KENTUCKY DEPARTMENT OF FISH AND WILDLIFE RESOURCES

ANGLER AWARDS PROGRAM

TROPHY FISH/MASTER ANGLER AWARD APPLICATION

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Date

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Last name

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First name

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Middle name or initial

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Address

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City

__________
State

__________
Zip code

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Age

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Area code

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Phone number

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KY Fishing License # (last 6 digits)

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Species of fish

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Date caught

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Waters where caught

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County

This section must be completed for application to be valid. Please include a clear identifiable photograph of fish (side view) with the angler. Application must be signed by both angler and witness.

Measure fish from end of lower jaw to tip of tail with fish laid flat on rule, mouth closed and tail lobes squeezed together.

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Length

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Lbs

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ounces

"I hereby swear that the above information is true and correct to the best of my knowledge, and that the taking of the fish described above was in accordance with the official rules governing Kentucky’s Angler Awards program."

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Signature of angler

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Date

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Signature of witness

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Date

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Address of witness

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Phone number

MASTER ANGLER SECTION

If this is your third catch submitted in this series of 3 different species, complete this section. Species submitted for any Master Angler Award may NOT be duplicated.

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First species

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Date

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Length

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Lbs

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Ozs

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Second species

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Date

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Length

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Lbs

_____
Ozs

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Third species

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Date

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Length

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Lbs

_____
Ozs

Complete form and return to: Karen Hukill, Trophy Fish/Master Angler Coordinator, Kentucky Department of Fish and Wildlife Resources, #1 Game Farm Road, Frankfort, Kentucky 40601. One application per fish.

Revised 5/15/03