RARE WILDLIFE SIGHTING REPORT FORM
The Oklahoma Wildlife Diversity Program tracks rare species throughout the state and uses this
information to set management goals. We are interested in your observations of rare and
unusual species.
Instructions: Print out the form or save it as a file on your computer. Please complete all parts
of the survey form then send it in by either e-mailing it as an attachment to:
mhowery@zoo.odwc.state.ok.us; or mailing it to: Wildlife Diversity Program, ODWC, P.O. Box
53465, Oklahoma City, OK 73152
Your Name: ___________________________
Daytime phone: ( ___
)_____ _________
Mailing Address: Street, City, State, ZIP: _________________________________________
E-mail Address:__________________________
Sighting Information
Common or Scientific Name of the animal: ___________________________________
County in which the observation was made: ________________________
Describe the location of the sighting (e.g. directions to nearest town or intersection, or lat/long,
etc): ___________________________________________________________
Describe the habitat at the location of the sighting and in the area surrounding that location:
________________________________________________________________________
________________________________________________________________________
Date and time of this sighting: __________________________________
Number of individuals sighted: Adult _______ Immature ________ Unknown ________
Describe the animal’s activity when observed (ex. perched, running, flying, sunning, etc.):
_________________________________________________________________________
Describe the physical features that identify the animal that you are reporting:
__________________________________________________________________________
Describe any additional information that may be useful in regards to the condition of the animal
or location: _______________________________________________________________
Pictures Attached: Yes_____ No______