GRANT COUNTY EXTENSION DEPREDATION REPORT FORM
Name: ___________________________________ Date of Incident: __________________ Time: _______________
Ranch or Allotment: ______________________________________________ County: ________________________
Location of Incident (GPS if available): ______________________________________________________________
______________________________________________________________________________________________
Land Ownership: Private ____ FS ____ BLM ____ State ____ Tribal ____ Other _________________________
Predator (if known): Wolf ____ Coyote ____ Mtn. Lion ____ Black Bear ____ Other ______________________
Animal(s) (no. of each): Ram ____ Ewe ____ Lamb ____ Bull ____ Cow ____ Calf ____ Stallion ____ Mare ___
Colt ____ Dog ____ Other _______________________
Livestock breed(s): _____________________________________________ Weight (if known): _________________
Damage type:
Killed ____ Injured ____ Harassment ____ Stillborn ____ Other ___________________________
Evidence (describe in detail the evidence at the site, such as tracks by species, scat by species, observation of
predators, etc.):__________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Detailed description of the carcass (include all visible evidence such as hemorrhage, bite and other marks on the body,
drag marks, hidden or open, covered or uncovered, blood in surrounding area, % of carcass remaining, etc): ________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Please attach photos of the site.
Has this depredation been reported? If so, to whom and case #: ___________________________________________
Has this department or agency confirmed the predator? Yes ____ No ____
If no, please contact us when they do.
May we contact you with additional questions? Yes ____ No ____
Contact info: ____________________________________________
_______________________________________________________
_______________________________________________________