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Dnr service center application form # 3600 162

Dnr service center application form # 3600 162-2026

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The document is a permit application form (Form 3600-162) from the Wisconsin Department of Natural Resources for individuals seeking to fish or troll with an electric motor. It outlines the requirements for obtaining a Class A trolling permit, which is available for disabled persons without a fee. The form requires personal information from the applicant and certification from a licensed physician or chiropractor regarding the applicant's disability. It also includes instructions for submission and processing times.

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Click ‘Get Form’ to open it in the editor.
Begin by checking the box if you are renewing your permit. Leave the 'DNR Use Only' section blank.
Fill in your personal information in SECTION I, including your name, driver's license number, address, and contact details. Ensure all entries are legible.
Provide additional details such as your previous permit number, weight, sex, date of birth, eye color, hair color, and height.
Sign and date the application to certify that the information is accurate and authorize the DNR to review medical records if necessary.
If applicable, SECTION II must be completed by a licensed physician or chiropractor. They should provide their name, medical license number, and signature.
Finally, mail your completed application to the specified address for processing. Remember to allow up to six weeks for review.

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2009	4.8 Satisfied (24 Votes)

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