Bureau of Marine Fisheries
PO Box 418
Port Republic, New Jersey 08241
Phone: (609) 748-2020
Visit our Division Website:
NAME/CONTACT ___________________________________________ CORPORATION___________________________
ADDRESS_________________________________________________ DATE OF BIRTH__________________________
CITY, STATE & ZIP__________________________________________ COUNTY _______________________________
TELEPHONE#______________________________________________ CELL PHONE#___________________________
CID#______________________________________________________ GEAR/BMFID #___________________________
E-MAIL ADDRESS___________________________________________ SS# or EIN# _____________________________
HEIGHT :________________ WEIGHT :_________________________ EYE COLOR__________ HAIR COLOR________
VESSEL NAME_____________________________________________ VESSEL LENGTH_________________________
VESSEL DOC/STATE REGISTRATION #_________________________ NMFS PERMIT #__________________________
LIMITED ENTRY programs have been established for the licenses listed below. If you did not purchase this license in the
previous year or if you do not meet eligibility criteria you may NOT purchase this license type.
Quantity Fee Total
Atlantic Coast Crab Dredge License
Delaware Bay Crab Dredge License(s)
Commercial Crab Pot License Crab Pot #:
Commercial Lobster/Fish Pot/Conch Pot License
Drifting Gill Net(s)
Del. Bay Drifting Gill Nets: Permit #:
Flat fee of $2.00
Hudson River Shad Net(s)
Staked and Anchored Gill Net(s)
Del. Bay Staked & Anchored Gill Nets : Permit #:
Flat fee of $2.00
Gill Net Mesh Exemption Permit (GNMEP) Permit #:
Horseshoe Crab Permit
Bait Net License
Fyke Net License(s) Location:
Haul Seine License(s)
Miniature Fyke or Pot License
Parallel Net License(s)
Pound Net License(s) Location:
Recreational Lobster Pot License
Shrimp Trawl License(s)
Wire Pound Net License(s)
Shirred/Purse Seine, Otter/Beam Trawl (include vessel documentation
or state registration)
I certify under penalty of law that the information provided in this document is true, accurate and complete. I am aware that there are
significant civil penalties for knowingly submitting false, inaccurate or incomplete information and that I am committing a crime of the
fourth degree if I make a written false statement which I do not believe to be true.
Commercial Harvester Trip reports must be up to date. Please include a copy of your driver’s license as proof of residency and
complete the Supplemental License Application. Make checks payable to the State of New Jersey and mail to the address listed above.
Landing Permits are required to harvest certain species in New Jersey waters, please contact 609-748-2020 for more information.
SIGNATURE _________________________________________________________ DATE______________________
R:10/16 V:Admin:Applications:Comm Marine Lic
The Office of the Attorney General highly recommends completion of the Child Support Certification online using the secure
Division website, listed below. If that is not possible, please complete the application below and include with your documents when
purchasing your Commercial Marine License.
Child Support Certification Form
Calendar Year 20_____
Please certify, under penalty of perjury, the following:
a. Do you currently have a child-support obligation? yes no
(1) If “Yes,” are you in arrears in payment of said obligation? yes no
(2) If “Yes,” does the arrearage match or exceed the total amount payable for the past six months? yes no
b. Have you failed to provide any court-ordered health insurance coverage during the past six months? yes no
c. Have you failed to respond to a subpoena related to either paternity or child-support proceeding? yes no
d. Are you the subject of a child-support related arrest warrant? yes no
In accordance with N.J.S.A. 2A:17-56,44d, an answer “Yes” to any of the questions (2) through d will result in a denial of licensure
or certification. Furthermore, any false certification of the above may subject you to a penalty, including but not limited to,
immediate revocation or suspension of licensure or certification.
______________ __________________________________ ___________________________________
Date Applicant’s Name (Please Print) Applicant’s Signature
* Pursuant to N.J.S.A. 2A17-56.44e. of the New Jersey Child Support Enforcement Law, the Division of Fish and Wildlife is required
to obtain your Social Security Number. The Division is further obligated to provide your Social Security Number to the Probation
Division or other agency responsible for child support enforcement.