Alligator Harvest Report Form

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 (FLM)                    (7 digit number, example:  0912345)
    Alligator Mercury Tag Number:  MER- (If issued with harvest permit)

4. Harvest Date:  (Example:  9/30/2009)
5. County:  Please Select Alachua Baker Bay Bradford Brevard Broward Calhoun Charlotte Citrus Clay Collier Columbia Dade De Soto Dixie Escambia Flagler Franklin Gadsden Gilchrist Glades Gulf Hamilton Hardee Hendry Hernando Highlands Hillsborough Holmes Indian River Jackson Jefferson Lafayette Lake Lee Leon Levy Liberty Madison Manatee Marion Martin Nassau Okaloosa Okeechobee Orange Osceola Palm Beach Pasco Pinellas Polk Putnam Santa Rosa Sarasota Seminole St. Johns St. Lucie Sumter Suwannee Taylor Union Volusia Wakulla Walton Washington
6. Harvest Unit:  Please Select 101  Lake Pierce 102  Lake Marian 103  Kissimmee River (Pool E) 104  Lake Hatchineha 105  Kissimmee River (Pool A) 106  Kissimmee River 108  Lake Arbuckle 109  Lake Istokpoga 110  Lake Kissimmee 112  Teneroc FMA 115  Lake Weohyakapka 116  Cypress Lake 117  Lake Parker 118  Lake Manatee 119  Peace River North 120  Peace River South 121  Caloosahatchee River 303  Lake Miccosukee 306  Wacissa River 402  Everglades WMA (WCA 2) 404  Everglades WMA (WCA 3) 405  Holey Land WMA 406  STA-5 407  STA-1W 409  Lake Hicpochee 500  Blue Cypress Lake 501  St. Johns River (L. Hell N' Blazes) 502  St. Johns River (Lake Poinsett) 504  St. Johns River (Puzzle Lake) 505  Lake Harney 506  St. Johns River (Welaka) 507  St. Johns River (Palatka South) 508  Crescent Lake 509  Lake Griffin 510  Lake Jesup 512  Lake Dora/Beauclair 515  Lake Panasoffkee 516  Withlacoochee River North 518  Lake Rousseau 520  Lake Tohopekaliga 527  Lake Monroe 528  Lake Dexter 540  St. Johns R. Upper Basin Canals 542  Blue Cypress Water Mgt. Area 543  Broadmoor Unit - TMG WMA 544  Stick Marsh 545  Kenansville Lake 546  Goodwin Unit - TMG WMA 547  Guana River WMA 548  Ocala WMA 549  Three Lakes WMA 601  Lake Okeechobee (west) 602  Lake Okeechobee (north) 603  Lake Okeechobee (east) 604  Lake Okeechobee (south) 711  Lake Hancock 721  Rodman Reservoir 722  Orange Lake 723  Lochloosa Lake 724  Newnans Lake 732  Lake Iamonia 733  Lake Talquin 734  Lake Seminole 741  Lake Trafford 751  Lake George 801  Alachua 802  Baker 803  Bay 804  Bradford 805  Brevard 807  Calhoun 808  Charlotte 809  Citrus 810  Clay 811  Collier 812  Columbia 814  De Soto 815  Dixie 817  Escambia 818  Flagler 819  Franklin 820  Gadsden 821  Gilchrist 822  Glades 823  Gulf 824  Hamilton 825  Hardee 826  Hendry 827  Hernando 828  Highlands 829  Hillsborough 830  Holmes 831  Indian River 832  Jackson 833  Jefferson 834  Lafayette 835  Lake 836  Lee 837  Leon 838  Levy 839  Liberty 840  Madison 841  Manatee 842  Marion 843  Martin 845  Nassau 846  Okaloosa 847  Okeechobee 848  Orange 849  Osceola 850  Palm Beach 851  Pasco 852  Pinellas 853  Polk 854  Putnam 855  Santa Rosa 856  Sarasota 857  Seminole 858  St. Johns 859  St. Lucie 860  Sumter 861  Suwannee 862  Taylor 863  Union 864  Volusia 865  Wakulla 866  Walton 867  Washington
     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:  1 2 3 4 5 6 7 8 9 10 11 12 13 14 feet and 0 1 2 3 4 5 6 7 8 9 10 11 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.