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Accessibility Statement
Wildlife Vendor eLicence Void Request
Please note that fields mark with an *asterisk are mandatory.
Vendor Name
*
Vendor #
*
Vendor Email
*
(required to send confirmation of licences cancelled)
Vendor Phone #
*
I, the submitter am requesting cancellation of the following licence #(s) as they were not issued to the hunter, and I did not receive payment for them:
*
Submitter's First Name
Submitter's Last Name
FWID:
*
License #(s):
*
Add another licence#(s)
Add another licence#(s)
Add additional licence#(s) separated by commas:
Species License #(s):
*
Add another Species Licence#(s)
Add another species licence#(s)
Add additional species licence#(s) separated by commas:
LEH Application ID(s):
*
Add another LEH Application ID(s)
Add another LEH Application ID(s)
Add LEH Application ID(s) separated by commas:
The total $ amount of these items is:
*
Reason for Cancellation
*
Date
*
MM slash DD slash YYYY
Consent
*
By checking this box, I certify the information I have provided is true. I understand it is an offence to provide false information.
Comments
This field is for validation purposes and should be left unchanged.
