PRINT FORM, FILL OUT, MAIL TO ADDRESS INDICATED ON BOTTOM OF FORM.

REPORT FORM -- MISSOURI BIRD RECORDS COMMITTEE

The Audubon Society of Missouri

MBRC number____________________ (for secretarial use)

This form submitted as documentation for (check all that apply):

____ unusual species; ____ unusual date;____ unusual breeding record;

____ Christmas Bird Count record; ____ North Am. Migration Count record;

____ other (please explain):____________________________________________

· Species:__________________________2. Number:______ 3. age/sex:__________

4. Location (including county):________________________________________

5. Date(s) observed:______6. Time bird(s) seen: From:_________To:___________

7. Reporting observer, address, phone number, and email : _____________________________________________________________________________________________________

8. Other observers present or known: _____________________________________________________________________________________________________

9. Was the bird photographed/videotaped/audiotaped? Yes___ No___ By whom: ________________________attach any prints, slides, tapes, etc. obtained. Observers are encouraged to photograph birds that they wish to document. Even poor-quality photographs may show details that will confirm an unusual record.

10. Please attach a copy of any field notes taken or sketches made. Observers are encouraged to make field notes and sketches during the observation, or as soon afterward as possible. Notes provide a better basis than memory for writing a good description (#14), and even rough sketches may be very helpful.

11. Habitat (general and specific):

12. Distance to bird:_____________12. Optical equipment: __________________

13. Light (sky conditions, light on bird, angle of sun, background):

_____________________________________________________________________________________________________

14. On the back of this form, please complete the following:

(A) Describe the bird in detail. Include its size (preferably in comparison to other nearby birds), its shape, and its color patterns. Include a description of the bill, legs, feet, tail, body, wings, and any other characteristics observed. Describe behavior and voice. Include only what was actually observed and heard.

(B) Explain how you distinguished this bird from similar species.

15. What resources (field guides, etc.) did you consult about this identification? Did they influence the way you wrote?

16. Describe your previous experience with this and similar species:

17. Signature of reporter:_________________________________

18. Date completing this form:_________

Note: all material submitted becomes the property of MBRC unless otherwise requested.)

Observers are requested to document sightings of species marked "a", "ca", or not listed on the checklist. Please send documentation(s) to: Bill Rowe - Secretary MBRC, 9033 Big Bend Rd., St. Louis, MO 63119 - (314) 962-0544, rowe@tjs.org.