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Master Angler/State Record Application
Please print legibly. See rules.
Name
Address City State ZIP
Fishing Permit No. Under 16
Species of sh Weight: lbs. oz. Length: in.
Date caught Released: Yes No
Name of lake or stream County where located
Method of shing: Rod and Reel Archery Surface spearshing
Underwater spearshing
Type of bait or lure
Where weighed or measured
Address City Phone
Weight or length witnessed by:
1.
Signature Address
2.
Signature Address
3.
Game and Parks ocial species verication.
Species may be veried aer State Record applica tion is received.
Mail to: Fisheries Division, Nebraska Game and Parks Commission
PO Box 30370, Lincoln, NE 68503-0370
• The catch must be verified by a Game and Parks employee, a permit vendor, a witness, or a photograph.
• Anglers 16 years of age or older must possess a valid Nebraska fishing permit and enter the permit
number on the application.
• Only fish immediately released are eligible for an award based on length. Any fish kept in a livewell or
on a stringer must meet the minimum weight requirement.
• Anglers may receive only one award based on weight per year for each species. Catch-and-release
awards are unlimited.
• Anglers who release a Master Angler fish will receive a Catch and Release Master Angler pin in addition
to the Master Angler certicate.