Florida Fish and Wildlife Conservation Commission
MALLARD CONTROL PERMIT DATASHEET
Permit #____________

Expiration Date*: March 31, 2009

Permittee Name   _______________________
Business name   _______________________ 

Year 2008 - 2009.  Report due by April 30, 2009.

¹ Only mallard ducks in Florida are authorized to be taken with this permit. See identification material for other ducks that look similar.

² Disposition is limited to incineration, burial, or donation to charitable organizations.  If donated to a charitable organization, please provide the name, address, and phone number of the organization.  We will contact them for permission to provide their contact information to others wishing to donate meat.  

Charitable organization(s) to which mallards were donated:

name   ______________________________

address  _______________________________phone (    )____ -______

name   ______________________________

address  _______________________________phone (   )____ -______

*This form must be completed and data reported to FWC by April 30, 2009.  Data must be submitted even if no control activity was conducted (report zeros).  Data should be reported on-line at http://myfwc.com/mallard. 
If you do not have internet access, mail this completed data sheet to: FWC, 8932 Apalachee Pkwy, Tallahassee, FL 32311. 

     revised 05/01/2008                                THIS DATASHEET MAY BE PHOTOCOPIED