Fill Out Your Alaska 11 525 Form Customize Alaska 11 525

Fill Out Your Alaska 11 525 Form

The Alaska 11 525 form is the application for a Commercial Fishing Crewmember License, which is essential for individuals participating in commercial fishing activities in Alaska. This form requires detailed personal information, including residency status and compliance with child support orders. Proper completion of this form is crucial to ensure eligibility and avoid potential legal penalties.

To fill out the Alaska 11 525 form, please click the button below.

Alaska 11 525 Sample

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)

Common mistakes

  1. Incomplete Information: Many applicants fail to fill out all required fields, such as the social security number or mailing address. This can delay the processing of the application.

  2. Incorrect Residency Claims: Some individuals mistakenly claim residency without meeting the 12-month requirement. Ensure that you meet the criteria outlined in the application.

  3. Wrong License Type: Selecting the incorrect license type can lead to application rejection. Carefully review the options and check only one box.

  4. Missing Payment Information: Omitting payment details or providing incorrect payment methods can result in delays. Double-check that your payment information is accurate.

  5. Failure to Certify: Not signing the application or failing to certify the information can invalidate your submission. Always sign and date your application.

  6. Ignoring Child Support Compliance: Applicants often overlook the requirement to be in compliance with child support orders. Verify your status before applying.

  7. Neglecting to Review: Some people do not take the time to review their application for errors before submission. A thorough review can prevent mistakes that lead to processing issues.

Detailed Steps for Filling Out Alaska 11 525

Filling out the Alaska 11 525 form is a straightforward process. Ensure you have all necessary information at hand before you begin. Once completed, submit the form to the Division of Administrative Services for processing.

  1. Obtain the Alaska 11 525 form. You can find it on the Alaska Department of Fish and Game website or request a copy via phone or email.
  2. Fill in the License Number Issued section if you have one.
  3. Indicate your compliance with child support orders. If applicable, note that your license will be void if you are not in compliance.
  4. Check only one box for License Type / Class that applies to you. Options include:
    • Resident / Class 30
    • Nonresident / Class 31
    • Resident Child / Class 34
    • Nonresident Child / Class 35
    • Resident 7 day / Class 36
    • Nonresident 7 day / Class 37
    • Duplicate / Class 32
  5. If you are a resident, provide the number of years and months you have lived in Alaska. If you are a nonresident, write "none."
  6. Fill in the Starting Date and Starting Hour sections.
  7. Complete the U.S. Citizen certification section.
  8. Provide your Name, Mailing Address, and Physical Location of Residence. If both addresses are the same, write "Same."
  9. Fill in your Social Security Number, Weight, Eye Color, Hair Color, Height, Sex, and Birth Date.
  10. Optionally, provide your Telephone Number, Fax Number, and Email Address.
  11. Read the advisory regarding your social security number and ensure you comply with the requirements.
  12. Fill in the Payment Information section. Indicate your payment method and provide the necessary details.
  13. If you are applying for a duplicate license, complete the Affidavit for Duplicate Commercial Fishing Crewmember License section.
  14. Sign and date the application, certifying that all information is true and correct.

Dos and Don'ts

When filling out the Alaska 11 525 form, it is crucial to follow specific guidelines to ensure your application is processed correctly. Here is a list of things you should and shouldn't do:

  • Do provide accurate personal information, including your full name and address.
  • Do check the appropriate license type that applies to you.
  • Do include your social security number if you are over 16 years old.
  • Do ensure that your residency status meets the requirements outlined in the form.
  • Do sign and date the application to certify its accuracy.
  • Don't submit the form without double-checking for errors or omissions.
  • Don't provide false information, as this can lead to severe penalties.
  • Don't forget to include payment information if required.
  • Don't assume your application will be processed if you are not in compliance with child support orders.

Following these guidelines will help you avoid delays and ensure a smoother application process. Your attention to detail is vital for a successful outcome.

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