Report a Rare Species

Please read this first:

  1. Fields with * are required. Other fields should be filled out if known.

  2. This form should be completed by the person who made the observation and is for reporting first-hand on-site field observations; do not use this form to report second or third hand data from a letter, report, or conversation. Send us a copy of the letter, report, memo, etc. and we will process it in another manner.

  3. Complete one form per observation.

  4. Or you can download and print a PDF version of this form. If printing this form, please attach a copy of a topographic map indicating the location/boundary of the species/plant community. Mail or fax (945-3077) the form and map to the address/fax number indicated on the PDF form.

  5. Please submit any supplementary data to colin.murray@gov.mb.ca

Species Name* (Scientific Prefered):

Please enter one or both* of the following two fields.

Common Name: , or
Plant Community Type:

Location*, using one or more of the following descriptors:

  • legal description (quarter-section-township-range-meridian);
  • Global Positioning System (GPS) coordinates (please provide datum (NAD83, NAD27) and zone (e.g. 14) if using UTM), or;
  • describe the location by referring to nearby topographic landmarks and road or street names. Include distances or mileage whenever possible.

First Observed*: (YYYY/MM/DD)

Last Observed*: (YYYY/MM/DD)

Confidence of Identification:

Explain your choice. You may enter key characteristics used to identify the species/community.


Photo/Slide Taken?

Specimen/Voucher Collected?

Collection Number:

Repository:

Description: Total number of animals (adults, juveniles, nests, etc.) or plants (flowering, fruits, stems, dense, scattered, flower colour etc.) observed. Specify if precise count or estimate.


Habitat/Site Description: Plant communities, dominants, associated species, other rare species, substrates, soils, aspect, slope, etc.


Habitat Quality:

Explain:



Management and Protection

Landowner(s) or Manager(s): Include name / address /phone/e-mail

Current Land Use: crop, cattle, hay, idle, etc.

Visible Disturbance and Possible Threats:

Conservation/Management Needs:

Contact Information

Name of Observer *:

Address:

City:

Province/State:

Postal Code:

Phone*:

Email: