Nuisance Wildlife Control Operation

First Name first name is required.
Middle Name

Last Name last name is required.
Suffix

Street Address is required.
City City is required.

State State name is required.
County

Zip Code Zip Code is required.
Phone 1 Phone number is required.

Phone 2
Fax

SSN SSN is required.
D.O.B Date of Birth is required.

Sex Sex name is required.
Race Race name is required.

Business Information

Business Name
Business Phone

Business Street (If Different From Home Address)
Business City

Business State
Business County

Business Zip Code
What species are you willing and equipped to remove under your nussance wildlife operator permit? (Check all that apply)
Bats
Small Mammals (squirrels, mice/rats, ect.)
Aquatic Mammals (Beavers, nutria, ect )
Foxes and coyotes
Wild hogs
Terrestrial mammals (Skunk, raccoon, opossum, etc.)
Species is required.
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County name is required.

Login Information

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Password
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A lowercase letter

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A Special Character - [#$%^&*@+!~?<>{}"':;|]