Common Name:

Specific location of observation:

Scientific Name:

Observation Date:

Observation Time:

UTM E                     UTM N                     Datum              Zone       T

Length of Observation:

Latitude        ⁰          ‘              “N/Longitude         ⁰         ‘              “W

Distance from Bird:

T          N / R          W / Sec.          / ¼ Sec.         / ¼ ¼ Sec.

Light Conditions:

Weather at time of observation:

Optical Equipment:

Notes made:  ______During sighting     ______From memory

Prior weather and number of days since last change:

Date report prepared:

Give a general description of the bird seen and any other details of interest relating to the observation.

GENDER

AGE

PLUMAGE

PHOTO/TAPE/DRAWING

Male:

Adult:

Breeding:

Juvenal:

Enclosed:

Female:

Juvenile/Immature:

Winter:

Dark Morph:

Available:

Unknown:

2-3 year bird:

Eclipse:

Light Morph:

Please submit a copy of your field drawings.

Total Number:

Unknown:

Other:

If possible, please include in the sections below details of the specific body parts actually observed during the sighting.

BILL:

HEAD:

NECK:

UPPERPARTS:

UNDERPARTS:

Please do not write below here; for WBRC use only.                                                                         Form updated January 2008

WINGS:

TAIL:

LEGS & FEET:

List similar species and describe how or why you eliminated them.

Describe the behavior of this bird and the interaction with others.

What is the habitat at this location?

If heard, describe the bird’s song or vocalizations.

Reporter’s name, address, phone number, and e-mail address.

How many years have you birded?

Corroborating observers who are not reporting separately.

Have you observed this species before?

Please do not write below here; for WBRC use only.                                                                         Form updated January 2008