Fillable Ba 116A Template

Fillable Ba 116A Template

The BA-116A form serves as an application for the Idaho Disabled Persons Archery Hunting Permit, aimed at providing individuals with disabilities the opportunity to participate in archery hunting seasons. Applicants must fulfill specific requirements, including a doctor's certification proving the applicant's disability and capability to use a crossbow unassisted. Please ensure you review Idaho Code 36-409(a) and Commission Regulation IDAPA 13.01.04.304 before filling out and submitting the form with the necessary fee.

For those eligible and interested in obtaining this permit, click the button below to begin your application process.

Customize Ba 116A Here

Understanding the nuances involved in obtaining a Disabled Persons Archery Hunting Permit requires a thorough reading of the BA-116A form, an essential document for individuals with disabilities wishing to partake in archery hunting seasons within Idaho. Given the state's commitment to ensuring equitable access to hunting opportunities, the form serves as a gateway to special permits designed to accommodate physical impairments. Applicants must provide significant personal information, including a detailed medical certification from a licensed physician, verifying their disability and capability to use a crossbow independently. The form, comprehensive in nature, underscores the rigorous standards set by Idaho law and the Idaho Fish and Game Commission to both validate the disability and ensure the ethical and fair pursuit of game. This application process, while straightforward on paper, encapsulates the broader legal and regulatory framework governing disabled archery hunting permits, including specific provisions outlined in Idaho Code 36-409(a) and Commission Regulations IDAPA 13.01.04.304. Additionally, the form warns against making false statements, highlighting the legal implications and emphasizing the importance of honesty in the application process. Through this meticulous approach, Idaho upholds both the integrity of its hunting regulations and its commitment to accessibility, allowing individuals with disabilities to engage fully in the hunting seasons dedicated to archers.

Sample - Ba 116A Form

BA-116A

APPLICATION FOR DISABLED PERSONS ARCHERY HUNTING PERMIT

Rev 11/13

 

Before completing this application please read Idaho Code 36- 409(a) and Commission Regulation IDAPA 13.01.04.304 printed on the reverse side.

Please complete, sign and return this application with an issuance fee payment of $1.75 to any Department office listed on the reverse side of this application for issuance of a Disabled Persons Archery Hunting Permit. Please type or print legibly.

A DOCTORS CERTIFICATION ON THIS FORM IS REQUIRED.

I,

 

 

 

Name - First, Middle Initial and Last

 

 

Social Security No. (Required By Law)

 

 

 

 

 

 

 

Mailing Address

 

 

City

State

Zip Code

Telephone No.

 

 

 

 

 

 

Physical Address (If different than above)

 

City

State

Zip Code

 

 

 

 

 

 

 

 

 

Sex

Birthdate

Eye Color

Hair Color

Driver’s License No.

 

Driver’s License Issue Date

Current Year’s Hunting License No.

hereby make application for an IDAHO DISABLED PERSONS ARCHERY HUNTING PERMIT. I affirm that I am capable of holding and firing, without assistance from other persons, a crossbow, that I have read Idaho Code 36-409(a) and IDAPA 13.01.04.304, and that I qualify for this permit with the following disability because I have lost or lost the use of one (1) or both arms or hands.

Signature of Applicant

RESIDENTS OF IDAHO ARE NOT REQUIRED TO HAVE THEIR SIGNATURE NOTARIZED.

State of

 

 

)

 

 

) ss.

County of

 

)

Date

On this day of ___________________________, 20______ before me, the undersigned, a Notary

Public for the state of __________________________, personally appeared

____________________________________________ known to me to be the person whose name

is subscribed to the within instrument, and acknowledge to me that _________ executed the

same.

IN WITNESS WHEREOF, I have here unto set my hand and affixed my official seal the date and year first hereinabove written:

Notary Public for the State of

Residing at

My Commission expires

ANY PERSON WILLFULLY MAKING FALSE STATEMENTS IN THIS APPLICATION SHALL BE GUILTY OF A CRIMINAL MISDEMEANOR AND THE PERMIT ISSUED TO SUCH APPLICANT SHALL BE VOID AND OF NO EFFECT FROM ITS DATE OF ISSUANCE.

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DOCTOR’S CERTIFICATION

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I do hereby certify that the above named applicant is disabled as checked above and defined in Idaho Code 36-409(a); the applicant is capable of holding and firing, without assistance from other persons, a crossbow; and I am a physician licensed to practice in the United States or Canada.

Doctor’s Name - (Type or Print Legibly)

 

 

City

State

 

 

 

 

 

 

 

 

 

 

 

 

Doctor’s Signature

 

PHYSICIANS NOT LICENSED TO PRACTICE IN IDAHO MUST SEND A PHOTOCOPY OF THEIR MEDICAL LICENSE

 

OR HAVE THEIR SIGNATURE NOTARIZED BELOW.

 

 

 

 

State of

 

 

)

On this day of ___________________________, 20______ before me, the undersigned, a Notary

 

 

 

)ss.

Public for the state of __________________________, personally appeared

County of

)

____________________________________________ known to me to be the person whose name

 

 

 

 

 

is subscribed to the within instrument, and acknowledge to me that _________ executed the

 

 

 

 

 

same.

 

IN WITNESS WHEREOF, I have here unto set my hand and affixed my official seal the date and year first hereinabove written:

Notary Public for the State of

Residing at

My Commission expires

ANY PERSON WILLFULLY MAKING FALSE STATEMENTS IN THIS APPLICATION SHALL BE GUILTY OF A CRIMINAL MISDEMEANOR AND THE PERMIT ISSUED TO SUCH APPLICANT SHALL BE VOID AND OF NO EFFECT FROM ITS DATE OF ISSUANCE.

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This Portion to be Completed by Issuing Fish and Game Office

----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Number of Permit Issued

 

Issued by

 

Vendor Number

 

 

Date

 

IDAHO CODE 36-409(a)

DISABLED ARCHERY PROVISIONS. When the commission has established a special archery only season, any individual who is otherwise qualified to participate, shall be allowed to do so with the use of a crossbow if he has a permanent disability whereby he does not have use of one (1) or both of his arms or hands. The commission shall promulgate rules to establish a process for verifying the existence of the disability and for issuance of a free permit to qualifying individuals.

The Idaho Fish and Game Commission, in accordance with Section 36-105 and subsection 36-409(a), Idaho Code, hereby establishes the following regulations governing the acquisition of a handicapped archery permit:

IDAPA 13.01.04.304 DISABLED ARCHERY PERMIT

01.Applications.

a.Applications for disabled archery permits shall be on a form prescribed by the Department. Only eligible applicants may submit such applications.

b.Applicants shall sign the application. Nonresident applicants must have their signature notarized. Each application shall be accompanied by certification from the applicant’s physician stating that the applicant has a permanent disability whereby he does not have use of one (1) or both of his arms or hands. The physician shall also certify that the applicant is capable of holding and firing, without assistance from other persons,

a crossbow. If the physician is not licensed to practice in Idaho, a photocopy of the physician’s medical license must also be sent in with the application.

02.Permits.

a.Disabled archery permits shall be issued only by the Director of the Department and shall expire on December 31 of the fifth year following the date of issuance.

b.The disabled archery permit shall be carried on the person of anyone participating in an archery only season with the use of a crossbow and produced upon request of an officer.

c.The disabled archery permit shall allow the holder thereof to participate in an archery only hunt with the use of a crossbow.

IDAHO ADMINISTRATIVE CODE

IDAPA 13.01.08

410.UNLAWFUL METHODS OF TAKE

No person shall take big game animals as outlined in this section.

02.Bows, Crossbows, Arrows, Bolts, Chemicals or Explosives

a.With arrows or bolts having broadheads measuring less than seven-eights (7/8) inch in width and having a primary cutting edge less than fifteenth-thousandths (0.015) inch thick.

b.With any bow having a peak draw weight of less than forty (40) pounds up to or a draw of twenty-eight (28) inches, or any crossbow having a peak draw weight of less than one hundred-fifty (150) pounds.

c.With any chemicals or explosives attached to the arrow or bolt.

d.With arrows or bolts having expanding broadheads.

E. With arrows or bolts having barbed broadheads. A barbed broadhead is a broadhead which has any portion of the rear edge of the broadhead forming an angle less than ninety (90) degrees with the shaft or ferrule.

F. With any electronic or tritium-powered device attached to, or incorporated into, an arrow, bolt, crossbow, or bow. Except disabled archery permit holders may use a nonmagnifying sight with battery powered or tritium lighted reticles.

g.With any bow capable of shooting more than one (1) arrow at a time.

h.With any compound bow with more than eighty-five percent (85%) let-off.

i.With an arrow and broadhead, or bolt and broadhead, with a combined total weight of less than three hundred (300) grains.

j.With an arrow less than twenty four (24) inches or a crossbow bolt less that twelve inches in length from the broadhead to the nock inclusive.

k.With an arrow wherein the broadhead does not proceed the shaft and nock.

l.During an ARCHERY ONLY season, with any firearm, crossbow (except holders of a disabled archery permit ), or other implement other than a longbow, compound bow, or recurve bow, or:

i.With any device attached that holds a bow at partial or dull draw.

ii.With any bow or crossbow equipped with magnifying sights.

m.With any crossbow pistol.

IDAHO DEPARTMENT OF FISH AND GAME

License Operations Manager

600 South Walnut St. / P.O. Box 25

Boise, ID 83707

(208) 334-3700

PANHANDLE REGION OFFICE

2885 W Kathleen Ave.

Coeur d฀Alene, ID 83814

Phone (208) 769-1414

CLEARWATER REGION OFFICE

3316 16th St.

Lewiston, ID 83501

Phone (208) 799-5010

SOUTHWEST REGION OFFICE

3101 S. Powerline Rd.

Nampa, ID 83686

Phone (208) 465-8465

McCALL SUBREGION OFFICE

555 Deinhard Lane

McCALL, ID 83638

Phone (208) 634-8137

MAGIC VALLEY REGION OFFICE

319 S. 417 E.

HWY 93 Business Park

Jerome, ID 83338

Phone (208) 324-4359

SOUTHEAST REGION OFFICE

1345 Barton Rd.

Pocatello, ID 83204

Phone (208) 232-4703

UPPER SNAKE REGION OFFICE

4279 Commerce Circle

Idaho Falls, ID 83401

Phone (208) 525-7290

SALMON REGION OFFICE 99 HWY 93 N. Salmon, ID 83467

File Specs

Fact Detail
Form Purpose Application for Disabled Persons Archery Hunting Permit in Idaho.
Requirement for Application Doctor's certification is required, affirming the applicant's capability to hold and fire a crossbow without assistance.
Governing Laws & Regulations Idaho Code 36-409(a) and Commission Regulation IDAPA 13.01.04.304.
Application Fee $1.75, payable upon submission of the application to any Department office listed on the form.

How to Write Ba 116A

Preparing and submitting the BA-116A Application for Disabled Persons Archery Hunting Permit is an important step toward ensuring that individuals with disabilities have the opportunity to participate in archery hunting. The process outlined in this application ensures that those who have significant physical challenges but can safely operate a crossbow can still engage in this activity. Here are detailed instructions to guide you through completing this form.

  1. Read Idaho Code 36-409(a) and Commission Regulation IDAPA 13.01.04.304 on the reverse side of the application form to ensure you understand the eligibility criteria and permit provisions.
  2. Write your full name (first, middle initial, and last) in the space provided.
  3. Enter your Social Security Number in the designated field. Remember, this is required by law.
  4. Provide your complete mailing address, including city, state, and zip code.
  5. If your physical address is different from your mailing address, please enter it as well.
  6. Fill in your telephone number where you can be easily reached.
  7. Indicate your sex, birthdate, eye color, and hair color in the respective fields.
  8. Enter your Driver’s License Number and the issue date, followed by the Current Year’s Hunting License Number.
  9. Read the affirmation statement carefully. If you agree and affirm the statement, sign the application. Remember, Idaho residents are not required to have their signature notarized.
  10. If you are a non-resident, make sure a notary public notarizes your signature.
  11. Include the $1.75 issuance fee payment with your application.
  12. Have your doctor complete the Doctor’s Certification section, affirming your eligibility based on your disability. The doctor must sign and provide their contact information.
  13. If your physician is not licensed in Idaho, remember to include a photocopy of their medical license. If necessary, have their certification notarized.
  14. Review your application to ensure all information is accurate and complete before submitting it to any Department office listed on the reverse side of the application form.

Once you have submitted your application along with the necessary documentation and fee, the agency will review your application. If approved, you will be issued a Disabled Persons Archery Hunting Permit, which allows you to participate in archery hunting using a crossbow, following the specific regulations outlined in the permit. It is important to keep your permit on your person during hunting and to comply with all Idaho Fish and Game regulations to ensure a safe and legal hunting experience.

Discover More on This Form

What is the BA-116A form used for?

The BA-116A form is an application necessary for obtaining a Disabled Persons Archery Hunting Permit in the state of Idaho. This permit allows individuals with physical disabilities, specifically those who have lost the use of one or both arms or hands, to use a crossbow during archery-only hunting seasons. It ensures that hunters with disabilities can participate in the sport under special regulations designed to accommodate their needs.

Who needs to complete the BA-116A form?

Individuals who wish to apply for a Disabled Persons Archery Hunting Permit must complete the BA-116A form. This is specifically for those who have a permanent disability that impairs the use of one or both arms or hands, making it challenging to use standard archery equipment. The form must be completed and submitted along with a doctor's certification to verify the disability.

Is a doctor's certification required for all applicants?

Yes, a doctor's certification is a mandatory part of the application process for the Disabled Persons Archery Hunting Permit. This certification must confirm that the applicant has a disability as defined under Idaho Code 36-409(a), and it must ascertain that the applicant is capable of holding and firing a crossbow without assistance. For physicians not licensed in Idaho, a photocopy of their medical license or a notarized signature on the certification is also required.

What is the process for submitting the BA-116A application?

The completed BA-116A form along with the issuance fee payment of $1.75 must be returned to any Department office listed on the reverse side of the application form. It is important to ensure all sections of the application, including the applicant information and the doctor's certification, are fully completed and legible. Applicants should also make sure to read and understand Idaho Code 36-409(a) and Commission Regulation IDAPA 13.01.04.304, as acknowledgment of these regulations is part of the application process. Residents of Idaho are not required to have their signature notarized. Once submitted, the application will be reviewed, and if approved, the permit will be issued by the Idaho Department of Fish and Game.

Common mistakes

When individuals fill out the BA-116A form for a Disabled Persons Archery Hunting Permit, several common mistakes can hinder the completion or processing of their application. Identifying and avoiding these errors can streamline the application process and improve the chances of obtaining the permit.

Firstly, a prevalent mistake is not reading the provided instructions and regulations, including Idaho Code 36-409(a) and Commission Regulation IDAPA 13.01.04.304. This oversight can lead to incomplete or incorrect application submissions, as applicants may miss critical requirements or directives essential for the permit's approval.

  1. Not signing the application or missing the notarization requirement for non-residents is a frequent error that can cause delays. Every application must be signed, and for non-residents, a notary’s authentication is compulsory to verify the applicant's identity.
  2. Filling out the application in an illegible handwriting is another mistake, making it difficult for the processing staff to read and understand the applicant's information. The form advises typing or printing legibly to avoid this complication.
  3. Omitting the doctor’s certification, or not providing a photocopy of the medical license for physicians not licensed in Idaho, will render the application incomplete. A doctor's certification is mandatory to corroborate the applicant's disability and capability to use a crossbow without assistance.
  4. Failure to include the issuance fee payment of $1.75 with the application is a common oversight. The application process requires this fee, and neglecting to include it can prevent the application from moving forward.

In summary, applicants should meticulously review all instructions and requirements on the BA-116A form and provide all necessary information and documentation. By avoiding these common mistakes, individuals can ensure a smoother process in obtaining a Disabled Persons Archery Hunting Permit. Simplifying the form's complexity by following guidelines step by step can save time and avoid potential setbacks.

Documents used along the form

Applying for a Disabled Persons Archery Hunting Permit, designated by the BA-116A form, is one step in a broader process that involves various documents and forms. These materials ensure that all legal, health, and regulatory requirements are met for the permit to be granted. They help in verifying the applicant's eligibility and ensuring that the application adheres to Idaho's stringent guidelines for disabled archers. Understanding these documents can help applicants navigate through the process with greater ease.

  1. Physician’s Certification: This form is crucial as it verifies the disability stated by the applicant, ensuring they meet the criteria set by the Idaho Code and regulations. It must be filled out by a licensed physician who attests to the applicant’s condition and their ability to use a crossbow without assistance.
  2. Hunting License: A current year’s hunting license number is required on the application, proving the applicant is legally allowed to hunt in the state. This document must be obtained before applying for the Disabled Persons Archery Hunting Permit.
  3. Proof of Residency: As the permit requires different processing for residents and non-residents, applicants may need to provide proof of residency through documents like a state ID or utility bill.
  4. Notarization for Non-residents: Non-residents must have their application notarized, adding a layer of legal verification to the process. This ensures the authenticity of the information provided by individuals who live outside Idaho.
  5. ID Verification: A valid driver’s license or state ID number with issue date is required to confirm the identity of the applicant. This helps in preventing fraud and ensuring that the permit is issued to the correct individual.
  6. Medical License Proof for Out-of-State Physicians: If the certifying physician is not licensed to practice in Idaho, a photocopy of their medical license needs to accompany the application. This is essential for validating the credentials of the medical professional vouching for the applicant's condition.
  7. Notary Public Acknowledgement: For applications requiring notarization, this document authenticates the identity of the person signing the form, usually relevant for non-residents or for the verification of the physician’s certification when the doctor is not licensed in Idaho.
  8. Payment Receipt: A receipt for the payment of the issuance fee of $1.75 must be attached. This receipt is crucial as it serves as proof of payment for processing the application.

Collectively, these documents play a critical role in the application process for a Disabled Persons Archery Hunting Permit in Idaho. They ensure compliance with all regulations and verify that the applicant meets the necessary criteria for receiving the permit. By preparing these additional forms and documents, applicants can streamline their application process and focus on the enjoyment and rights accorded to them by the permit.

Similar forms

The BA 116A form, utilized for applying for a Disabled Persons Archery Hunting Permit, shares similarities with several other types of documentation used within various regulatory and application processes. These resemblances stem from the form's structure, required information, and the certification processes involved. Specifically, the form is akin to the following documents:

Disability Parking Placard Application: Like the BA 116A form, the application for a disability parking placard requires applicants to provide personal identification details and to have a section completed by a certified medical professional. This certification verifies the individual's condition and eligibility based on specified criteria. Both documents are designed to facilitate access and opportunities for individuals with disabilities, albeit in different contexts. Additionally, they both include a declaration section that must be signed by the applicant, affirming the truthfulness of the information provided and understanding of the legal implications for any false statements.

Medical Certification for Disability Exceptions (IRS Form 13614-C): This IRS form resembles the BA 116A in that it requires the disclosure of personal information, a physician’s certification, and involves a specific eligibility criterion for individuals with disabilities. The purpose of this form is to assist with tax preparation services for individuals who qualify for disability exceptions, signifying a crossover in how both documents use professional verification to validate an individual's condition. Moreover, both forms enforce accountability through sections that warn of the legal consequences for knowingly providing false information.

Dos and Don'ts

Filling out the BA-116A form for a Disabled Persons Archery Hunting Permit requires attention to detail and a thorough understanding of the requirements. To ensure the process goes smoothly, here are several dos and don'ts to consider:

  • Do read Idaho Code 36-409(a) and Commission Regulation IDAPA 13.01.04.304 carefully before filling out the form. Understanding these regulations is crucial for a successful application.
  • Do ensure that all information is typed or printed legibly. Inaccuracies or hard-to-read entries can delay the process or even lead to rejection of the application.
  • Do complete every section of the form. Incomplete applications cannot be processed. If a section does not apply, consider marking it as "N/A" to indicate it was not overlooked.
  • Do include the issuance fee payment of $1.75 with your application. This small fee is required for the processing of your permit.
  • Do ensure the doctor's certification is filled out correctly and by a physician licensed to practice in the United States or Canada. This certification is a critical component of the application.
  • Don't forget to sign the application. For residents of Idaho, notarization of the signature is not required, but it's a necessary step to verify the authenticity of the application.
  • Don't provide false statements in the application. Doing so is considered a criminal misdemeanor and will not only result in the application being voided but could also lead to more severe legal consequences.

By following these guidelines, applicants can increase their chances of a seamless process and receiving their Disabled Persons Archery Hunting Permit in a timely manner. It's always better to double-check all provided information and requirements to ensure compliance with all state regulations related to disabled persons' archery hunting permits.

Misconceptions

Navigating through the intricacies of legal documents can often lead to misunderstandings, especially when it comes to forms like the BA-116A, the application for a Disabled Persons Archery Hunting Permit. It's crucial to shed light on common misconceptions to ensure everyone's on the same page. Here are nine common misconceptions about the BA-116A form:

  • Misconception 1: The form can be submitted without a doctor's certification. In reality, a doctor's certification is mandatory to validate the applicant's disability claim.
  • Misconception 2: Any physician worldwide can sign off on the medical section. However, the physician must be licensed to practice in the United States or Canada, and if not licensed in Idaho, a photocopy of their medical license must be provided.
  • Misconception 3: It's a one-time process. The permit actually expires on December 31 of the fifth year following the date of issuance, requiring renewal for continued privilege.
  • Misconception 4: Nonresidents do not need their signature notarized. Contrary to this belief, nonresident applicants must indeed have their signature notarized to validate their identity.
  • Misconception 5: The form doesn't require a fee. There is an issuance fee of $1.75, which must be paid for the processing of the application.
  • Misconception 6: The permit allows for the use of any crossbow. The code specifies that crossbows must meet certain criteria, such as having a peak draw weight of at least 150 pounds, to be used legally for archery hunting by disabled persons.
  • Misconception 7: Idaho residents need to have their signature notarized. In fact, residents of Idaho are not required to have their signature notarized, streamlining the process for locals.
  • Misconception 8: The application can be submitted without a current year's hunting license number. An active hunting license number is crucial for the application, underscoring the need to be legally compliant with hunting laws.
  • Misconception 9: It's permissible to make false statements in the application. Making false statements is a criminal misdemeanor, voiding the permit from its date of issuance and possibly resulting in further legal consequences.

Understanding these nuances is essential for anyone looking to apply for a Disabled Persons Archery Hunting Permit in Idaho. Ensuring that each piece of information is accurately provided, and all requirements are met, facilitates a smoother application process, paving the way for an enjoyable hunting season for those who qualify.

Key takeaways

When applying for an Idaho Disabled Persons Archery Hunting Permit (Form BA-116A), it's crucial to understand the specific requirements and steps involved to ensure your application is accepted and processed promptly. The following key takeaways offer guidance on completing and using the form correctly:

  • Ensure all personal details are accurately filled out, including your Full Name, Social Security Number (as required by law), both Mailing and Physical Addresses, and valid contact information. This information is crucial for the processing of your application.
  • Doctor's certification is mandatory; a physician must verify your disability as defined under Idaho Code 36-409(a). This certification confirms your ability to hold and fire a crossbow without assistance, which is essential for the granting of this permit. The doctor must be licensed to practice either in the United States or Canada, and if outside Idaho, a photocopy of their medical license should accompany the form.
  • Read and affirm your understanding of Idaho Code 36-409(a) and Commission Regulation IDAPA 13.01.04.304. These legal stipulations govern the conditions under which the permit is valid, ensuring you're aware of the rules surrounding disabled persons' participation in archery hunting.
  • Include the issuance fee payment of $1.75 with your application. The fee is crucial for the processing of your application. Applications submitted without this fee cannot be processed.
  • Be truthful in your application. Any willful false statement is a criminal misdemeanor, resulting in the permit being voided. Honesty ensures your eligibility and maintains the integrity of the application process.
  • Residents of Idaho do not need their signature notarized. However, non-residents must have their signature notarized, underlining the importance of following the specific instructions relevant to your residency status.

Following these guidelines helps streamline the application process for an Idaho Disabled Persons Archery Hunting Permit, ensuring you comply with all necessary legal and procedural requirements for a successful application. Remember to submit your completed application to a listed Department office for issuance. Compliance with Idaho hunting regulations, alongside the accurate completion and submission of the BA-116A form, facilitates a smooth process in obtaining your disabled persons' archery hunting permit.

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