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Get Wisconsin Online Fishing License

Information may be made available to requesters as required under Wisconsin s Open Records law ss. 19. 31-19. 39 Wis. Stats. s. 29. 193 5 b Wis. Stats. GROUP FISHING LICENSE FOR THE DEVELOPMENTALLY DISABLED. Mail to Department of Natural Resources Fishing License Waiver - CS/1 PO Box 7924 Madison WI 53707-7924 One-Day Fishing License Waiver Developmentally Disabled Group Application / License Form 9400-562 R 6/09 Fee 25. 00 DNR Bureau of Customer Service Licensing Allow at least 7 days for the Department to review your request. Notice Information requested on this form is required by the Department for any application filed pursuant to ss. 29. 193 Wis. Stats. The Department will not consider your application unless you complete and submit this application form* Personal information provided may be used to determine identity of the bearer eligibility for approvals and participation in natural resources surveys. Information may be made available to requesters as required under Wisconsin s Open Records law ss. 19. 31-19. 39 Wis. Stats. s. 29. 193 5 b Wis. Stats. GROUP FISHING LICENSE FOR THE DEVELOPMENTALLY DISABLED. The department shall issue one-day group fishing licenses to groups consisting of individuals with developmental disabilities and their caregivers. Not more than 12 individuals may fish under the privilege conferred by each license. Fee 25 per s. 29. 563 3 a 7m* s. 51. 01 5 a Developmental Disability means a disability attributable to brain injury cerebral palsy epilepsy autism Prader-Willi syndrome mental retardation or requiring treatment similar to that required for mental retardation which has continued or can be expected to continue indefinitely and constitutes a substantial handicap to the afflicted individual* Developmental disability does not include senility which is primarily caused by the process of aging or the infirmities of aging. Organization Information Organization Name Contact Name Street Address Telephone Number State City ZIP Code Participants Not more than 12 individuals including the caregivers may fish under the privilege of this license. List the names of the Event Information Event Date Body of Water Lake or River Name Where Event is Taking Place County Where Event is Taking Place Certification I certify that the information provided is true and correct and these persons comply with all the laws regulating the issuance of this license. Applicant Name Date Signed Applicant Signature For DNR Use Only - DNR REPLY Your group meets the requirements for the event date. Carry this approval form with you on the day of your fishing event. A copy of this waiver will be sent to the warden in the county that is indicated above. Mail to Department of Natural Resources Fishing License Waiver - CS/1 PO Box 7924 Madison WI 53707-7924 One-Day Fishing License Waiver Developmentally Disabled Group Application / License Form 9400-562 R 6/09 Fee 25. 00 DNR Bureau of Customer Service Licensing Allow at least 7 days for the Department to review your request.

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