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NOXIOUS WEED SIGHTING REPORT FORM

Please Provide the Following Information:

Name:

E-mail Address:

Confirm E-mail Address:

Address:

Phone: (###)###-####

Date: (MM-DD-YY)

Noxious Weed Species:

Number of plants: In Quantity

or In Acres

Specific location:

Lat Long

UTM Easting Northing

Coordinates: (if known)

Township:

Range:

Section:

Quarter:

Type of Location:

Associated Plants:

Other location details:

Comments:

Growth Stage:

Relative Frequency:

Type of Action Taken:

Land Ownership: (check appropriate box)

BLM	USFS	Private	State
County	City	Unknown	Other

Property of the WeedMapper Team, Dept. of Rangeland Resouces, Oregon State University. Copyright 2004. All rights resereved. Design by STP.