Rare Bird Report Form for Utah

Common name:
Scientific name:
Date:
Time:
Length of time observed:
Number:
Age:
Sex:
Location:
County:
Latilong:
Elevation:
Distance to bird:
Optical equipment:
Weather:
Light Conditions:
Detailed description of bird: ( Please be thorough) (This blank expands automatically, so take as much space as you need).	Size of Bird: Basic Shape: Overall color pattern: Type of bill: Description of field marks and other identifying characteristics:
Song or call & method of delivery:
Behavior:
Habitat:
Similar species and how were they eliminated: (Please be thorough)
Previous experience with this & similar species:
References consulted:
Description from:	Notes taken at time of sighting Notes made later From memory Photo(s) taken at time of sighting
Observer:	(Required field)
Observer's address:
Observer's e-mail address:
Other observers who independently identified this bird:
Date prepared:	(Required field)
Additional material:	There are no additional materials Photo(s) Drawing(s) Tape(s) (Send to address below) Other Please specify
Additional Comments:

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 email address below).
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.

If, for any reason, you would like to have your name withheld from your record if it is not accepted by the Committee,
check here.