Complete the following form to request a physical waterfowl stamp ONLY AFTER you have purchased an electronic waterfowl stamp. Electronic waterfowl stamps may be purchased at any local license agent location, by calling 1-800-5GO-HUNT, online, or at any District Office, State Park, State Lake or the Jackson Office. The actual physical stamp is also available in the License Department at 1505 Eastover Drive, Jackson, MS 39211.

NOTE: To request prior year stamps please call 601-432-2055

Please provide information exactly as it appears on your license which shows proof-of-purchase of your electronic waterfowl stamp.
  First Name:                                      M.I.:       Last Name:                              
 
  Mailing Address:                                           City:                        State:          Zip:
 
  Driver's License Number:         D.L. State:                           Date of Birth (mm/dd/yyyy):   
             
  Phone Number (xxx)xxx-xxxx:
           		Social security number (xxx-xx-xxxx)
(if used as identification):
___________________________________________________________________
   
To verify previous purchase of electronic
waterfowl stamp complete the following information.
    NOTE: If you purchased your electronic stamp online you must wait until you receive your license in the mail in order to enter your Web Customer Number.
POS Customer ID Number or Web Customer Number:        
 
                                                                     
Please Complete the following migratory bird survey in order to be HIP certified.
 
 Do you plan to hunt migratory birds in Mississippi this year?

 Indicate the number of migratory birds you harvested last season:
    Ducks_______________
 Did not Hunt: -0- 1-10   11+
    Geese_______________
 Did not Hunt: -0- 1-10   11+
    Doves_______________ Did not Hunt: -0- 1-30   31+
    Woodcock____________ Did not Hunt: -0- 1-30   31+
    Snipe/Coot____________ Did not Hunt: Did Hunt
    Rails/Gallinules_________ Did not Hunt: Did Hunt
1505 Eastover Drive - Jackson, MS 39211-6374 - Phone: 601.432.2400 | Disclaimer