FLORIDA NATURAL AREAS INVENTORY Instructions: FIELD REPORT FORM - OCCURRENCE OF SPECIAL ANIMAL (note: each form should include only one species, one locality, and preferably one date) (please include any additional information on the back of this sheet, or attach separately) (complete what you can, leave fields blank or write unknown if you lack information) (Note - you may use the tab key or the cursor to move between fields) Scientific Name: Common Name: Observer: Date observed: Basis for Identification: County: Location of Animal(s): (please attach or send map and give specific directions; if possible, mark site on copy of USGS 7.5 minute topo map or aerial photograph or draw detailed map with landmarks) GPS coordinates: North: West: GPS accuracy if known: Describe habitats or plant communities, including dominant plant species: Extent of this habitat at site that may support animal (e.g., acres, miles): Number of individuals (or nests, burrows, etc.) seen: Estimated number of individuals in population (basis?): Age or population structure (adults, young, etc.): Ecological & behavioral notes (e.g., reproductive stage, activity type, feeding, flying, nesting): Have you seen this species at the same location in the past? Yes No If yes, please give date(s): Previous condition or notes: Is there evidence of disturbance at the site? Yes No If yes, please describe: Owner(s) of site: Is owner protecting this animal? Yes No Comment Conservation/Management Needs: Additional comments (other useful information concerning this animal and site -- e.g., names and addresses of individuals who might be helpful, publications, museum specimen numbers, etc.): Submitted by: Affiliation: Address: Phone: e-mail: Date: Fax: Please submit completed field report form to: Dr. Dale R. Jackson, Sr. Research Zoologist Florida Natural Areas Inventory 1018 Thomasville Road, Suite 200-C Tallahassee, FL 32303 tel: 850-224-0626 fax: 850-681-9364 e-mail: djackson@fnai.org www.fnai.org fnai_fldfrm_ffanim.200809