Utah Bird Records Committee
Rare Bird Sighting Report Form
For Utah
   
Instructions (Using your own word processor)
  [download .rtf]
  
 Review Species List  | "Writing a Rare Bird Report " by Steve Summers
(If you run out of space in a blank, just keep on typing, it will scroll automatically.)


Since the Rare Bird Sighting Report form was struck by a MALICIOUS SCRIPT,
Please send your sight record with the information below to this email address:

 
  



UTAH BIRD RECORDS COMMITTEE
VERIFICATION OF UNUSUAL SIGHT RECORD FOR UTAH

Please fill in the information using your regular email and send it to the address above.
      OR
You can use your word processor and then email a copy of the document to email address above as an attachment.

     
(Either way, you will have a backup copy of your submission).

(You can copy this list into your email or document and then add the information)

COMMON NAME:
SCIENTIFIC NAME:
DATE:
TIME:
LENGTH OF TIME OBSERVED:
NUMBER:
AGE:
SEX:
LOCATION:
COUNTY:
LATILONG:
ELEVATION:
DISTANCE TO BIRD:
OPTICS USED:
WEATHER:
LIGHT CONDITIONS:
DETAILED DESCRIPTION OF BIRD:
SONG OR CALL AND METHOD OF DELIVERY:
BEHAVIOR:
HABITAT:
SIMILAR SPECIES AND HOW WERE THEY ELIMINATED:
PREVIOUS EXPERIENCE WITH THIS AND SIMILAR SPECIES:
REFERENCES CONSULTED:
DESCRIPTION FROM (notes, memory, photos etc.):
OBSERVER:
ADDRESS:
E-MAIL ADDRESS:
PERMISSION: I GIVE MY PERMISSION TO POST THIS SIGHTING RECORD ON THE INTERNET (yes / no):
DATE PREPARED:
ADDITIONAL MATERIAL (photo, tape, drawing, other – please email as attachment to address below):
  


EMAIL THIS FORM and any photos or other materials (as an attachment) TO: 

By submitting this information, I agree that all material submitted, relating to this record will become the property of the Utah Bird Records Committee unless otherwise requested (see “Permission” above). The Committee will review and evaluate all materials submitted, retain all materials in its archives and display it on its internet pages which are open to the public, publish its findings in the "Utah Birds," Journal, on the internet or in any other appropriate publication, and make the Committee Comments available to any interested party upon request.
 


 Please email photo and other additional materials to:
         
 
OR

   Mail to:   
             

   Utah Bird Records Committee
   2795 Indian Hills Drive
   Provo, UT  84604