Northern Prairie Wildlife Research Center

Bird Checklists of the United States

Rare Record Documentation Form


Please include as many of the following details as possible and return this form and other documentation to the address listed on the checklist. This form is intended to be used only as a guide; some observations may require more details than others.


Species:______________________


Name of observer:________________________________________________

Observer's address:______________________________________________

                   ______________________________________________ 
  

Phone number: Day___________________ Evening_____________________
                                 
Date (m/d/y):_______________     Time:____________to_____________

Duration of observation:_________________________________________ 
   
Distance to bird (minimum):______________________________________

Light conditions:________________________________________________

Weather conditions:______________________________________________

Optical equipment:_______________________________________________


Other observers:_________________________________________________


Location of observation (be specific, include county, distance to
nearest town, road, etc.):




Initial impressions and circumstances:




Thorough description (please describe only what was actually
seen, not what should have been seen.):

     Plumage patterns and colors:




     Sex and age of bird:




     Size and shape of bird:



     Bill shape, length, color:



     Voice (song and/or calls):



     Behavior:



     Association with other species:



     Other characters (eye color, length and color of legs,
     etc.):




Similar species (How were similar species eliminated?):





Previous experience with this and similar species:





Description of habitat (be specific):   

     


References and sources consulted in identification (at the time
of and after the observation):




Date and time of writing this account:________________________

Signature:_____________________________


Please attach any photographs, as well as a copy of sketches and
notes taken at the time of the observation.
NPWRC Home�|�Site�Map�|�About Us�|�Staff�|�Search�|�Contact�|�Web�Help�|�Copyright

Accessibility FOIA Privacy Policies and Notices

Take Pride in America home page. FirstGov button U.S. Department of the Interior | U.S. Geological Survey
URL: http://www.npwrc.usgs.gov/resource/birds/chekbird/form.htm
Page Contact Information: npwrc@usgs.gov
Page Last Modified: August 3, 2006