Appendix H. Rare Bird Report Form 



Print clearly or type; include photos or drawings if available; use back of form if needed. 



SPECIES: 

 Date: 



QLL: 



Photo ? 



Specimen? 



Status:(B,b,t,W,w) 



Observer's name: 



address: 



phone: 



Other Observers: 



Reported by: 



Report Date: 



Specific Location: 

 Township: 



Habitat: 



Weather: 



Optics: 



Light: 



Distance from bird: 



Range: 



Section: 



Duration of Observation: 



Previous experience with species: 



Describe the bird(s) - include age, sex, molt: 



Describe the behavior: 



Discuss how other species were eliminated: 



Send to: MBD - Montana Natural Heritage Program 

 1515 E. 6th Ave., Helena, MT 59620 



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