Rev. 03/20/12 web
qrcode for 628771
IDAHO FISH AND GAME
CE-51
WILDLIFE VEHICLE-COLLISION SALVAGE FORM
Name:
Address:
Phone:
Email:
Species:
Sex:
Count:
Description:
Parts Salvaged:
Date Salvaged:
Date Reported:
Location:
GMU:
County:
Highway:
Mile Post:
Location Note:
Issuer:
I hereby declare under penalty that the information is correct and the animal was salvaged.
I am aware and acknowledge that any meat salvaged is wild game meat which does not meet the requirements of the Idaho Food, Drug, and Cosmetic Act, waive any claim against the Idaho Department of Fish and Game and the State of Idaho for any damages or injuries that may result from the use of consumption of wild game meat.
required MANDATORY CHECK REQUIRED! Please present the skull and pelt and this form to your regional office within 10 days of salvage.
Signed:
X
Office Use
Submission ID:
Initials/Date:
BGMR #:
 
Initials/Date: