Classroom Egg
Incubation Project
Oregon Department Of Fish And Wildlife
Salmon-Trout Enhancement Program
Egg Request Application
NOTE This application is a request to receive eggs as available. The Oregon Department of Fish and Wildlife reserves the right to
designate stock, numbers received and release site within policy guidelines. This form also serves as a fish transportation permit and must
be in possession when eggs or fish are held or transported from the authorized source to the incubation or release site. You will receive an
approved copy of this permit.
Name
VO#
New
Renewal
State
Zip
School
Address
City
Work Phone
Home Phone
Fax
Email
(Please print clearly. ODFW representative uses information above to coordinate egg delivery.)
Species/Stock Requested:
(Complete one application/stock.)
I agree to comply with the following permit conditions:
1. Related fisheries lessons must focus on the project. (Please describe on back of this form.)
2. Fish shall be hatched only at the location shown on the permit.
3. All fish from classroom incubator projects will be released as unfed fry.
4. The local ODFW-STEP or project biologist or District Fish Biologist must approve all release sites.
5. Fish shall be released only at the location(s) shown on the permit.
6. A written report of activities is required within 15 days following release of the fish.
Applicant’s Signature
Date
Return this application to nearest ODFW-STEP Biologist or ODFW District/Regional Office.
Transportation/Release Site Permit
ODFW will complete this section after approval.
The above participant is authorized to transport and release fish from a STEP egg incubation project only at the following
location(s):
Species
Location(s)
Authorized ODFW Representative
Date
It is unlawful to transport and /or release fish in other than the above-designated location(s) (OAR 635-09-140).
Information below to be completed by ODFW.
Stock
#
Year
Modified 11/02/01, MS Word 97