Fillable Permit To Kill Wild Deer Application Form

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Permit To Kill Wild Deer Application Form

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DFG-033 New Jersey Department of Environmental Protection
4/17 Division of Fish and Wildlife
PERMIT TO KILL WILD DEER DATE_________________
PERMITTEE DOB SIGNATURE NJFPID#
_____________________ _______________ _____________________________ _____________________
_____________________ _______________ _____________________________ _____________________
_____________________ _______________ _____________________________ _____________________
MAILING ADDRESS:_______________________________________________________________
Street
________________________________________________________________________________________
City State Zip Code
This permit authorizes the killing of wild deer from ___________________ to _____________________ on cultivated lands located
(Date) (Date)
____________________________________________________________________________________________________________
_____________________________________________________________________________
(Include block and lot(s), road(s), township, county)
Is this leased property? Yes / No If yes, indicate property owner:_______________________________________
Deer Management Zone ______________ Unit _______________ # Acres ________________ Crops _________________________
Shooting is permitted 24 hours per day unless stated otherwise in “Additional Requirements” section. Property owner permission in
writing is required on leased property. In addition to the permittee(s), agents may be authorized to kill deer on the above indicated
property. The agent(s) must possess* a valid NJ Firearms Purchaser Identification Card and a valid NJ Firearm Hunting License. The
agent(s) will not be authorized to kill deer unless he/she has placed his/her signature on the permit.
* Agents who only hold lights, drive a vehicle, or assist in any way other than handling or shooting firearms must be listed as “non-
shooter” on the permit but are not required to possess a NJ Firearms Purchaser Identification Card or a NJ Firearm Hunting License.
SEAL #s and ADDITIONAL REQUIREMENTS: __________________________________________________________________
_____________________________________________________________________________
Each undersigned agent does hereby acknowledge that they have read, understand, and will abide by the permit regulations provided
and that they possess both a valid NJ Firearms Purchaser I.D. Card and a valid NJ Firearm Hunting License.
AGENT NAME/ D.O.B TELEPHONE # SIGNATURE NJFPID # NJCID #
1. ______________________ ____________________ ___________________________ _____________ ________________
2. ______________________ ____________________ ___________________________ _____________ ________________
3. ______________________ ____________________ ___________________________ _____________ ________________
4. ______________________ ____________________ ___________________________ _____________ ________________
5. ______________________ ____________________ ___________________________ _____________ ________________
6. ______________________ ____________________ ___________________________ _____________ ________________
7. ______________________ ____________________ ___________________________ _____________ ________________
8. ______________________ ____________________ ___________________________ _____________ ________________
9. ______________________ ____________________ ___________________________ _____________ ________________
10._____________________ ____________________ ___________________________ _____________ ________________
A representative of the Division of Fish and Wildlife has investigated this complaint and has determined that conditions exist which
warrant the issuance of a permit to kill wild deer.
Contact ______________________________________________ Telephone # _______________________________________
I hereby certify that I received a copy of the permit to kill wild deer regulations and agree to abide by them. I
understand it is my obligation to secure permission from the property owner to shoot on leased land.
_________________________________________________ __________________________________________________
Permittee Signature and Phone Number Division Representative Signature
(Not valid until signed by Division Representative)
DFG-033 Side 2
4/17
ACTIVITY/MORTALITY REPORT Permittee
(printed):_________________________
The activity/mortality report must be filled in by the permittee and agents. Failure to maintain this report may result in the
revocation of your permit. Upon expiration of this permit, return the completed form WITHIN TWO WEEKS along with
any unused seals to:
NORTHERN REGION OFFICE CENTRAL REGION OFFICE SOUTHERN REGION OFFICE
BUREAU of LAW ENFORCEMENT BUREAU of LAW ENFORCEMENT BUREAU of LAW ENFORCEMENT
26 RT 173W ONE ELDRIDGE RD. 220 BLUE ANCHOR RD
HAMPTON, NJ 08827 ROBBINSVILLE, NJ 08691 SICKLERVILLE, NJ 08081
For the counties of: Bergen, Essex, For the counties of: Burlington, For the counties of: Atlantic, Camden,
Hudson, Hunterdon, Morris, Passaic, Mercer, Middlesex, Monmouth Cape May, Cumberland, Gloucester
Somerset, Sussex, Union, and Warren and Ocean and Salem
Date Deer Killed Disposition of Carcass Seal #
Adult Males Antlerless
Example: 4/12/20__ 1 3 Buried
4/15/20__ 0 0 N/A
4/18/20__ 0 1 Given to: (specify name 0001234
of person or organization)
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Deer carcasses must be disposed of in accordance with all federal, state, and municipal regulations.
You must indicate your activities on this form for each date that you pursued deer. If you pursued deer but did not shoot, you must still
indicate the date on the form, and record “0” under “Deer Killed.”
Remember, these records are subject to inspection by Division personnel at any time.
Serial numbers of Venison Possession Seals issued: ____________________ Numbers of seals returned:______________________
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Permit To Kill Wild Deer Application Form

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Completed 11 May 2021

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