I hereby certify under penalty of perjury under the laws of the state of Washington that the foregoing information is true and correct.

X Applicant’s Signature Date

WASHINGTON DEPARTMENT OF FISH AND WILDLIFE

HUNTER / FISHER VETERANS REDUCED FEE APPLICATION Mail to: WDFW, Licensing Division, PO Box 43154, Olympia, WA 98504

Fax to: (360) 902-2466

Please Print Clearly APPLICANT INFORMATION REQUIRED

MAILING ADDRESS

LAST NAME FIRST NAME

PHYSICAL ADDRESS

SUFFIX

JR / SR

EYE COLOR

MIDDLE

SEX

M / F HEIGHT

FT. IN. WEIGHT DOB SSN

CITY STATE ZIP CITY STATE ZIP

WILD ID PHONE EMAIL

COMPLETE FOR REDUCED FEE HUNTING AND/OR FISHING LICENSES

Both selections are automatic for this application : Fishing Hunting

Approved By:

Date:

WDFW USE ONLY

This is for reduced fees only. This does not provide access to assistance cards, programs or facilities. You must fill out the hunter/fisher disability application to receive Disability Status.

Resident Veteran: with at least 30% service connected disability as verified by VA letter (RCW 77.32.480)

Resident Veteran: 65 years of age or older: with a service connected disability as verified by VA letter (RCW77.32.480)

Non - resident Veteran: with at least 30% service connected disability as verified by VA letter (RCW 77.32.480)

Non - resident Veteran: 65 years of age or older: with a service connected disability as verified by VA letter (RCW77.32.480)

Veterans must include with this application a copy of their one page VA Percentage Rating letter showing name and disability rating clearly. Please do not send a copy of the multi-page medical determination report your physician sends to the VA Case Manager for adjustments.

Letters can be obtain by logging into your premium account at www.ebenefits.va.gov and downloading the percentage rating letter. If internet access is unavailable, you may call the VA hotline at: (800) 827-1000 and request the one page percentage rating letter.

Applicant must sign this application below to be eligible for reduced fees

Would you like to receive your reduced fee conformation using email? YES NO

Email Address:

HOW TO RETREIVE YOUR VA DISABILITY RATING LETTER Washington Department of Fish and Wildlife will not accept documents that contain a medical diagnosis or other personal medical information. Your VA Disability Rating Letter should only contain your disability rating percentage. If WDFW staff receives documents with any medical information, they will not be able to process your application and your VA letter will be returned.

If you are enrolled in eBenefits, you can access your VA letter at: www.ebenefits.va.gov

Users need to login using to your "premium" account. Recently separated personnel are required to have a premium account before they separate.

Login using your Common Access Card “CAC” card, or password… click on "Manage my Documents" at the top of the page, then follow the directions:

STEP 1: Confirm address on file, next...

STEP 2: Select the “Benefits Summary” letter from the list...

STEP 3: Double click to open... that will open the letter in a NEW web window, pop-up blockers may be an issue...

Print a copy for the Fish and Wildlife Reduced Fees Application, and save a copy for yourself.

You can also contact the Federal VA office directly at 1-800-827-1000, to request a letter.

If you have any trouble with eBenefits, please contact your Washington State Department of Veterans Affairs at 1-800-562-2308 for assistance.

You can also get the verification letter from your POA (Power of Attorney) that helped you file your VA claim, such as the American Legion, VFW (Veterans of Foreign War), AMVETS, or DAV.

We hope this helps you in your application process.

Sincerely,

Washington Department of Fish and Wildlife

P.O. Box 43154

Olympia, WA 98504

(360) 902-2464