Alaska Documents

Alaska Documents

Homepage Alaska 11 525 Form in PDF

Example - Alaska 11 525 Form

Department of Fish and Game

Division of Administrative Services

Licensing Section

P.O. Box 115525

Juneau, Alaska 99811-5525

Phone: (907) 465-2376; Fax: (907) 465-2440

e-mail: dfg.das.licensehelp@alaska.gov

COMMERCIAL FISHING CREWMEMBER LICENSE APPLICATION

License Number Issued:_____________________

If you are not in substantial compliance with your child support order and are on Alaska's Child Support Services Division's (CSSD) outstanding report, your license is null and void at the time of purchase. You will be subject to criminal sanctions for participation in any commercial crewmember activities. The Department of Fish and Game will match each licensee against CSSD's report. Notice will be served that the license is void and invalid.

 

 

CHECK ONLY ONE: (License Type / Class)

 

 

 

 

CHECK AND COMPLETE THE FOLLOWING AS

Resident

/ Class 30

$60.00

 

Nonresident / Class 31

$200.00

THEY APPLY TO APPLICANT:

 

Resident Child / Class 34 (10 or less years old) $5.00

Nonresident Child / Class 35

$145.00

 

 

 

 

 

 

Alaska Resident

 

Residency: Actual number

Resident 7 day / Class 36 $30.00

 

Nonresident 7 day /Class 37

$30.00

 

 

 

 

 

 

of years and months as a

*Duplicate / Class 32

$5.00

 

 

 

 

 

 

 

 

Nonresident

 

resident is required. If non-

For class 36, and 37

 

 

 

 

AM

 

 

 

 

 

resident, write "none."

 

 

 

 

 

 

 

 

 

Years

Months

STARTING DATE

M M / D D / Y Y Y Y

STARTING HOUR

PM

 

 

 

U.S. Citizen

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This certiies that application is being made in accordance with applicable laws.

 

License Year

 

Alien

 

 

 

Name (irst)

(middle)

(last)

 

 

 

 

 

 

 

 

Alien Reg. No.

 

 

 

 

 

 

 

 

 

 

Mailing Address

 

 

 

 

 

Physical Location of Residence (If same as Mailing address, write "Same."

 

 

 

 

 

 

 

 

 

 

 

 

 

City, State,

Zip Code

 

 

 

Country

 

City, State, Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Social Security Number (required)

Weight (lbs)

Eye Color Hair Color

Height (FT/IN)

Sex

Drivers License No.

 

M F

Birth Date

mm/dd/yy

Telephone Number

(Optional)

Fax Number

Your E-mail Address:

Social Security Number Advisory: You are required to provide your social security number, if over 16 years of age, when applying for a Commercial Crewmember license unless you have an alien registration number. This information is required per AS 25.27.244.

ALASKA RESIDENT AS 16.05.415 & AS 16.05.940: “resident” means, 1) a person (including an alien) who is physically present in Alaska with the intent to remain indeinitely and make a home here, has maintained that person’s domicile in Alaska for the 12 consecutive months immediately preceding this application for a license, and is not claiming residency or obtaining beneits under a claim of residency in another state, territory or country; 2) a member of the military service or U.S. Coast Guard who has been stationed in Alaska for the 12 consecutive months immediately preceding this application for a license; or 3) a dependent of a resident member of the military service or U.S. Coast Guard who has lived in Alaska for the 12 months immediately preced- ing this application for a license. A person who does not otherwise qualify as a resident may not qualify by virtue of an interest in an Alaska business. A person who establishes residency as outlined above remains a resident during an absence for from the state unless during the absence the person (1) establishes or claims residency in another state, territory, or country; or (2) performs an act, or is absent under circumstances, that are inconsistent with the intent to remain indeinitely and make a home in Alaska. A person who establishes residency as outlined above remains a resident during an absence from the state unless during the absence the person (1) establishes or claims residency in another state, territory or country; or (2) performs an act or is absent under circumstances that are inconsistent with the intent to remain indeinitely and make a home in Alaska.

AS 16.05.480(a) A person engaged in commercial ishing is required to hold a limited entry permit, an interim-use permit or a cremember ishing license. If a person already holds a limited entry or interim-use permit for the year, a crewmember license is not needed.

Payment Information (Make checks payable to State of Alaska)

Check or Money Order

Visa

MasterCard

Card No.

Expire

Signature _________________________________________________

AFFIDAVIT FOR DUPLICATE COMMERCIAL FISHING CREWMEMBER LICENSE

I hereby report the loss of my current Commercial Fishing Crewmember License issued to me in accordance with the Fish and Game Code of Alaska as follows:

Number of License, If Known

Issued By (Name of License Oficer)

Date of Issuance

Place of Issuance

I have personally reviewed the information on this application and I hereby certify that all the information on this applica- tion is true and correct and that I understand this information except social security number is subject to public disclosure. NOTE: Providing false information is subject to a maximum ine of $10,000 or one year imprisonment or both, per AS

11.56.210 and AS 16.05.665.

Applicant X

Date:

11-525(rev 04/12)

Your Questions, Answered

  1. What is the Alaska 11 525 form?

    The Alaska 11 525 form is the application for a Commercial Fishing Crewmember License. This license is necessary for individuals who wish to participate in commercial fishing activities in Alaska.

  2. Who needs to fill out this form?

    Anyone who wants to work as a crewmember on a commercial fishing vessel in Alaska must complete this form. This includes both residents and nonresidents of Alaska.

  3. What are the fees associated with the license?

    The fees vary based on residency status and age. For example:

    • Resident Adult (Class 30): $60.00
    • Nonresident Adult (Class 31): $200.00
    • Resident Child (Class 34, 10 years or younger): $5.00
    • Nonresident Child (Class 35): $145.00
    • 7-Day Resident (Class 36) and Nonresident (Class 37): $30.00
    • Duplicate License (Class 32): $5.00
  4. What happens if I am not in compliance with child support orders?

    If you are not in substantial compliance with your child support order and are on Alaska's Child Support Services Division's outstanding report, your license will be null and void at the time of purchase. You may face criminal penalties for participating in commercial crewmember activities.

  5. What information do I need to provide on the form?

    You will need to provide personal information such as your name, mailing address, physical address, social security number, weight, eye color, hair color, height, sex, and date of birth. If you are a resident, you must also indicate how long you have lived in Alaska.

  6. How do I pay for the license?

    You can pay by check or money order made out to the State of Alaska. Alternatively, you can use a credit card (Visa or MasterCard) by providing your card number and expiration date on the form.

  7. What if I lose my Commercial Fishing Crewmember License?

    If you lose your license, you can fill out the affidavit for a duplicate license section on the form. You will need to provide details about the lost license, including the license number, if known, and the date and place of issuance.

  8. What are the residency requirements to qualify for a resident license?

    To qualify as an Alaska resident, you must be physically present in Alaska with the intent to remain indefinitely and have maintained your domicile in Alaska for the past 12 consecutive months. Members of the military stationed in Alaska and their dependents also qualify.

Dos and Don'ts

When filling out the Alaska 11 525 form, it is essential to follow specific guidelines to ensure your application is processed smoothly. Below is a list of important do's and don'ts to consider.

  • Do provide accurate personal information, including your full name, mailing address, and physical location of residence.
  • Do check only one box for the license type/class you are applying for.
  • Do include your social security number if you are over 16 years of age, unless you have an alien registration number.
  • Do ensure that your residency status is correctly stated, particularly if you are a resident or nonresident.
  • Don't submit your application without verifying all information for accuracy.
  • Don't forget to sign and date the application, as this certifies the truthfulness of the information provided.
  • Don't neglect to include payment information, as applications without payment cannot be processed.

Similar forms

The Alaska 11-525 form is similar to the Commercial Driver's License Application. Both documents require applicants to provide personal information, including residency status and identification details. Just like the 11-525 form, the Commercial Driver's License Application checks for compliance with certain legal requirements, such as outstanding child support obligations. This ensures that only eligible individuals can obtain the respective licenses, promoting accountability within both commercial fishing and driving sectors.

Another document that resembles the Alaska 11-525 form is the Hunting License Application. This form also collects personal information and requires proof of residency. Both applications involve a fee structure based on residency status, with different rates for residents and non-residents. Additionally, both forms include a certification section where applicants affirm the truthfulness of their provided information, ensuring that all declarations are accurate and comply with state regulations.

The Fishing License Application shares similarities with the Alaska 11-525 form as well. Each application requires details about the applicant's residency and personal identification. Both forms also aim to regulate participation in specific activities—fishing in this case—by ensuring that applicants meet legal requirements. Furthermore, both documents include a section that warns applicants about the consequences of providing false information, reinforcing the importance of honesty in the application process.

The Recreational Vehicle Registration Application is another document that aligns with the Alaska 11-525 form. Both applications require personal information and details about the applicant's residency. They also involve a fee structure based on the applicant's status as a resident or non-resident. Additionally, both forms serve as a means of ensuring that individuals comply with state laws before engaging in activities that require licenses, whether it be fishing or operating a recreational vehicle.

The EDD DE 2501 form, or Claim for Disability Insurance (DI) Benefits, is significant for workers needing to maintain their income during disabilities. It enables eligible employees to apply for temporary financial support while unable to work. Comprehending the nuances of this form and the submission process is vital for any employee grappling with health challenges. For additional information on the form and how to navigate its complexities, you can visit OnlineLawDocs.com.

Lastly, the Business License Application mirrors the Alaska 11-525 form in that it requires the applicant to provide personal and business-related information. Both forms necessitate proof of residency and compliance with state regulations. They also include sections where applicants must certify the accuracy of their information. This ensures that only qualified individuals can obtain licenses, whether for commercial fishing or operating a business, thus promoting lawful and responsible practices in their respective fields.

How to Write Alaska 11 525

Filling out the Alaska 11 525 form requires attention to detail and accuracy. Once you have completed the form, you will need to submit it to the appropriate licensing section of the Alaska Department of Fish and Game. Ensure that all required information is provided to avoid delays in processing your application.

  1. Begin by entering the License Number Issued at the top of the form.
  2. Check the appropriate box for your License Type / Class:
    • Resident / Class 30 ($60.00)
    • Nonresident / Class 31 ($200.00)
    • Resident Child / Class 34 (10 or less years old) ($5.00)
    • Nonresident Child / Class 35 ($145.00)
    • Resident 7 day / Class 36 ($30.00)
    • Nonresident 7 day / Class 37 ($30.00)
    • Duplicate / Class 32 ($5.00)
  3. Provide your Residency information, including the actual number of years and months as a resident. If you are a nonresident, write "none."
  4. Fill in the Starting Date (MM/DD/YYYY) and Starting Hour (AM/PM).
  5. Indicate your Citizenship status by checking the appropriate box.
  6. Enter your Name (first, middle, last) and Alien Registration Number if applicable.
  7. Provide your Mailing Address and Physical Location of Residence (if same, write "Same").
  8. Complete the Social Security Number section (this is required if you are over 16 years of age).
  9. Fill in your Weight, Eye Color, Hair Color, Height, and Sex.
  10. Provide your Birth Date (MM/DD/YY) and Telephone Number (optional).
  11. Enter your Fax Number and E-mail Address.
  12. Choose your Payment Method (check, money order, Visa, or MasterCard) and provide the necessary details.
  13. If applying for a duplicate license, complete the Affidavit for Duplicate Commercial Fishing Crewmember License section, including the license number if known, issued by, date of issuance, and place of issuance.
  14. Finally, sign and date the application to certify that all information is true and correct.

Documents used along the form

The Alaska 11 525 form is essential for individuals applying for a Commercial Fishing Crewmember License. It serves as a primary document to ensure compliance with state regulations. Several other forms and documents often accompany this application to provide additional information or fulfill specific requirements. Below is a list of these related documents.

  • Affidavit for Duplicate Commercial Fishing Crewmember License: This form is used when an applicant has lost their original license. It requires details about the lost license and certifies the accuracy of the information provided.
  • Limited Entry Permit Application: This document is necessary for individuals who wish to engage in commercial fishing. It grants access to specific fishing areas and quotas, ensuring sustainable fishing practices.
  • FedEx Bill of Lading: This document is crucial for shipping goods, detailing service types, shipper and consignee information, and is necessary for accountability in the shipping process. For additional insights, visit TopTemplates.info.
  • Interim-Use Permit Application: Similar to the limited entry permit, this application is for those who need temporary authorization to fish commercially. It is often used by new entrants to the fishery.
  • Child Support Compliance Form: This form verifies that the applicant is in compliance with child support orders. Failure to comply may result in the denial of the fishing license.
  • Residency Verification Form: This document confirms the applicant's residency status in Alaska. It is crucial for determining eligibility for resident licensing fees and benefits.

These forms collectively support the application process for the Commercial Fishing Crewmember License. Ensuring that all necessary documents are completed and submitted can facilitate a smoother application experience.

Misconceptions

Misconceptions about the Alaska 11 525 form can lead to confusion for applicants. Below are five common misconceptions, along with clarifications for each.

  • Misconception 1: Anyone can apply for a Commercial Fishing Crewmember License without restrictions.
  • This is not true. Applicants must be in substantial compliance with their child support orders. If they are not, the license will be void at the time of purchase.

  • Misconception 2: The form does not require a Social Security number for all applicants.
  • In fact, providing a Social Security number is mandatory for applicants over 16 years of age, unless they have an alien registration number. This requirement is stipulated by Alaska law.

  • Misconception 3: Only Alaska residents can apply for the resident class of the license.
  • This misconception overlooks that nonresidents can also apply for specific classes of the license. Different fees apply based on residency status.

  • Misconception 4: Once a person establishes residency in Alaska, they can maintain that status indefinitely regardless of circumstances.
  • This is incorrect. An individual may lose their residency status if they claim residency in another state or act in ways that indicate they do not intend to remain in Alaska.

  • Misconception 5: If a person has a limited entry or interim-use permit, they do not need a crewmember license.
  • This statement is partially true. If a person already holds a limited entry or interim-use permit for the year, they do not need a separate crewmember license. However, this does not apply to everyone.

Common mistakes

  1. Neglecting to Provide Accurate Residency Information: Many applicants fail to accurately detail their residency status. It's crucial to understand that being a resident means you have lived in Alaska for at least 12 consecutive months. If you’ve moved or are claiming residency in another state, this can invalidate your application.

  2. Inaccurate Social Security Number Submission: Some individuals mistakenly enter the wrong social security number or forget to include it altogether. This number is essential for your application, and any discrepancies can lead to delays or rejection.

  3. Choosing the Wrong License Type: Applicants often check the wrong box for the type of license they are applying for. Be sure to carefully read the options available and select the one that accurately reflects your situation, whether you are a resident, nonresident, or a child.

  4. Missing Required Signatures: Failing to sign the application can be a common oversight. Ensure that you sign and date the application to certify that all the information provided is true. Without your signature, the application may be considered incomplete.