Animal Element Occurrence Field Form

For a list of elements tracked by CNHP, refer to Element Tracking List

Please submit at least one of Common Name or Scientific Name.

Fields marked with an asterisk (*) are required.

Element Common Name(s):
Element Scientific Name:
Observer Name*:
Observer Affiliation:
Observer Phone:
Observer Email*:
Observer Address:
City:
State/Zip:
Survey Date*:

Location Information (Required)

Please submit a ZIP file of a scan of a map with the observation marked/outlined, or an attributed GIS file, or detailed driving/hiking directions, or attributed list of coordinates.

(Please submit at minimum, either a full Legal Description, or Driving/Hiking Directions.)

USGS Quadrangle:
Surveysite Name:

(from 7.5' quad)
County:
Quadcode:

(If known.)
Min Elev:
Max Elev:
Legal Description:
Township:
Range:
Section:
¼ Sec:
UTM Coordinates:
Northing:
Easting:
UTM Zone:
Datum:
Datum Other:
GPS Accuracy:
GPS Correction:
GPS Other:

Driving/Hiking Directions

Additional Coordinates:

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Northing:
Easting:
Data:
Northing:
Easting:
Data:
Northing:
Easting:
Data:
UTM Zone:
Datum:
Datum Other:

Observation Details (Required)

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Size (Area of occupancy, population abundance, density)

Number of Individuals
Age(s)/Sex(es)(if known):
Comments:

Condition (productivity, vigor of individuals)

Reproductive Evidence:
Evidence of Disease,
Predation or Injury:
Comments:

Landscape Context Comments (structure, condition and extent of surrounding landscape abiotic physical/chemical factors)


General Habitat Description

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Dominant Plant Community:
Associated Animal Taxa:
General Habitat Comments:

Ownership

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Other:


Owner Name:
(or National Forest, BLM District, etc.)
Owner Comments:
(special requests, permissions,
circumstances)

Protection Comments

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(Comments on any legal protection or strategies proposed or in place)

Management Comments

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Evidence of Threats and Disturbance: (e.g., effects on population viability due to mining, recreation, grazing, exotic species etc,; past/present/future recomendations)

Predominant Land Uses:
Exotic Species:

Documentation

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Photographs Taken: Photographer:
Photo Number(s): Repository:

Specimens Taken: Collector:
Collection Number(s): Repository:

General Comments

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Please confirm the data entered before clicking submit.

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