Additional or Lost Gillnet Tag Order Form

National Marine Fisheries Service (NMFS)
Greater Atlantic Regional Fisheries Office
Additional or Lost Gillnet Tag Order Form
All NE multispecies Category A, E, and F Day gillnet vessels fishing for NE multispecies and/or vessels fishing
under a monkfish DAS using gillnet gear must tag their gillnets with BLUE gillnet tags. Vessel owners are required
to account for the total number of tags issued. Should tags be lost, missing, or destroyed, vessel owners/operators
must report the missing tag numbers to National Marine Fisheries Service (NMFS) as soon as possible.
Use this form to:
• Declare lost gillnet tags or order replacement gillnet tags
Identify specific tags: (Please indicate the tag numbers that are being replaced or the tags that were lost or
destroyed, use 2nd page if needed)
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Reason for tag loss (Optional)____________________________________________________________________

Vessel Name: _______________________________

Vessel Permit #: _________________________________

Owner Name: _______________________________

Owner Address: _________________________________

City: _____________________________ State: ______________
Phone Number: ___________________________

______________

Zip Code: ____________

Alternate Phone: __________________________

Number of Tags Needed

$______________

Amount for tags (# of tags x $ 1.20)

$______________

$5.00 Shipping/Handling Fee (If order is less than 20 tags)

$______________

TOTAL AMOUNT ENCLOSED

•

The gillnet tags cost $1.20 each. An additional shipping and handling charge of $5.00 must be included for
orders of 20 or less tags.

•

Please make checks payable to National Band and Tag Company.

•

Return this form and payment to: NMFS Permits Office, Gillnet Program
55 Great Republic Drive
Gloucester, MA 01930

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Print Applicant Name

Page 1 of 1

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Applicant Signature

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Date

OMB # 0648-0202

Expires: 07/31/2016