LA 70898 SECTION 1: ITEM Resident LIFETIME Hunting/Fishing Combo LICENSE (Birth to age 64) (#100) $ Resident LIFETIME Senior Combo Hunting and Fishing (65 and older) (#200) $ Nonresident LIFETIME Hunting/Fishing Combo LICENSE (All ages) (#107) $4, I wish to donate to the Hunters for the Hungry Program $ $ $ $ Other amount: _____ I wish to donate to the Disabled Veterans LICENSE Program $ $ $ $ Other amount: _____ SECTION 2.

2 RESIDENCY REQUIREMENTS To qualify as a bona fide Louisiana resident, you must have resided in the state of Louisiana continuously during the 6 months immediately prior to the date you apply for any LICENSE and you must have established Louisiana as your legal domicile. You must demonstrate compliance with all of the following, as applicable: If you re registered to vote, you re registered to vote in Louisiana If you re licensed to drive a motor vehicle, you have a valid Louisiana driver s LICENSE If you own a motor vehicle located within Louisiana, you have a valid Louisiana registration for that vehicle If you earn an income, you have filed a Louisiana state income tax return and have complied with state income tax law and regulations.

3 Any person, corporation, or other legal entity that possesses a resident LICENSE from any other state or country shall not qualify for a resident LICENSE in Louisiana. SECTION 3: DOCUMENTATION REQUIREMENTS Eighteen and older Copy of a valid Louisiana Driver s LICENSE or Louisiana state ID issued a minimum of six months and ONE OF THE FOLLOWING: Copy of applicant s current Louisiana voter s registration card Copy of Louisiana vehicle registration in applicant s name; if the applicant is married and vehicle registration is in spouse s name, a copy of marriage LICENSE must accompany the APPLICATION Copies of applicant s Louisiana state resident personal income tax return (form IT-540) for the two filing periods immediately prior to the date of APPLICATION , these tax returns must be stamped received by the Department of Revenue Seventeen and younger Copy of a certified birth certificate from the Department of Health (Birth certificate will not be returned if applying by mail)

4 Copy of both parent s Louisiana driver s LICENSE * Applicants sixteen and seventeen years old must provide a copy of a valid Louisiana Driver s LICENSE or Louisiana state ID ALL DOCUMENTS MUST BE SUBMITTED WITH APPLICATION OR APPLICATION WILL BE RETURNED SECTION 4: APPLICANT INFORMATION First Name: _____ Middle: _____ Last Name: _____ Suffix: _____ Physical Address: _____ City: _____ State: _____ Zip: _____ Mailing Address: _____ City: _____ State: _____ Zip: _____ Social Security Number (mandatory): _____ Date of Birth: _____ Phone: _____ Hunter Education #: _____ Driver s LICENSE Number: _____ State: _____ Date: _____ Email Address:_____ Signature of applicant or parent: _____ I hereby certify that if applying for a resident LICENSE , I meet all bona fide resident requirements and all information provided herein is true and correct.

5 ALLOW 3 WEEKS FOR DELIVERY. CONTACT OUR OFFICE AT (225) 765-2887 IF LICENSE IS NOT RECEIVED WITHIN 30 DAYS. LIFETIME LICENSES ARE NONREFUNDABLE AND NONTRANSFERABLE. FOR OFFICE USE ONLY: DATE RECEIVED: _____ LDWF #: _____ MONEY ORDER, CHECK, OR CASH: _____ LICENSE APPLICATION must be completed, signed, and all requested information provided or APPLICATION will be returned. LIFETIME licenses are valid anywhere in the state. If you buy a LIFETIME LICENSE and later move out of the state, your LICENSE will remain valid any time you return to Louisiana to hunt and/or fish. LIFETIME Licenses are issued from the Baton Rouge office only. LIFETIME licenses cover basic fishing, saltwater fishing, all recreational fishing gear, basic hunting, deer hunting, waterfowl hunting, turkey hunting, state duck LICENSE , turkey stamp, and the WMA access permit (Federal duck stamps are not included).

6 Requests for a duplicate LIFETIME LICENSE to replace a lost, stolen, or destroyed LICENSE must be accompanied by a completed APPLICATION for duplicate LICENSE . The cost of duplicates is $ each. If the APPLICATION is for a gift, the APPLICATION must be accompanied by all supporting documents required, and the purchaser can sign the APPLICATION .