Contaminated Shellfish Harvest Licence
Request for Amendment to Licence Conditions

The html-version of this form is provided only for your information. To submit a form to DFO, please download the PDF version of the form, fill out, sign and submit as directed on the document.

Licences for contaminated shellfish harvest licences are issued by the Pacific Fishery Licence Unit (PFLU) of Fisheries and Oceans Canada (DFO). The PFLU accepts licence applications, licence fees, harvester lists and amendments to harvester lists, and issues licences.

In addition to the licence, an Amendment to Licence Conditions must be requested from the Depuration Fishery Manager to authorize all of the areas of fishing, species and amounts. A current amendment to licence conditions must be attached to the licence prior to fishing.

TO: Fisheries and Oceans Canada
      Depuration Fishery Manager
      3225 Stephenson Point Rd, Nanaimo, BC V9T 1K3
      Phone: (250) 765-7327      FAX: (250) 756-7162

I, _______________________, being the (check one) ___ Licence Holder, or the ___ Signing Authority, or the ___ Licence Operator, request an amendment to the current Conditions of Licence for:

Licence Holder: __________________________ Licence No: ______________

In Respect of:            Areas where Fishing is permitted:

_________________________________________________________________
Fishing Location Name(s) and DFO Subarea

And/or ___________________________________________________________
Aquaculture Tenure(s), Location, CLF#, DFO Subarea

In Respect of:            Species and Quantities (check applicable):

___Manila Clams      ___Littleneck Clams      ___Pacific Oysters

In Respect of:            Other: ________________________________________

__________________________________________________________________

I request that the Licence Conditions Amendment be sent by FAX to:
________________ or to:

Mailing address: _____________________________________________________

Contact Phone number: ______________________

Signature:_________________________ Date of Request:___________________