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The document is an application form for the Hunting or Trolling Disability Permit issued by the Wisconsin Department of Natural Resources. It outlines the requirements for applicants with physical disabilities to obtain permits that allow them to participate in hunting and fishing activities. The form must be completed by both the applicant and a licensed health care provider, detailing the applicant's medical condition and mobility limitations. It also provides information on various types of permits available, eligibility criteria, and submission instructions.

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