Application For
SD Veteran Disability Park Entrance License
and Half-Price Camping Services Card
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If you do not have these papers in your possession you may contact the Veterans Administration in Sioux Falls and have them sent to you, or you may request in writing that the Veterans Administration mail a copy of these papers to Game, Fish and Parks

Submission: Application and verification papers must be submitted to:

Game, Fish and Parks
412 West Missouri
Pierre, South Dakota 57501

Upon completion of this form and with the attached proof of eligibility, South Dakota residents are entitled to receive a free South Dakota annual park entrance license. Eligible applicants will also receive a billfold-size card that can be presented at state parks and recreation areas to receive a 50 percent discount on daily camping fees.

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Please Print:

1. Name_____________________________________________________________
                      Last     First Middle Initial

Address ____________________________________________________________
                       Street, Box Number, Rural Route

City, Zip Code________________________________________________________

2. I have enclosed a copy of the "K" award or a letter establishing my eligibility as required in SDCL 41-17-13.4.

3. I declare the above statements are true and correct, and I understand that any false statement or misrepresentation on this application subjects me to criminal prosecution.

X ____________________________________________________________________
         Signature                                                                                 Date

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For Office Use Only:

Park Entrance License Number:

Half-Price Camping Card Number:

Issued By: Date