This form must be completely filled out and submitted within 14 days of fish release.
NOTE: All fields highlighted in red (as well as the Permittee's signature field) are required.
(Del Norte, Humboldt counties)
(Lassen, Modoc, Shasta, Siskiyou, Tehama, and Trinity counties)
(Amador, Butte, Calaveras, Colusa, El Dorado, Glenn, Lake, Nevada, Placer, Plumas, Sacramento, San Joaquin, Sutter, Yolo, and Yuba counties)
(Alameda, Contra Costa, Lake, Marin, Mendocino, Napa, San Francisco, San Mateo, Santa Clara, Santa Cruz, Solano, Sonoma, and Yolo counties)
(Calaveras, Fresno, Kern, Kings, Madera, Mariposa, Merced, Monterey, San Benito, San Joaquin, San Luis Obispo, Stanislaus, Tulare, and Tuolumne counties)
(Los Angeles, Orange, San Diego, Santa Barbara, and Ventura counties)
(San Bernardino, Riverside, and Imperial counties)