MBRC Documentation Form

REPORT FORM--MISSOURI BIRD RECORDS COMMITTEE
The Audubon Society of Missouri
Missouri's Ornithological Society Since 1901

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1. Species Information:

Species Observed:	Other Species If Not in Species Observed List :	Age:	Sex:
Number: (quantity observed if more than 1)	** Details about additional individuals of this species that you observe near the "main" individual you are documenting MAY be included in Section 8 (Description).

2. Date(s) and Location:

Date First Seen:
Date Last Seen:

Time First Seen:
(HH:MM AM / PM)
Time Last Seen:
(HH:MM AM / PM)
Duration:
(Total time actually in view)

County:
Location:

3. Observer Demographics (If you are logged in, your information will autofill below):

First Name:
Last Name:
Address:

City:
State:
Zip:

Email:
Phone: (123) 456-7890

Other Observers Present OR Known:

4. This form is submitted as documentation for (select all that apply):

Unusual Species Unusual Date Unusual Breeding Record

CBC Name
NAMC County

Other (please explain in box to the right):

5. Was the species photographed / videotaped / audiotaped (check all that apply):

Photographed Videotaped Audiotaped

By Whom?:
If you have digital photos, photos that you have scanned to create a digitized copy, and/or documents that you have scanned to create a digitized copy, these can be uploaded using the Upload Utility option or emailed to Bill Rowe. If you check the Upload Utility option, you will be taken to the upload utility at the end of the documentation process. Paper photos can be mailed to: Bill Rowe, Secretary MBRC, 9033 Big Bend Road, St. Louis MO 63119-4004.

If you marked any of the three above, please indicate how the marked artifacts above will be delivered to Bill Rowe. USPS E-Mail Upload Utility (jpg/jpeg only... NO videos!)

6. Habitat (general and specific):

7. Viewing parameters:

Distance to bird:

Optical Equipment (include binocs / scope / manufacturer / model):

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

8. Describe the bird(s) in detail. Include number, size (preferably in comparison to other nearby birds), shape, and color patterns. If multiple individuals are present, describe them if different. 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.

Description:

9. Is the description you typed above based on memory and / or field notes and sketches? Please attach to an email a scanned copy of any field notes or sketches made and send to Bill Rowe, or mail a copy to Bill Rowe, Secretary MBRC, 9033 Big Bend Road, St. Louis MO 63119-4004. Observers are encouraged to make these during the observation, or as soon afterward as possible. Notes provide a better basis than memory for writing a good description, and even rough sketches may be very helpful.

Memory Field notes or sketches Combination of previous two

10. Explain how you distinguished this bird from similar species:

Explain:

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

Resources:

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

Experience:

All material submitted becomes the property of the MBRC unless otherwise requested.

Enter the date you first wrote this documentation (today or earlier): (mm-dd-yyyy)

Clicking the submit button will electronically sign your report and send it to the MBRC.