For-Hire Fishing
Division of Marine Fisheries 251 Causeway Street, Suite 400 Boston, MA 02114 www.mass.gov/marinefisheries
Form DMF-RF2
For-Hire Fishing Permit Application Form
Instructions: This form may be used to apply for a Massachusetts For-Hire permit. Please provide all requested information. Incomplete forms may result in the delay of permit issuance. Section 1. Applicant Information Last Name:
First Name:
Date of Birth:
MA Resident:
Yes
No
MI:
Suffix:
US Citizen:
Yes
No
Residency Address Street 1: Street 2: Zip code:
City:
State: Mailing Address (if different than above)
Street 1: Street 2: Zip code:
City:
State: Other Information (*required)
*Phone #:
Cell Phone:
e-mail address: Licensed Captain & Vessel Information Vessel Name:
Registration #:
Business Name:
Operator Name:
Operator Phone:
*U.S. Coast Guard License #:
Vessel Homeport:
Vessel Length:
Do you want this vessel listed in the Saltwater Fishing Guide:
Yes
No
If Yes, What Contact Phone Number do you want to list in the Guide? ___________________________________ *A copy of a current U.S. Coast Guard License that authorizes the operator to carry passengers must be submitted with this application. Section 2. Please select the type of permit you are applying for: Charter Boat:
MA Resident $65
Non-Resident, $130
Head Boat:
MA Resident, $130
Non-Resident, $260
Checks can be made payable to: Commonwealth of Massachusetts
Section 3. Certification/Signatures I certify under the pains and penalties of perjury that all information contained in the application is true and accurate to the best of my knowledge and belief.
Applicant: (Signature of applicant)
Date
(Parental or Legal Guardian consent needed if child is under 17 years old).
Date
Parent or Guardian:
Please complete the questionnaire on the back of this form >>
FOR-HIRE CHARTER PERMIT HOLDER QUESTIONNAIRE 2018 Please fill out the brief questionnaire below. The information provided will help us accurately determine charter vessel activity, and conduct the MRIP Catch Survey more efficiently. Do you anticipate taking Charter trips in 2018? YES
NO
Approximately how many For Hire Charter trips did you make in 2017? _________________________. Approximately how many For Hire charter trips will you make in 2018? _________________________. In which months do you expect to charter? Indicate with a check mark, or “X” in the boxes below. Months with no activity leave blank.
Jan
Feb
Mar
Apr
May
Jun
Is your vessel exclusively trailer launched? Yes
Jul
Aug
Sep
Oct
Nov
Dec
No
If No, please indicate the specific location from which you operate, such as port name, marina name, town or mooring field. Please be as descriptive as possible. For example: Burr Bros. Boat Yard, Sippican Harbor, Marion, MA. Location: _________________________________________________________________________________. If you trailer, please indicate the name and location of the top 3 boat ramp(s) or facilities you use most often: For example: Pamet Harbor - Truro, Bass River - Yarmouth, Stage Harbor - Chatham.
1. __________________________________________________________________________________. 2. __________________________________________________________________________________. 3. __________________________________________________________________________________. Please indicate your charter company name below. Charter company name: _______________________________________________________________________. Do you have a website or Facebook page? YES
NO
Please indicate the website or Facebook address: ___________________________________________________. For more information or questions about the MRIP Survey, please feel free to contact David Martins, MA DMF MRIP Survey Coordinator by e-mail at [email protected] or telephone 508-990-2860 Ext 121. Thank you!
Form DMF-RF2
For-Hire Fishing Permit Application Form
Instructions: This form may be used to apply for a Massachusetts For-Hire permit. Please provide all requested information. Incomplete forms may result in the delay of permit issuance. Section 1. Applicant Information Last Name:
First Name:
Date of Birth:
MA Resident:
Yes
No
MI:
Suffix:
US Citizen:
Yes
No
Residency Address Street 1: Street 2: Zip code:
City:
State: Mailing Address (if different than above)
Street 1: Street 2: Zip code:
City:
State: Other Information (*required)
*Phone #:
Cell Phone:
e-mail address: Licensed Captain & Vessel Information Vessel Name:
Registration #:
Business Name:
Operator Name:
Operator Phone:
*U.S. Coast Guard License #:
Vessel Homeport:
Vessel Length:
Do you want this vessel listed in the Saltwater Fishing Guide:
Yes
No
If Yes, What Contact Phone Number do you want to list in the Guide? ___________________________________ *A copy of a current U.S. Coast Guard License that authorizes the operator to carry passengers must be submitted with this application. Section 2. Please select the type of permit you are applying for: Charter Boat:
MA Resident $65
Non-Resident, $130
Head Boat:
MA Resident, $130
Non-Resident, $260
Checks can be made payable to: Commonwealth of Massachusetts
Section 3. Certification/Signatures I certify under the pains and penalties of perjury that all information contained in the application is true and accurate to the best of my knowledge and belief.
Applicant: (Signature of applicant)
Date
(Parental or Legal Guardian consent needed if child is under 17 years old).
Date
Parent or Guardian:
Please complete the questionnaire on the back of this form >>
FOR-HIRE CHARTER PERMIT HOLDER QUESTIONNAIRE 2018 Please fill out the brief questionnaire below. The information provided will help us accurately determine charter vessel activity, and conduct the MRIP Catch Survey more efficiently. Do you anticipate taking Charter trips in 2018? YES
NO
Approximately how many For Hire Charter trips did you make in 2017? _________________________. Approximately how many For Hire charter trips will you make in 2018? _________________________. In which months do you expect to charter? Indicate with a check mark, or “X” in the boxes below. Months with no activity leave blank.
Jan
Feb
Mar
Apr
May
Jun
Is your vessel exclusively trailer launched? Yes
Jul
Aug
Sep
Oct
Nov
Dec
No
If No, please indicate the specific location from which you operate, such as port name, marina name, town or mooring field. Please be as descriptive as possible. For example: Burr Bros. Boat Yard, Sippican Harbor, Marion, MA. Location: _________________________________________________________________________________. If you trailer, please indicate the name and location of the top 3 boat ramp(s) or facilities you use most often: For example: Pamet Harbor - Truro, Bass River - Yarmouth, Stage Harbor - Chatham.
1. __________________________________________________________________________________. 2. __________________________________________________________________________________. 3. __________________________________________________________________________________. Please indicate your charter company name below. Charter company name: _______________________________________________________________________. Do you have a website or Facebook page? YES
NO
Please indicate the website or Facebook address: ___________________________________________________. For more information or questions about the MRIP Survey, please feel free to contact David Martins, MA DMF MRIP Survey Coordinator by e-mail at [email protected] or telephone 508-990-2860 Ext 121. Thank you!
