Report Form for Special Group Fishing Permit
Arizona Game and Fish Department. Report form for Special Group Fishing Permit, As required by R12-4-310, Special Group Fishing Permit holders shall complete and submit a Fishing Report to the Department no later than 30 days after the end of the authorized fishing date(s). The Department may deny issuance of future fishing permits to permittees failing to submit a report.

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Permit number: *
Total number of participants who fished the first day:
 *
Total number of participants who fished the second day:
 *
Total number of hours fished first day (3 people x 2 hours fished = 6 hours) :
 *
Total number of hours fished second day (3 people x 2 hours fished = 6 hours) :
 *
Indicate if one or both fishing dates were canceled:
 *
Required
Trout: How many were caught? *
Trout: How many were released? *
Catfish: How many were caught? *
Catfish: How many were released? *
Sunfish: How many were caught? *
Sunfish: How many were released? *
List below other species caught, and how many released:
Largemouth Bass, Smallmouth Bass, Striped Bass, Yellow Bass, White Bass, Channel Catfish. Flathead, Catfish, Crappie, Rainbow Trout, Brown Trout, Brook Trout, Apache Trout, Walleye, Northern Pike, Carp and/ orTilapia. 
List other species caught here, and how many released, (if none then indicate N/A) *
By checking the box below, I, the applicant, will comply with all the requirements and conditions as outlined in R12-4-310.
 *
Required
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