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Click ‘Get Form’ to open it in the editor.
Begin by filling in the FS Region/BLM State and FS National Forest/BLM District at the top of the form. This information helps identify the specific area related to your permit.
Next, enter the Permittee's Name and Complete Address. Ensure all details are accurate, including City/State and Zip Code, as this identifies you as the permit holder.
In the Vehicle(s) Information section, provide details such as Year, Make, Model, Color, License Plate Number, and State for each vehicle involved in product removal.
Complete the Product Plan section by specifying the Product Name and Public Land Type. This is crucial for identifying what you are permitted to harvest.
Fill out the Payment Method and Load Ticket Numbers sections accurately to ensure proper tracking of your transactions.
Finally, review all entries for accuracy before signing at the bottom of the form. Both Permittee and Authorized Agency/Vendor must sign and date.
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