Report Bear Sightings

1. Person Reporting Observation
Name:
Address:
Phone:
Email Address:
Affiliation:
2. Other Witnesses To The Sighting?
Name:
Phone:
Email Address:
Affiliation:
3. Observation Based On:
Sighting Claw Marks Tracks
Hair Road Kill Scat
Other:
4. Documentation/Verification:
Photo Plaster Cast Video
Hair Sample Scat Sample Bear Carcass
Other:
5. Directions To Observation:
(e.g., distance and direction from nearest town, intersection, etc.)
6. Specific Location:
GPS or Township, Section, Range:
County:
7. Habitat at Occurrence Site:
Old Field Cropland Regenerating Forest
Mature Pine Upland Hardwoods Bottomland Hardwoods
Pasture River/Stream Bank Residential
Other:
8. Date Evidence Was Discovered:
Month:
Day:
Year:
9. Time Sighting Occurred:
Number Seen:
Distance From Bear(s):
10. Estimated Size(s): (Adult, Adult w/Cub, Cub)
11. Ear Tags
Left Ear: (Color / Number)
Right Ear: (Color / Number)
12. Was The Bear Wearing A Collar
Collar Color:
13. Description Of Encounter / Other Comments:
14. Upload a Picture:
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