Fillable CERTIFIED DEER TRACKING DOG PERMIT REPORT FORM

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CERTIFIED DEER TRACKING DOG PERMIT REPORT FORM

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CERTIFIED DEER TRACKING DOG PERMIT REPORT FORM
Current Permit Number: _________________________ Report Date: _____________________
Name of Permittee: ________________________________________________________________
Date
Location
(Zone, Municipality, Closest Intersection)
CID Number
of Hunter
Tracked Animal Information
(Species, Gender, Description)
Recovery Status
*Attach additional sheets as necessary.
I certify under penalty of law that the information provided in this document is true, accurate, and complete.
Signature of Permittee: __________________________________________ Date: __________________
This report must be submitted within 14 days following the expiration date of the permit by:
mail to: NJ Division of Fish and Wildlife, 2201 County Route 631, Woodbine, NJ 08270
or email to: Lisa.Clark@dep.nj.gov or fax to: (609) 628-2734
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Date
Location
(Zone, Municipality, Closest Intersection)
CID Number
of Hunter
Tracked Animal Information
(Species, Gender, Description)
Recovery Status
Permittee’s Initials: ______
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CERTIFIED DEER TRACKING DOG PERMIT REPORT FORM

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Completed 13 May 2021

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