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Government of Ontario

Application for a Commercial Bait Licence to Deal in Baitfish and Leeches

Fish and Wildlife Conservation Act, 1997

Instructions

Personal information contained on this form is collected under the authority of the Fish and Wildlife Conservation Act, 1997 and will be used for the purpose of licensing, identification and customer service surveys. Please direct further enquiries to the District manager of the MNRF Issuing District.

All applicants must sign this form.

Fields marked with an asterisk (*) are mandatory.

1. Application

Please select one option
Dealer Type
Type of Business (Select one)

2. Business Information

Is the name you use in your day-to-day activities and to advertise your business? You only need to complete this if this name is different from your legal business name.

3. Applicant / Primary Licencee Information

Telephone Number
Mailing Address
Physical Address (if different from mailing address) *
Country

4. Business Details

First Retail Location
Physical address of business location / retail location *
Telephone Number
Second Retail Location (if applicable)

5. Licence Holder(s)

Names listed below will be printed on the licence and share responsibility for the associated terms and conditions.

6. Licence Fee for a Dealer

A Commercial Bait Licence for a Tourist Dealer may be issued to a tourist operator that provides bait only to the registered guests of the tourist business

7. Signature

I (we) certify that the information provided in this application is true.