Kansas Bird Records Committee Official Report Form (10/2012)

 

Date of this report _____________________    KBRC No. (committee use only) ____________

 

1. Species _______________________________   / __________________________________

                                    (Common name)                                                          (Scientific name)

 

2. Sex/Age _________________________                3. Number observed ______________

 

 

4. Date(s) of sighting   ___________________          5. Duration of sighting ____________

 

 

6. Location (including county)___________________________________________________

 

______________________________________________________________________________

 

7. Observer(s) (your name)_______________________________________________________

 

Phone:_________________   Address:_________________________________________

 

E-mail: ________________                  _________________________________________

 

                                                               _________________________________________

 

8. Other observers (not making this report) ___________________________________________

 

______________________________________________________________________________

 

9. Description of habitat/setting:___________________________________________________

 

______________________________________________________________________________

 

10.  Distance from bird_________________ 11. Optical Equipment ___________________

 

12. Time of day____________                       13. Lighting conditions/sun angle ______________

 

______________________________________________________________________________

 

14. Previous experience with this or similar species:____________________________________

 

_______________________________________________________________________________

_______________________________________________________________________________

 

15. Reference material consulted and how this influenced your identification _______________

 

______________________________________________________________________________

 

______________________________________________________________________________

 

16. How long after the sighting did you first write this description? _______________________

 

  

17. Vocalizations heard (if any):____________________________________________________

 

______________________________________________________________________________

 

______________________________________________________________________________

 

18. DESCRIPTION: (Include only what was observed).  Describe, in detail, all relevant and diagnostic field marks and/or behaviors that would distinguish this species from similar ones.  Please include any photographs, recordings, sketches, and copies of original field notes that were made at the time of the sighting that would aid in identification.  USE OTHER SIDE.  (NOTE: If you are submitting photos or video recordings, the sections on descriptions, field marks etc., are optional. A poor photograph does not replace a good written documentation, but a good photograph does reduce the need of written documentation.  The KBRC encourages you to write descriptive documentation even if you do have a photo or video recording of the bird.)

 

Mail completed form to:

Kansas Bird Records Committee Secretary

Mark Land, 8447 Lamar, Overland Park, KS  66207

913-381-4324 (home) markeland@kc.rr.com