2016-2017 Quota – Quail Hunt Application Worksheet
1.
Please print your Customer ID or driver license
number or social security number AND date of birth.
APPLICATION PERIODS
All periods begin at 10:00 a.m. Eastern time
Customer ID No.
and end at 11:59 p.m. Eastern time
Or
Driver License No.
Phase I
December 01, 2016 - December 11,
2016
Phase II
December 15, 2016 - December 25,
2016
Phase III
December 29, 2016 - February 23,
2017
Or
Social Security No.
AND
/
Date of Birth
MM
2.
/
DD
YYYY
Please print your name.
First
Middle
Last
3. If exempt from purchasing a Management Area Permit, please indicate the exemption that you qualify for:
Florida Resident no-Cost Fishing/Hunting Certificate: D_____________Exp Date: ______________
Florida Resident Age 65 or older
Youth Under 16
4. Please indicate your 4-digit hunt choice(s) (# that appears to the left of each hunt) in the boxes provided.
1st Choice
2nd Choice
3rd Choice
4th Choice
5th Choice
5. You can apply online at http://GoOutdoorsFlorida.com (choose 'Apply for Limited Entry/Quota Permits') or you
can complete this form and present it to any license agent or tax collector office and they will submit your
application for you.
Submitting false information or using another person’s identity without their consent is considered identity
theft and may result in felony charges and the loss of hunting privileges.
The Florida Fish and Wildlife Conservation Commission (FWC) collects social security numbers (SSN) for the
issuance of recreational and professional fishing or hunting licenses or permits to an individual in accordance
with chapter 379 F.S. and 42 USC 666 for the purposes of administration of the Title IV-D program for child
support enforcement, use by the Commission, and as otherwise provided by law.
FOR AGENT USE ONLY
INSTRUCTIONS FOR TAX COLLECTOR OFFICES AND LICENSE AGENTS
To Submit an Application:
•
•
•
•
In RLIS, navigate to the Customer Lookup Screen and enter the customer’s date of birth and customer ID
number, Florida Driver’s License number, or the last four digits of the customer’s Social Security Number and
last name.
Under the Customer’s Detail section, select Apply for Limited Entry/Quota.
Choose the appropriate application and proceed through with prompts according to the customer's requests.
Verify all permit choice information before submitting, and print document receipt for the customer.
2016-2017 Quota – Quail Hunt Application Worksheet
Northwest Region
Hunt
Number
Management Area
Begin Date
End Date Quota
8010
Blackwater Field Trial Area - Allows 2 Hunters
02/06/2017
02/07/2017
4
8011
Blackwater Field Trial Area - Allows 2 Hunters
02/08/2017
02/09/2017
4
8044
Blackwater Field Trial Area - Allows 2 Hunters
02/20/2017
02/21/2017
4
8045
Blackwater Field Trial Area - Allows 2 Hunters
02/22/2017
02/23/2017
4
North Central Region
Hunt
Number
Management Area
Begin Date
End Date Quota
8020
Blue Springs Unit QEA - Allows 2 Hunters
01/07/2017
01/07/2017
2
8021
Blue Springs Unit QEA - Allows 2 Hunters
01/14/2017
01/14/2017
2
8022
Blue Springs Unit QEA - Allows 2 Hunters
01/21/2017
01/21/2017
2
8023
Blue Springs Unit QEA - Allows 2 Hunters
01/28/2017
01/28/2017
2
8024
Blue Springs Unit QEA - Allows 2 Hunters
02/04/2017
02/04/2017
2
8025
Blue Springs Unit QEA - Allows 2 Hunters
02/11/2017
02/11/2017
2
8026
Blue Spring Unit QEA - Allows 2 Hunters
02/18/2017
02/18/2017
2
8027
Blue Springs Unit QEA - Allows 2 Hunters
02/25/2017
02/25/2017
2
Southwest Region
Hunt
Number
8009
Management Area
Babcock/Webb Field Trial Quail - Allows 1 Hunter
Begin Date
01/21/2017
End Date Quota
01/22/2017
25
**Quotas, dates and actual number of hunts on Quail Enhancement Areas (QEA) are tentative
and subject to adjustments based on quail population survey results.