Kansas Bird Records Committee Official Report Form (9/2015)

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
Chuck Otte, 613 Tamerisk Dr., Junction City, KS 66441
785-238-8800 (home) otte2@cox.net