Wis. Stats. Chapter 45	2135 Rimrock Road, P.O. Box 7843, Madison, WI 53707-7843 (608) 266-1311 | 1-800-WIS-VETS (947-8387) | WisVets.com
ELIGIBILITY APPLICATION For WisDNR RETURNING SERVICE MEMBER
The provision of your social security number is mandatory under the Wisconsin Statutes. Your social security number will be used to verify your identity. If you do not provide your social security number, processing may be delayed.

Completion of this application will allow WDVA to review your documents submitted to make an eligibility determination for your ability to receive a one-time fee waiver voucher to obtain a resident fishing or hunting license.
Veteran’s Name:
First	Middle	Last
Veteran’s Address:
Street	City	State	Zip Code
Update my address on file with the above address.
Phone Number:
Phone Number, include area code and extension	Phone Number, include area code and extension
Veteran’s Social Security Number:	(required to verify your identification)
Veteran’s Date of Birth:
How do you want to receive correspondence relating to this eligibility request?
Send to above address
Send to this email address:
(faster response by email)
Under penalties of law, I declare that the above information is true, correct and complete, to the best of my knowledge.
Veteran’s Signature	Date