ARIZONA GAME & FISH DEPARTMENT
5000 West Carefree Hwy, Phoenix, Arizona 85086
PROPOSAL FOR SCIENTIFIC COLLECTING PERMIT (NO FEE)
Name
Year
Proposal Summary
Indicate ALL That Apply for Each Taxonomic Group
7= Angling
8= Gill Net/Trammel Net/Seine
9= Electroshock
10= Drugs/Chemicals
11= Blow Gun
12= Nest Monitoring (flushing from nest)
13= Tape Playback (for breeding birds)
METHOD OF TAKE
1= Firearms
2= Firearms at Night
3= Live Trap
4= Pit Fall
5= Mist Net
6= By Hand or Hand Held Implement
EXAMPLE
DISPOSITION METHOD
S= Salvage Dead
R= Capture & Release
K= Collect by Killing
A= Take Alive/Keep Alive
L= Take Alive/Kill Later
M= Move to other area and release
N= Non-handling “take” (birds only- Title 17-236)
P= Photograph
Reptiles: 4, 6, R, S
Bats:
EXAMPLE
Raptors:
Allen’s LB
Lesser LN
California LF
Mexican LT
Townsend’s BE
Other
CFEPO
+
Sport Fish:
MSPOW
Massasagua
Small Game:
Gila Monster
Big Game:
NH Garternsake
Mammals (other):
Beautiful shiner
Ridge-nosed
FTHL
Twin-spot
Rock
Mexican Garternsake
Desert Tortoise
Other
+
Amphibians:
Migratory Birds:
YBCU
Native Fish:
Reptiles:
Predators/fur bearers:
SWIFL
Other
+
Tarahumara
BHCO
YCLRA
Other
+
Birds (Game):
Chiricahua LF
Northern LF
Sonoran Tiger Salamander
Ramsey Canyon LF
Lowland LF
Other
Proposal Details (specify for each individual project)
Wildlife management
Gathering information valuable to the
maintenance of wild populations
Advancement of science
Promotion of the public health or welfare
Education (state the minimum # of
presentations that you anticipate; the name, title,
address, and telephone # of individuals whom you
have contacted in order to hold educational
presentations; and if applicable, the # of specimens
of the species requested that you already possess
Qualifications (of the applicant in relation to
the proposed activities):
Methods
FORM 18-B (Revised 11/2007)
Plains LF
Relict LF
+
CFEPO = Cactus Ferruginous Pygmy-Owl
MSPOW = Mexican Spotted Owl
SWIFL = Southwestern Willow Flycatcher
YBCU = Yellow-billed Cuckoo
BHCO = Brown-headed Cowbird
YCLRA = Yuma Clapper Rail
Purpose:
Humpback Chub
Virgin Chub
Sonoran Chub
Spikedace
Apache Trout
Loach Minnow
Desert Pupfish
Bonytail Chub
Yaqui Catfish
Gila Topminnow
+ provide more specific details below:
Project #1:
Quitobaquito Pupfish
Little Colorado Spinedace
Gila Trout
Yaqui Topminnow
Razorback Sucker
Kanab Ambersnail
Other
Woundfin
Colorado Pikeminnow
Other
Mollusks/Crustaceans:
Crayfish
Yaqui Chub
+
+
specific methods, justifications for using that
method, and whether going to:
Salvage specimens found dead
Collect specimens alive and keep them*
Collect specimens by killing them
Capture/release
Genus/species and # per species:
Collection localities:
Planned disposition:
Agents & addresses:
Schedule/Completion date:
Publication intent:
*All projects involving captive wildlife must comply with Live Wildlife Rule R12-4-428 (Captivity Standards) and provide details of compliance in the proposal
Project #2:
Purpose:
Wildlife management
Gathering information valuable to the
maintenance of wild populations
Advancement of science
Promotion of the public health or welfare
Education (state the minimum # of
presentations that you anticipate; the name, title,
address, and telephone # of individuals whom you
have contacted in order to hold educational
presentations; and if applicable, the # of specimens
of the species requested that you already possess
Qualifications (of the applicant in relation to
the proposed activities):
Methods
specific methods, justifications for using that
method, and whether going to:
Salvage specimens found dead
Collect specimens alive and keep them*
Collect specimens by killing them
Capture/release
Genus/species and # per species:
Collection localities:
Planned disposition:
Agents & addresses:
Schedule/Completion date:
Publication intent:
*All projects involving captive wildlife must comply with Live Wildlife Rule R12-4-428 (Captivity Standards) and provide details of compliance in the proposal
Project #3:
Purpose:
Wildlife management
Gathering information valuable to the
maintenance of wild populations
Advancement of science
Promotion of the public health or welfare
Education (state the minimum # of
presentations that you anticipate; the name, title,
address, and telephone # of individuals whom you
have contacted in order to hold educational
presentations; and if applicable, the # of specimens
of the species requested that you already possess
Qualifications (of the applicant in relation to
the proposed activities):
Methods
specific methods, justifications for using that
method, and whether going to:
Salvage specimens found dead
Collect specimens alive and keep them*
Collect specimens by killing them
FORM 18-B (Revised 11/2007)
Capture/release
Genus/species and # per species:
Collection localities:
Planned disposition:
Agents & addresses:
Schedule/Completion date:
Publication intent:
*All projects involving captive wildlife must comply with Live Wildlife Rule R12-4-428 (Captivity Standards) and provide details of compliance in the proposal
Project #4:
Purpose:
Wildlife management
Gathering information valuable to the
maintenance of wild populations
Advancement of science
Promotion of the public health or welfare
Education (state the minimum # of
presentations that you anticipate; the name, title,
address, and telephone # of individuals whom you
have contacted in order to hold educational
presentations; and if applicable, the # of specimens
of the species requested that you already possess
Qualifications (of the applicant in relation to
the proposed activities):
Methods
specific methods, justifications for using that
method, and whether going to:
Salvage specimens found dead
Collect specimens alive and keep them*
Collect specimens by killing them
Capture/release
Genus/species and # per species:
Collection localities:
Planned disposition:
Agents & addresses:
Schedule/Completion date:
Publication intent:
*All projects involving captive wildlife must comply with Live Wildlife Rule R12-4-428 (Captivity Standards) and provide details of compliance in the proposal
Use additional pages as needed.
FORM 18-B (Revised 11/2007)