Grouper/Tilefish Permit Consolidation Form

OMB No. 0648-0205 Form Approval Expires: 08/31/2011

U.S. DEPT OF COMMERCE, NOAA
NMFS PERMITS BRANCH, F/SER1
263 13th Avenue South

FORM TO CONSOLIDATE COMMERCIAL
REEF FISH PERMITS

St. Petersburg, FL 33701
Toll Free 877/376-4877 (8:00 am - 4:30 pm ET)

FOR OFFICE USE ONLY

727/824-5326 (8:00 am - 4:30 pm ET)

Reviewer's Initials and Date

http://sero.nmfs.noaa.gov

Application ID

Instructions
To consolidate one Commercial Reef Fish Permit into another:

1 Enter the permit number of the permit to be retained after consolidation as Permit 1
2 Enter the permit number of the permit to be consolidated as Permit 2.
3 Sign the form. Note: The ownership of both permits must be exactly the same, and all owners must sign this form.
4 Mail or deliver the signed form AND the permit to be consolidated to the NMFS Permit Office at 263 13th Ave S
St. Petersburg, FL 33701.
(Note: To consolodate more than one Commercial Reef Fish permit; complete, sign, and submit this form for each individual
permit to be consolodated.)

Permit Designation
Permit 1: The permit you want to keep.
Enter the Permit number for the Commercial Reef
Fish permit to be retained (e.g. "RR-102") and into
which other Reef Fish permits will be consolidated

Permit 2: The permit you want to consolidate.
Enter the Permit Number for the Commercial Reef
Fish permit to be consolidated (e.g "RR-132")
Remember to send this permit with your signed form

The undersigned herby acknowledges that by consolidating permit 2 into permit 1, all landings associated with permit
2 will be associated with permit 1 from this point forward. This action cannot be undone. Permit 2 may never be
restored.

Signature
The undersigned certifies under penalty of perjury that the foregoing information is true and correct (28 U.S.C. section 1746; 18 U.S.C. section
1621; 18 U.S.C. section 1001).
Note: If the permit holder is a company, an officer or share holder authorized to represent the permit holder must sign the form, and indicate his
or her position in the company.
Date
Applicant Signature(s)

Printed Name(s)

Position(s) in Company