Add New Charity

This charity is on the priority list.

Charity Name or Team name:

Email Address:

Game Types Accepted:

Response Zones Accepted:

Physical Address

Address Line 1:

Address Line 2:

ZIP Code:

City:

State:

Mailing Address

Same as Physical?

Address Line 1:

Address Line 2:

ZIP Code:

City:

State:

Contacts

Primary Contact?

Contact Name:

Identification number:

Contact Phone Number:

Can we text this number?

Primary Contact?

Contact Name:

Identification number:

Contact Phone Number:

Can we text this number?

Please check this box if you are a current DPS employee. This excludes you from accepting seized game. As a DPS employee you will only receive game obtained via roadkill.

By checking this checkbox, I agree that the Organization / Volunteer Group agrees to assume all the risk, chance or hazard involved in the removal and cleanup of any animal, including the subsequent preparation, consumption or use of any removed animal. In consideration of the use of this animal, applicant agrees not to sue and to indemnify, save harmless, and to defend the State, its agents and employees from any and all claims or actions for injuries or damages sustained by any person or property arising directly or indirectly from the removal and use of any animal.

State of Alaska Department of Public Safety

Add New Charity

This charity is on the priority list.

Physical Address

Contacts

Primary Contact?

Primary Contact?

State of Alaska Department of Public Safety

Add New Charity

This charity is on the priority list.

Physical Address

Contacts Add New Contact

Primary Contact? ×

Primary Contact? ×

State of Alaska Department of Public Safety

Contacts

Primary Contact?

Primary Contact?