Artist Certification Form

U. S. Fish and Wildlife Service

Alaska Subsistence Migratory Bird Harvest

Alaska Native Handicraft Certification Form

Date: __________________________

1) I _____________________________(print full name) certify that I am a qualified Alaska Native eligible (criteria listed below) to sell articles of handicraft or clothing made using migratory bird inedible parts that were acquired from birds harvested during the Alaska Spring/Summer Subsistence Migratory Bird Harvest.

2) I am an eligible Alaska Native by (check all that apply):

_____Member of a Federally-recognized Alaska Native Tribe

_____Possess a “Certificate of Degree of Indian Blood of an Alaska Tribe” issued by the Bureau of Indian Affairs

_____Am an Alaska Native artist participating in and certified by the Alaska’s Silver Hand Program

3) Briefly describe the article of handicraft or clothing that this certificate will accompany:______________________________________________________________________________________________________________________________________________________

4) Name (Signature)________________________________________________________

5) Name (Print Full Name)___________________________________________________

Notes:

• Only Alaska Natives may sell or re-sell any authentic Native article of handicraft or clothing that contains an inedible byproduct of a bird harvested legally during the Alaska Migratory Bird Subsistence hunt. Eligibility can be shown by this certification form or Silver Hand insignia.

• Sales by consignment are allowed. Sales by consignment means that an Alaska Native sends or supplies an authentic Native article of handicraft or clothing to a person (Alaska Native or non-Alaska Native) who sells the item for the Alaska Native. The Alaska Native retains ownership of the item and will receive money for the item when it is sold. Each consigned item must be accompanied by either this certification form (signed by the artist) or Silver Hand insignia. This documentation must be retained with each item by all consignees and sellers while being offered for sale, and must be produced upon the request of a Law Enforcement Officer.

• Each item sold must be accompanied by either a copy of this certification form or Silver Hand insignia (tags are adequate). This documentation must be permanently retained by the purchaser and must be produced upon request of a law enforcement officer.

• All sales and transportation of sold items are restricted to within the United States. International transportation and sales, including to Canada and Mexico, are prohibited.

Any questions regarding this form or the pertinent regulations can be addressed to: ambcc@fws.gov or call Donna Dewhurst at 907/786-3499.

FWS Form 3-XXXX

01/2016