2019 Statewide Alligator Harvest Application Worksheet Alligator Trapping License and Permit Type Base Fee* Permit and Alligator Trapping License for Florida Residents (includes 2 tags for the harvest of 2 alligators) $272.00 Phase I Applications: May 17–27, 2019 Lottery and Charges: May 28–29, 2019 $1,022.00 Phase II Applications: May 31–June 10, 2019 Lottery and Charges: June 11–12, 2019 Permit and Alligator Trapping License for Resident Disability Hunt/Fish License Holders (includes 2 tags for the harvest of 2 alligators) $22.00 Phase III Applications: June 14–24, 2019 Lottery and Charges: June 25–26, 2019 Permit for 2 Tags (for customers who already have an Alligator Trapping License valid through 11/1/2019) $62.00 Permit and Alligator Trapping License for Non-Residents (includes 2 tags for the harvest of 2 alligators) Leftovers: June 27, 2019 until sold out * Additional handling charges may apply Apply online by logging in at GoOutdoorsFlorida.com and choosing "Apply for Limited Entry/Quota," or complete and present this form to a license agent or tax collector office to submit on your behalf. Please ensure all application details and contact information is correct, as applicants will be contacted via email regarding drawing results and licenses/ tags sent to the mailing address on file. First & Last Name: Date of Birth: Customer Number or Driver’s License or Social Security Number: Select up to 12 choice combinations in the order you would like, from the 2019 Alligator Harvest Units/Periods and Maps. Choose only the areas that you would want to hunt and include only those periods when you can actually participate. CHOICE HARVEST UNIT NUMBER HARVEST PERIOD CHOICE 1 7 2 8 3 9 4 10 5 11 6 12 HARVEST UNIT NUMBER HARVEST PERIOD Each applicant is required to provide a credit/debit card number which will be pre-authorized for adequate funds prior to the random drawing. Based on this pre-authorization and the lottery, successful applicants will be awarded a permit and charged accordingly, while unsuccessful applicants will have these pre-authorized pending holds released. Financial institutions vary in how authorizations and pending charges are handled, as well as the length of time taken to release any hold or pending charge, so please check with your institution for specific questions or details. ALL SALES ARE FINAL – THERE ARE NO REFUNDS FOR STATEWIDE ALLIGATOR FEES. Card Number (Visa, MasterCard or Discover):     Expiration Date: INSTRUCTIONS FOR TAX COLLECTOR OFFICES and LICENSE AGENTS: In RLIS, navigate to the Customer Lookup Screen and access the customer’s account from the information provided. Under the Customer’s Detail section, select Apply for Limited Entry/Quota. Choose the appropriate application and proceed through with selections and prompts according to the customer's requests. Verify all details and enter the credit card future charge information. Submit application and print a receipt for the customer. The Florida Fish and Wildlife Conservation Commission (FWC) collects social security numbers (SSN) for the issuance of recreational and professional fishing or hunting licenses or permits to an individual in accordance with chapter 379 F.S. and 42 USC 666 for the purposes of administration of the Title IV-D program for child support enforcement, use by the Commission, and as otherwise provided by law. Submitting false information or using another person’s identity without their consent is considered identity theft and may result in felony charges and the loss of hunting privileges.