Application to Hunt With or Assist a Treaty Indian Subsistence Hunter who is a Family Member

Applicant Last Name First Name

( ) Phone Number

I hereby apply to hunt with/assist the following Treaty Indian person(s) for the purpose of hunting wildlife for food.

Date of Birth (day, month, year)

Postal Code

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October 2016 | CSB | CSB12005

Ministry of Environment

Address City Province

Last Name First Name

( ) Phone Number

Date of Birth (day, month, year)

Address Treaty Number

Relationship

Last Name First Name

( ) Phone Number

Date of Birth (day, month, year)

Address Treaty Number

Relationship

(2)

(1)

Last Name First Name

( ) Phone Number

Date of Birth (day, month, year)

Address Treaty Number

Relationship

(3)

The Wildlife Act, Section 35

1. Are you currently suspended from obtaining a licence for hunting or fishing in Saskatchewan or any place in Canada?

Yes No

If yes, explain:

2. Is the Treaty Indian person on the application a band member from any of the numbered Treaties: 2, 4, 5, 6, 7, 8, and 10 of Western Canada?

Yes No Band Name Band Number

If no, explain:

3. All Treaty persons on the application must have proof of Indian status. All Treaty Indians on the application must produce their Certificate of Indian Status at that time.

4. All persons on this application must be above the age of twelve years.

5. I, of swear the contents of this application are true to the best of my knowledge. (It is an offence under the Saskatchewan Wildlife Act to make a false statement on this form.)

Signature of Hunter: Date:

Note: In common-law relationships, provincial statutes in Saskatchewan state that common-law relationships must be a minimum of 2 years unless there is a child born or adopted into the relationship. In that case, the relationship may be deemed to be common-law immediately.

Note: Please allow three (3) days minimum for processing.

For Office Use Only

Approved Denied

Remarks:

Conservation Officer

Date

Copies: Field Office / Compliance Manager / Enforcement and Investigations Section

What if I have questions?For assistance completing this application or for more information, please contact our Client Service Office:

Email: centre.inquiry@gov.sk.caTelephone (toll free in North America): 1-800-567-4224Telephone (Regina): 306-787-2584

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Conditions of this Permit

Family members include a father, mother, grandmother, grandfather, brother, sister, child, spouse or common-law spouse and are listed above. During the regulated hunting season the permittee may hunt with the above listed people provided the permittee has a valid hunting license and does not shoot animals for those individual listed above.

Non-Indians may only hunt in accordance with The Wildlife Act and Regulations. The permission to hunt remains in affect until the end of the regulated hunting season or until such time the permittee's license is void after harvesting an animal.

Note: Treaty Indians hunting under their treaty rights on private land must have the permission of the landowner.

During the closed hunting season the permittee may assist and aid those individuals listed above hunting game animals provided the permittee is not in possession of a firearm or shoots or kills game animals.

APPLICANTS WHO ARE SUSPENDED FROM HUNTING, MAY BE ABLE TO OBTAIN A PERMIT TO ASSIST BUT WILL NOT BE ABLE TO OBTAIN PERMIT TO HUNT.

The permittee must abide by the legal hunting times in The Wildlife Regulations, Section 11, Subsection 1. The permittee may only aid and assist in hunting wildlife from one/half hour before sunrise until one/half after sunset.

FAILURE TO COMPLY WITH TERMS AND CONDITIONS OF THE PERMIT WILL RESULT IN THE PERMIT BEING REVOKED.

THIS PERMIT MUST BE CARRIED AT ALL TIMES WHILE HUNTING AND MUST BE PRODUCED UPON REQUEST OF AN OFFICER.

IF YOU ARE CONVICTED UNDER THE WILDLIFE ACT AND/OR REGULATIONS, THIS PERMIT IS INVALID AND THEREFORE REVOKED.

THIS PERMIT EXPIRES ON MARCH 31ST OF THE FOLLOWING YEAR.