DRIVER LICENCE / PHOTO ID No.
SURNAME
HEIGHT
FT. IN. LBS.
WEIGHT HAIR COLOUR EYE COLOUR
POSTAL CODE
BIRTH DATE
SEX
M/FDAY
MONTH
YEAR
MAILING ADDRESS TELEPHONE NUMBER
HUNTER CERTIFICATE No.
FIRST NAME AND INITIAL
SECTION 1: (MUST BE COMPLETED FULLY, INCLUDING PHYSICAL DESCRIPTION)
SECTION 2: (MUST BE COMPLETED) Consult the Moose/Black Bear Area Map for Area Number
WHERE DO YOU WISH TO HUNT? (LIST ONE AREA ONLY): AREA
DATE SIGNATURE OF APPLICANT
MAIL TO:
BLACK BEAR LICENCE APPLICATIONCENTRAL CASHIER’S OFFICE
P.O. BOX 8770 ST. JOHN’S, NL A1B 4J6
TO DELIVER APPLICATION IN PERSON:
LOCATION: CENTRAL CASHIER’S OFFICE3RD FLOORCONFEDERATION BUILDINGST. JOHN’S, NL
GOVERNMENT OF NEWFOUNDLAND AND LABRADOR
Department of Fisheries and Land Resources
Applications for the 2018 spring and fall season must be received no later than March 29 and June 22 respectively. These deadlines must be met in order to guarantee receipt of your licence before the season opens (note that one licence covers both the spring and fall). Applications received after these dates are not guaranteed to be processed before the season opens. Do not include this application with a moose or caribou application. For individuals intending to submit black bear applications for multiple areas, use additional forms by photocopying this form or printing a form from our website at www.flr.gov.nl.ca/wildlife/hunting/bearapplication.pdf. Online applications can also be submitted at www.wildlife.gov.nl.ca.
2018 Resident Application for Black Bear Licence for the Island of Newfoundland
Enclose licence fee of $44.85 ($29.15 for seniors aged 65 or older) per application. Make cheque or money orderpayable to Newfoundland Exchequer Account. Fees include HST.
The Department of Fisheries and Land Resources is committed to protecting personal information, which is being collected
in accordance with section 61 (c) of the Access to Information and Protection of Privacy Act, 2015 (ATIPPA, 2015) and willbe used in the assessment for licensing. It will not be used for any other purposes unless authorized under ATIPPA, 2015. For additional inquiries concerning ATIPPA, please email [email protected]