Kansas Bird Records Committee Official Report Form (02/2004)

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, Junction City, KS  66441
785-238-4161 (work); 785-238-8800 (home) otte@nqks.com OR cotte@oznet.ksu.edu