Document 6483334

PFBC-168R
(03/13)
Pennsylvania Fish & Boat Commission
Division Licensing & Registration
P.O. Box 68900
Harrisburg, PA 17106-8900
1-877-707-4085  Fax: 717-705-7931
www.fishandboat.com
NET PERMIT/THROW NET
RENEWAL APPLICATION
You must currently have a valid fishing license to purchase a net permit.
Cast Nets can be purchased on line - www.pa.wildlifelicense.com
Or complete this form and include $10.70 *for each location with application – make check payable to PFBC (Do not Send
Cash or Money Order).
Submit application form and payment to the address listed above.
st
Cast Net permit s expire on December 31
The use of a cast net or throw net in any other Commonwealth waters is a violation of the Fish and Boat Code and is
punishable by a fine and may result in the loss of fishing privileges. Cast nets or throw nets shall not exceed 10 feet in
radius or 20 feet in diameter and possess a mesh size of at least 3/8- inch. The holder of the cast net or throw net permit
may take, catch, kill or possess a daily creel limit of 100 gizzard shad and alewife (combined species). The holder of the
permit shall carry the permit on his/her person while using the net or while possessing more than 50 gizzard shad or
alewife (combined species).
APPLICANT INFORMATION
DATE OF BIRTH
(CID) CUSTOMER IDENTIFICATION NUMBER
PREFIX
FIRST
M.I.
LAST
SUFFIX
TELEPHONE (inc. area code)
STREET ADDRESS
CITY
STATE
ZIP
MAILING ADDRESS
CITY
STATE
ZIP
EMAIL ADDRESS
DRIVER’S LICENSE NUMBER
DRIVER’S LICENSE STATE
BUSINESS INFORMATION
BUSINESS NAME
TELEPHONE
BUSINESS ADDRESS
Select
Location
CITY
Permit Fee
$10.70*
Lake
Lake Raystown
Lake Arthur
Blue Marsh Lake
Shenango River Lake
Beltzville Lake
Nockamixon Lake
Lake Wallenpaupack
STATE
County
Huntingdon
Butler
Berks
Mercer
Carbon
Bucks
Wayne/Pike
ZIP
FAX NUMBER
Region
Southcentral
Northwest
Southeast
Northwest
Northeast
Southeast
Northeast
I certify that the information contained in the application is true and correct to the best of my knowledge, information and belief. This
certification is made subject to the penalty of Section 4904 of Crimes Code (18 Pa. C.S.A. § 4904) (relating to Unsworn Falsification to
Authorities) and Section 908 of the Fish and Boat Code (30 Pa. C.S. § 908) (relating to False Identification or False or Fraudulent
Statements on Reports).
SIGNATURE
*$10.00 renewal fee and $.70 electronic processing fee.
DATE