Last Name
Address
Area Code
I hereby affirm that the person for whom this license is being purchased has been a bona fide resident of the State of Arizona for a least six months immediately preceding the date of this application, OR has been a member of the Armed Forces of the United States on active duty and stationed in this state for a period of thirty days immediately preceding the date of this application, AND that the date of birth and age of that person as provided on this application are true and correct. I understand that pursuant to A.R.S. ? 17-341, it is unlawful for a person to obtain a license to take wildlife by fraud or misrepresentation, and that a license so obtained is void and of no effect from the date of the issuance.
Signature of Purchaser
If this license is to be mailed to any address other than the one shown above, print below:
Name Street Address
ways come home to Ari an al zon c a You
City State Zip Code
Form #2042 7/17/02
How to Purchase a Lifetime License
To purchase a lifetime license or trout stamp in the desired class, simply fill out the attached form. It may be filled out in your name or that of a gift recipient. Sign the affidavit and mail the application along with a check, cashier's check or money order in the appropriate amount for the desired license. The license cannot be transferred to another individual once purchased. No refunds or credits for upgrading the license class can be made.
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LIFETIME HUNTING, FISHING LICENSES TROUT STAMP PROGRAM
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Telephone No. Sex Weight City First name
Welcome Aboard
The Arizona Game and Fish Department invites you to join an exclusive group of lifetime license holders who have made a financial commitment to Arizona's wildlife. As a participant, you can look forward to many years of hunting, fishing and enjoyment of this unique resource. Be the envy of your neighbors and be proud of your support to Arizona's diverse wildlife resource for now and for years to come.
Printed Name Date
or ift f AG
Height Hair Eyes Zip Code Age Date of Birth M.I. State
a lif e
time
Arizona Game and Fish Department 2221 W. Greenway Road Phoenix, AZ 85023 (602) 942-3000 www.azgfd.com
The Arizona Game and Fish Department prohibits discrimination on the basis of race, color, sex, national origin, age, or disability in its programs and activities. If anyone believes they have been discriminated against in any of the AGFD's programs or activities, including its employment practices, the individual may file a complaint alleging discrimination directly with the AGFD Deputy Director, 2221 W. Greenway Rd., Phoenix, AZ 85023, (602) 942-3000 or U.S. Fish and Wildlife Service, 4040 N. Fairfax Dr., Suite 130, Arlington, VA 22203. If you require this document in an alternative format, please contact the AGFD Deputy Director as listed above or by calling TTY at (800) 367-8939.
Arizona Game and Fish Department Application for Lifetime License
An original or certified copy of the applicant's birth certificate, driver's license, Motor Vehicle Division identification card or U.S. Passport must accompany each application. These items will be returned to the applicant. Photocopies are subject to verification.
Age 62+
Arizona's lifetime licenses and lifetime trout stamp make the perfect gift for someone who shares your commitment to the resource. The lifetime license truly becomes THE GIFT FOR A LIFETIME!
Arizona Game & Fish Department, 2221 W. Greenway Road, Phoenix, AZ 85023
$200
$280
$480 $900 $960 $1,080 Resident Lifetime Class F $1,020 Combo General Hunt & Fish
The Lifetime Trout Stamp
The resident lifetime trout stamp can only accompany a lifetime class A fishing license to validate the taking of trout. This rendering from an original piece of artwork is depicted on a colorful and limited edition series stamp suitable for framing, as a gift, or as a collectible. You are not required to attach the stamp to your license. The class A lifetime license will designate the purchase of a lifetime trout stamp. Therefore, the stamp can be retained for collectible or display purposes. The stamp can be sold or given away, but the user privilege cannot be transferred.
Age 45-61
$375
$525
As a purchaser or recipient of a lifetime license, you will be entitled to hunt and fish in Arizona for your lifetime, even if you move out of state. YOU CAN ALWAYS COME HOME TO ARIZONA to hunt and fish no matter where you live. There will no longer be the need to worry about last minute license purchases, expiration deadlines, license fee increases or residency requirements. You will retain the privilege for life. Lifetime license holders will still be required to purchase either resident or nonresident big game tags or permits as required by law.
Age 30-44
$400
$560
$450
$630
Resident Lifetime Trout Stamp
In order to purchase a lifetime license, a person must be a bona fide resident of the state of Arizona for six months immediately preceding the date of application. See Arizona Revised Statute 17-335.01 for additional information.
INDICATE AGE AND CLASS BY CHECKING APPROPIATE BOXES
Residency Requirement
Resident Lifetime Class G General Hunting License
Resident Lifetime Class A General Fishing License
Depar tment I.D. Number or Social Security Number
If a lifetime license holder subsequently changes resident status from Arizona, the licensee must then purchase nonresident stamps, tags, and permits. A nonresident tag or stamp can accompany your lifetime resident license. The lifetime license will remain legal for the taking of all wildlife as permitted by law. Residency may be reestablished after moving back to Arizona and meeting the required time period as set forth by law.
Age 0-13
Change of Resident Status
If a license is lost, destroyed or stolen, a duplicate license may be obtained from the Department for a fee of $3 and completion of an Affidavit of Loss. A lost or destroyed lifetime trout stamp cannot be replaced. However, the privilege for taking trout will remain intact when accompanied by your lifetime fishing license.
$425
$595
$255
$270
Lost, Stolen or Destroyed License
Age 14-29
$240
$225
What Does This License Do For You?
Complete and return with proper payment to:
$120
Arizona's lifetime general hunting and fishing license and trout stamp program is a new and unique opportunity for resident sportsmen and sportswomen to participate in the long-term funding of Arizona's Wildlife Conservation programs. The dollars derived from the sale of these special licenses will be deposited into a newly established ARIZONA WILDLIFE ENDOWMENT FUND from which only the interest accrued will be used for management programs. Therefore, your lifetime license dollars today will work for wildlife for many years to come.
Lifetime License as a Gift
AGFD USE ONLY Date Issued ___________ Amount Paid __________ Effective Date _________ Clerk Initials __________
PURCHASE IS
Upon purchase of any lifetime license, you will be immediately issued a paper license valid for the taking of wildlife in Arizona. Shortly thereafter you will be supplied with your permanent plastic license appropriate to the license class purchased.
Lost lifetime licenses will be replaced for a fee of $3. For more information and an Affidavit of Loss form please contact your nearest Arizona Game & Fish Office.
For Self
As a Gift
What is Arizona's Lifetime License & Stamp Program?
What is My License?
