Testing CTSI Fishing Tag Application Step 1 of 2 50% Confederated Tribes of Siletz Indians2025 Combined Angling Tag Valid Dates: 01/01/2025 to 12/31/2025Name: First Last Roll #:License #:______________Address Street Address City State Zip Code PhoneMandatory Reporting must be completed by January 31, 2026. Check One SalmonorSteelheadSpeciesCode Wild Hatchery Location Code Month Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Species Length Location Code Month Day 1 2 3 4 5 6 Entries must be recorded in ballpoint pen, no erasures are allowed. Location Codes are on the second page of this tag. Contact Information Siletz Natural Resources Dept. P.O. Box 549, Siletz, OR 97380 541-444-8232 or 1-800-922-1399 ext. 1232 TAG NO: _____________________________I hereby acknowledge receipt of this tag for use during the Tribe’s fishing seasons. I agree to abide by all provisions of the Tribe’s Hunting, Fishing and Gathering Ordinance and all rules associated with implementation of that ordinance. If I am found to be in violation of the ordinance and/or rules I may be subject to penalty, including potential loss of fishing privileges. Tag is not valid unless completed and signed.SignatureDate ANGLING TAG LOCATION CODES OCEAN HARVESTED FISH ONLY (FOR BAYS AND ESTUARIES USE RIVER SYSTEMS CODES) CODE Coastal Port of Departure CODE Coastal Port of Departure CODE Coastal Port of Departure 4 Netarts Bay 7 Siletz 10 Waldport 5 Cape Kiwanda & Pacific City 8 Depoe Bay 11 Florence 6 Salmon River 9 Newport 12 Winchester Bay COASTAL RIVER SYSTEMS CODE Waterbody CODE Waterbody CODE Waterbody 21 Alsea River & Bay 58 Lake Cr. (Siuslaw R.) 92 Sweet Cr. (Siuslaw R.) 22 North Fork Alsea River 224 Neskowin Cr. 93 Tahkenitch Cr. & Lake 23 South Fork Alsea River 69 Nestucca River & Bay 94 Tenmile Cr.& Lake(Coos Co.) 25 Beaver Ck. (Lincoln Co.) 70 Little Nestucca River 96 Three Rivers 26 Beaver Ck. (Tillamook Co.) 72 Rock Cr. (Lane Co.) 97 Tillamook Bay 27 Big Cr. (Lane Co.) 74 Rock Cr. (Siletz R.) 98 Tillamook River 28 Big Elk Cr. (Yaquina R.) 77 Salmon R. (Coast) 99 Trask River 30 Cape Cr. 79 Sand Lake 100 North Fork Trask River 40 Cummins Cr. 80 Schooner Cr. (Siletz R.) 101 South Fork Trask River 42 Deadwood Cr. (Siuslaw R.) 81 Siletz River & Bay 102 Umpqua River & Bay 43 Drift Cr. (Alsea R.) 84 Siltcoos River & Lake 105 Wilson River 44 Drift Cr. (Siletz R.) 85 Siuslaw River & Bay 106 South Fork Wilson River 49 Fall Cr. (Alsea R.) 86 North Fork Siuslaw River 110 Yachats River 50 Five Rivers (Alsea R.) 89 Smith River 111 Yaquina River & Bay 56 Indian Cr. (Siuslaw R.) 90 North Fork Smith River WILLAMETTE River Tributaries CODE Waterbody CODE Waterbody CODE Waterbody 137 Gales Cr. (Tualatin R.) 157 Marys River 192 South Fork Yamhill River 156 Luckiamute River 165 Rickreall Cr.