Newfoundland and Labrador Recreational Groundfish Fishery

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Application for Disabled Designation (Instructions)


Complete the 4 page application form and return to a DFO licencing office.

You are encouraged to return the completed form via email at NL-TN.Licensing@dfo-mpo.gc.ca, facsimile or Canada Post. The designation document will be returned to you via email, facsimile or Canada Post within 10 business days.

Office Facsimile Address
Corner Brook (709) 637-4476 Fisheries & Oceans, Licensing
Joseph R. Smallwood Bldg.
1 Regent Square
Corner Brook NL A2H 7K6
Grand Falls-Windsor (709) 292-5205 Fisheries & Oceans, Licensing
4A Bayley Street, Suite 200
Grand Falls-Windsor NL A2A 2T5
St. John’s (709) 772-2659 Fisheries & Oceans, Licensing
80 East White Hills Road
St. John’s NL A1C 5X1

*NOTE: In-person service is not available at any DFO location.

Part 1: Information pertaining to the applicant (person with disability) – please print clearly.

Part 2: Information pertaining to the designate and declaration – please print clearly.

Part 3: Designations will only be issued when the disability is a “permanent” condition.

To be completed by a medical doctor for permanent physical impairments, or optometrist for permanent visual impairment. Completion of Part 3 may be replaced by a separate original document/letter from a Medical Doctor for permanent physical impairments, or an Optometrist for permanent visual impairment, making the same certification.

*Note: Applicants who have an approved Part 3 disabled designation on record with DFO are not required to complete Part 3.

Part 4: Privacy Notice Statement


Conditions: A disabled designation for the Newfoundland and Labrador Recreational Groundfish Fishery is subject to the following conditions:

  1. The designation applies to the period specified and must be renewed for each subsequent fishing period. Only one person can be designated for a given time period.
  2. When fishing under the designation, all other management measures of the Recreational Groundfish Fishery will apply.
  3. The designate is authorized to harvest, in addition to his/her daily bag limit of groundfish, the daily bag limit of the disabled person identified. The vessel limit of 15 groundfish will apply, and the fish harvested under the designation will be included for the purpose of calculating the boat limit.
  4. A person designated shall only be designated to fish for one disabled person for the specified period.
  5. The designation must be carried on board the vessel and produced for inspection when requested by a Fishery Officer.

Review and understand the conditions prior to signing the application form.

NEWFOUNDLAND AND LABRADOR RECREATIONAL GROUNDFISH FISHERY
Application for Disabled Designation

Part 1: Applicant Information (person with disability) (please print clearly)
Name: Mailing Address: Telephone number: DDIN # (for renewals only) Date of Birth:
Period designation requested for:
to:
Signature of applicant:
Date:
Part 2: Designate Information (please print clearly)
Name of person to be designated: Mailing Address: Telephone number: Date of Birth:
I, understand the conditions under which I may be designated to fish five groundfish per day for the applicant named above during the period of to and promise to abide by the terms of the fishery.
Signature of person to be designated:
Date:
Part 3: Designations will only be issued when the disability is a “permanent” condition.
I have examined the applicant and hereby certify that the applicant (Indicate with X):
has a permanent physical impairment of the lower limbs which severely restricts mobility to the effect that he/she is unable to walk more than 50 metres without the use of a cane or other assistive devices, and is unable to enter a vessel and participate in the recreational groundfish fishery or;
has permanent loss of the use of their upper limbs (hands/arms) which renders them unable to participate in the recreational groundfish fishery or;
who even with the best possible correction, sees less at 20 feet than a person with normal vision can at 200 feet (20/200), or if the greatest diameter of the field of vision in both eyes is less than 20 degrees.
Name of Doctor (please print):
Office Telephone Number:
Signature of Doctor:
Date:
Part 4: PRIVACY NOTICE STATEMENT

As per Personal Information Bank DFO PPU 415 (Nationally Regulated Recreational, Domestic, and Sport Fishing), personal information is collected under the authority of the Fisheries Act for the purpose of issuing a Disabled Designation for the Recreational Groundfish fishery. It may be used for enforcement and disclosed to the DFO Conservation and Protection Directorate. Failure to provide the requested information may result in your request being denied. You have the right to the correction of, access to, and protection of your personal information under the Privacy Act andto file a complaint with the Privacy Commissioner of Canada over DFO’s handling of your information.

Applicant initials: