How to apply for a possible Arkansas state record Striped Bass. |
Arkansas State
Record Fish
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| TYPE OF FISH CAUGHT Common Name ______________________________ Scientific Name (Optional) _____________________ METHOD OF FISHING Conventional rod and reel Snagging Other (describe) Bait/lure used ________________________________ SPECIES IDENTIFICATION The undersigned, being a professional fisheries person, do hereby verify the identity of the described fish: Name (print) _________________________________ Address ____________________________________ City _________________ State ______ Zip _______ Telephone ___________________________________ Title ________________________________________ Place of employment __________________________ Signature ___________________________________ WITNESS(ES) TO THE CATCH (Optional, but recommended. See rules.) Name (print) _________________________________ Address ____________________________________ City _________________ State ______ Zip _______ Telephone ___________________________________ Signature ___________________________________ Name (print) _________________________________ Address ____________________________________ City _________________ State ______ Zip _______ Telephone ___________________________________ Signature ___________________________________ |
DATE AND LOCATION OF CATCH Date (month, day, year) ________________________ Location (name of lake, river, etc.) _______________ County/nearest town __________________________ Specific location on river or lake (optional) ________ ___________________________________________ MEASUREMENTS OF FISH (optional) Total length, tip of nose to tip of tail ______________ Fork length, tip of nose to ‘V’ in tail ______________ Girth, around fish in front of dorsal fin ____________ WEIGH-IN INFORMATION Fish weight: Pounds _________ Ounces ________ Location of scale (name of store, etc., nearest town) ___________________________________________ Date scale last certified ________________________ The undersigned, being an employee of the AGFC or the USFWS, does hereby verify the weight of the described fish. ___________________________________________ Signature of witness ___________________________________________ Title of witness (Note: Weigh-in must be witnessed by an Arkansas Game and Fish Commission or U.S. Fish and Wildlife Service employee.) PHOTO INFORMATION (optionaI) Is a photo enclosed? Yes_ No_ If yes, check one: PIease return photo._ The AGFC may keep the photo and use it for publicity purposes_ |
STATEMENT OF APPLICANT
By my signature, I certify that the information on this application is
correct and that the fish described was
caught by me in accordance with state-record rules.
________________________________________________________________________________________
Signature
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