Indiana Rare Breeding Bird Report

(for species tracked by Indiana Natural Heritage Data Center see reverse side of this form)

 

Text Box: Observer: _____________________ Address: City, State, Zip: Phone: E-mail:

 

 


Species Name:                                                 ________________               

Date observed:                         _____                          County:                                               

 

Provide detailed map or explicit directions to site from nearest town or major intersection. EXTREMELY IMPORTANT! Provide precise location. We pinpoint this information on a 7.5 USGS Topographic Map. Data is used for developing protection priorities and for environmental review.

From                                                                                        (nearest town or intersection) go                                                                                                                                                                                                                                                                                                                                     

OR provide legal description of the location to nearest quarter, quarter section if known:

Township:                     ; Range                         ;                       ¼ of                 ¼ of Sec.                     

 

 

Breeding/Nesting Behavior (check appropriate box):

 

Habitat type (check appropriate box):

 

Adults on territory (ex. singing male in nesting habitat)

 

 

Grassland

 

 

 

 

 

 

Adults carrying food

 

 

Brushy Field

 

 

 

 

 

 

Adults carrying nesting material

 

 

Upland Forest

 

 

 

 

 

 

Nest located, but contents unknown

 

 

Conifers

 

 

 

 

 

 

Eggs seen in nest

 

 

Bottomland/Floodplain Forest

 

 

 

 

 

 

Young seen in nest

 

 

Swamp Forest

 

 

 

 

 

 

Juvenile seen (young able to fly, but with adult)

 

 

Open Marsh

 

 

 

 

 

 

 

 

 

 

Other:

 

 

Provide any additional information regarding your sighting that you think would be helpful (ex. more than one individual observed, other behavior, habitat details):                                                                                                                                                                                                                                                                                                                                                                                                                                               

 

Submit to:

DNR Division of Nature Preserves

Indiana Natural Heritage Data Center

402 W. Washington St.  Rm W267

Indianapolis  IN   46204-2739

Phone: (317) 232-4052       Fax: (317) 233-0133

 

            Please send me                         additional Indiana Rare Breeding Bird Report forms.

This form and rare bird list is available from the address above or our website: www.in.gov/dnr/naturepr