"Rare Species Reporting Form" - Maryland

Rare Species Reporting Form is a legal document that was released by the Maryland Department of Natural Resources - a government authority operating within Maryland.

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RARE SPECIES REPORTING FORM
Maryland DNR, Wildlife and Heritage Service
Species name: _______________________________________________________________________________
Date(s) species was located: ____________________________________________________________________
County name: _______________ Directions to the site: _______________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Habitat description: ____________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Data on species (for example; number seen, age or maturity, breeding behavior, nature of observation - song, tracks, sight
record, etc..):
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Photograph taken? _______ Yes
________ No
Specimen taken?
_______ Yes
________ No
if yes, give collection # and repository: ____________________________________________________________
___________________________________________________________________________________________
Identification problems? _____ Yes ____No; explain: _________________________________________________
___________________________________________________________________________________________
Other comments (for example; other people who observed this species, known threats/management needs for species or
habitat, land ownership, etc..):
___________________________________________________________________________________________
____________________________________________________________________________________________
Reporter's name: _____________________________________________________________________________
Address & phone number: ______________________________________________________________________
___________________________________________________________________________________________
PLEASE ATTACH A LOCATION MAP TO THIS FORM
(e.g., photocopy of ADC book map or USGS quadrangle map with species' location marked.)
Return to:
Peter Stango
Natural Heritage Information Manager/Vegetation Ecologist
MD DNR - Wildlife and Heritage Service
Tawes State Office Building - 580 Taylor Ave. E-1
Annapolis, MD 21401
E-Mail: pstango@dnr.state.md.us
RARE SPECIES REPORTING FORM
Maryland DNR, Wildlife and Heritage Service
Species name: _______________________________________________________________________________
Date(s) species was located: ____________________________________________________________________
County name: _______________ Directions to the site: _______________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Habitat description: ____________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Data on species (for example; number seen, age or maturity, breeding behavior, nature of observation - song, tracks, sight
record, etc..):
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Photograph taken? _______ Yes
________ No
Specimen taken?
_______ Yes
________ No
if yes, give collection # and repository: ____________________________________________________________
___________________________________________________________________________________________
Identification problems? _____ Yes ____No; explain: _________________________________________________
___________________________________________________________________________________________
Other comments (for example; other people who observed this species, known threats/management needs for species or
habitat, land ownership, etc..):
___________________________________________________________________________________________
____________________________________________________________________________________________
Reporter's name: _____________________________________________________________________________
Address & phone number: ______________________________________________________________________
___________________________________________________________________________________________
PLEASE ATTACH A LOCATION MAP TO THIS FORM
(e.g., photocopy of ADC book map or USGS quadrangle map with species' location marked.)
Return to:
Peter Stango
Natural Heritage Information Manager/Vegetation Ecologist
MD DNR - Wildlife and Heritage Service
Tawes State Office Building - 580 Taylor Ave. E-1
Annapolis, MD 21401
E-Mail: pstango@dnr.state.md.us