Endangered and Threatened Wildlife Sighting Report Form REPORT FORM MUST BE ACCOMPANIED BY AN AERIAL PHOTOGRAPH OR TOPOGRAPHIC MAP WITH THE LOCATION PRECISELY MARKED. PLEASE PRINT LEGIBLY. *The inclusion of a map is mandatory, please see other side for further information on obtaining a map. General Information Today's Date: Scientific Name (If known): Common Name: Where did the sighting take place? Municipality/Township: County: Topographic quad (if known): Coordinates in state plane feet (if known): Directions to location with landmarks, which will enable the future relocation of the site where the species was sighted: Land Owner (name, address and phone number, if known): Describe habitat at the point of sighting and habitat in the general area of the sighting location: Would you accompany a biologist to the site if needed? Are you aware of any immediate or future plans to develop or disturb the site? Location Accuracy 1. Is your depiction of the sighting location on the topographic map or aerial photo within 6m (20ft) of the animals actual location on the ground? (If no, answer question 2 below) 2. Your mapping is accurate to within Meters feet miles of the actual location. What was observed? How was this species identification made? (ex. Sighting, Call, Road Kill, etc): Date and time of this sighting (example: August 20, 2004, 10:30 am): How frequently has this species been sighted at this location and over how long a period of time?: Number of individuals sighted: Adult: Immature: Larval: Unknown/Other: Describe sighting and activity observed (ex. Nesting, Perched, Flying, Sunning, etc): Describe physical features tht identify the sighted animal as the species you are reporting. Were photos taken? Was video recorded? Was audio recorded? (Photos/ video/ audio are often the easiest ways to verify the accuracy of the sighting, so if they are available please include copies. Items should be identified with the date taken, location and observer signature. Items will not be returned) List manuals used or experts consulted to verify identification.: Provide a brief background on wildlife knowledge and/or experience, or additional information that would add to the validity of the sighting.: Can this be verified by someone else or can anyone vouch for your identification skills? Describe any additional information that may be useful in regards to the condition of the animal or location. Your Contact information Name: Street: City: State: Zip: Daytime Phone: Email: Preferred method of contact: Return to: Endangered and Nongame Species Program NJ Division of Fish and Wildlife PO Box 400 Trenton, NJ 08625-0400 (609) 292-9400 email: Gretchen.Fowles@dep.state.nj.us Instructions 1. Complete this form for first-hand field observations only. 2. DO NOT COMPLETE THIS FORM if the source of your information is a report, letter, converstion, or other document. Send us the documentation istead. 3. Attach a copy of a map. (*see below) 4. Only report one species at each location per form and map. *Mapping A map is necessary to help our biologists determine if suitable habitat is present at the location. Once the suitability of the area is determined the map provided aids in the delination of land to be protedted. Ideally the most accurate form of map is an aerial photo which can be obtained from http://www.nj.gov/dep/gis/imapnj/imapnj.htm, if you are comfortable with your ability to identify the location of the sighting accurately on them. These photos can be printed and clearly marked with a pen. An alternative to and aerial photo is a topographic map. You may also print copies of topographic maps from the internet at http://www.topozone.com/ . Please use 1:24,000 scale topographic maps only. Please provide either an aerial photo or a topographic amp, but NOT both. Refer to the ENSP homepage for further information: http://www.njfishandwildlife.com/ensphome.htm Thank you.