Form Center

2. Kootenai County Boat Launch Pass for Veterans

4. Annual boat launch passes shall be free for Veterans, their families and non-remarried widow/widowers who provide proof of 100% disability and Kootenai County residency per Resolution 2021-124.

   If you prefer to complete and print this form, please mail this application, your VA Benefit Summary letter and a proof of residency to: 

   Kootenai County Parks & Waterways

   10905 N. Ramsey Rd

   Hayden ID 83835

6. Name*
8. Address*
10. City*
11. State*
12. Zip Code*
14. Phone Number*
15. Email Address
17. Relation to Veteran *
    -- Select One --SelfNon-Remarried Widow/WidowerGold Star Family
18. Veterans' Name*
20. Are You Remarried?*
    -- Select One --YesNoN/A
21. Are you a Kootenai County Resident? *
    -- Select One --YesNo
23. Please Note: Only Kootenai County Residents are eligible for the free pass.

    1. I understand that only Kootenai County Residents are eligible for the free pass
25. Please Note: *

    If you are Remarried you are not NOT ELIGIBLE for the Veterans Boat Pass per Kootenai County Resolution 2021-124. If the widow/widower of the veteran are remarried, they are not eligible for a free pass.

    1. I am not eligible for the free pass
27. Please Read and Check the Box*

    1. I Affirm the Following Statement

    I hereby affirm that I am not a remarried widow or widower. I am an eligible next of kin (NOK) of a member of the United States Armed Forces who lost his or her life in a qualifying situation, such as war, an international terrorist attack or a military operation outside of the United States while serving in the United States Armed Forces, as identified in sections 3.2 (Qualifying Situations) and 3.3 (Eligible NOK) of Department of Defense Instruction 1348.36.

29. Upload VA Benefit Summary Letter *
30. Upload Proof of Residency*

    Ex: Drivers License, Current Kootenai County Tax Bill, Current Utility Bill, Current Vehicle Registration

32. Signature*

    1. I Agree

    By checking the "I agree" box above, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

34. Additional Comments
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit Submit and Print

* indicates a required field