Florida Fish & Wildlife Conservation Commission
Alligator Harvest Report Form

Carefully read the instructions prior to completing this form.
PLEASE NOTE:  If you transfer your alligator to a processor, you can use this form, but you also must complete the multi-part form provided to you with your permit / tag package, or print the PDF form and make a copy of the completed form for your processor.

 Florida Fish and Wildlife Conservation Commission

FWC1001AT

1. Licensee Name  (PLEASE USE UPPERCASE LETTERS)
    Last Name:   
    First Name:      Middle Initial: 

2. Alligator Trapping License Number:  ATL- or ACT-
3. Alligator CITES Tag Number:  FL MIS           (7 digit number, example:  0812345)
    Alligator Mercury Tag Number:  MER- (If issued with harvest permit)

4. Harvest Date:  (Example:  9/30/2008)
5. County: 
6. Harvest Unit: 
     If the Harvest Unit is a county-wide unit or on private lands, please indicate the harvest location:     (Example:  "Tiger Lake" or "Deseret North")

7. Carcass Length:  feet and inches

8.  Disposition of Carcass:  
         Processed (hide or meat retained)
         Discarded  (not skinned and no meat retained) 
         Transferred to:

9.  Sex:  
         Male
         Female
         Unknown

10.  Meat Yield:            lbs. (Record zero (0) here if the carcass is discarded and meat is not retained by anyone.)

11. Program Element:
        Statewide Alligator Harvest Program
        Private Lands Alligator Harvest Program

12.  I certify that the information provided above is correct:
         Yes
         No

PLEASE PRINT THIS PAGE BEFORE YOU SUBMIT THE FORM.  THIS WILL SERVE AS A RECORD OF YOUR ALLIGATOR HARVEST.