NCDVA-50 Application | Johnston County Veterans Services

NCDVA-50 — Lifetime Hunting & Fishing License

For North Carolina Resident Disabled Veterans (50% or more) — NC Wildlife Resources Commission

This license is issued only to NC residents who are 50% or more disabled veterans as determined by the U.S. Department of Veterans Affairs, and remains valid for life so long as the disability rating remains 50% or more. The Veterans Services Office will complete the NCDMVA certification page after verifying your records.

Two ways to submit this form

1. Online, through our office (recommended). Fill out the form below. A Veterans Services Officer verifies your records, completes the NCDMVA certification, and helps you file it.

2. On your own. Download the official application, bring it to a Veterans Service Officer for certification, then submit it with your payment to the NC Wildlife Resources Commission.

Download the official application (NCWRC) Hunting & fishing license info

Applicant Information

Full Name (First Middle Last)

Telephone (just type the numbers — formats as 919-555-0100)

Date of Birth

Resident Street Address

City

State

Zip Code

Mailing Address (only if different from above — street/PO box, city, state, zip)

NC Driver License #

WRC Customer # (if available)

Email Address

I am certified by the Dept. of Veterans Affairs as a 50% or more disabled veteran. (The Veterans Services Office will verify and certify this; a copy of the certification must accompany the application.)

License Selection (choose one or more)

Lifetime Disabled Veteran Fishing Only Licenses

Inland Fishing — Statewide inland fishing, including designated Public Mountain Trout Waters, trout waters on game lands, and joint waters. Does not include coastal waters. $14 Coastal Recreational Fishing — Fishing in coastal and joint waters. Does not authorize fishing in inland waters. $14

Lifetime Disabled Veteran Hunting & Fishing Licenses

Hunting/Inland Fishing Combo — Statewide hunting and inland fishing, including Public Mountain Trout Waters, trout waters on game lands, joint waters, and hunting on game lands. $14 Sportsman — Statewide hunting and inland fishing, including big game, game lands, waterfowl (excludes bear management e-stamp and federal duck stamp), Public Mountain Trout Waters, trout waters on game lands, and joint waters. $126 Sportsman/Coastal Recreational Fishing — Statewide hunting plus inland AND coastal recreational fishing, including big game, game lands, and waterfowl (excludes bear management e-stamp and federal duck stamp). $139

Purchase Subtotal$0.00

Transaction Fee$5.00

Purchase Total$0.00

Hunter Education (required only for licenses with hunting privileges)

I have had a North Carolina hunting license effective prior to July 1, 2013. I have successfully completed a hunter education course. I have NOT completed a hunter education course and understand that when hunting I must be accompanied by a properly licensed adult 18 or older within sight and hearing distance.

Hunter Education Certificate Number (if completed)

Certificate State

After certification, mail the completed application with your fee (payable to NCWRC) to: North Carolina Wildlife Resources Commission, 1707 Mail Service Center, Raleigh, NC 27699-1700. Licenses may also be purchased online at gooutdoorsnorthcarolina.com.

Supporting Documents (optional — PDF, JPG, or PNG; up to 10 MB each)

Attach any of these if you have them.

DD-214

Benefits Summary

Service Verification Letter (VA.gov)

Notification Letter

Additional Forms (any other supporting documents)

Statement of Truth

I certify that all information provided on this application is true and correct to the best of my knowledge and belief, and I understand that providing false information to obtain a license is a Class 1 misdemeanor.

Your full name (type your name to sign — it must match the applicant name entered above)

By typing your name, you are signing this application electronically. Under the federal ESIGN Act and the North Carolina Uniform Electronic Transactions Act, this electronic signature has the same legal effect as a handwritten signature.