Person Reporting Observation
Name:
Address:
Phone:
Email Address:
Affiliation:
Other Witnesses To The Sighting?
No
Yes
Name:
Phone:
Email Address:
Affiliation:
Observation Based On:
Sighting
Claw Marks
Tracks
Hair
Road Kill
Scat
Other:
Documentation/Verification:
Photo
Plaster Cast
Video
Hair Sample
Scat Sample
Bear Carcass
Other:
Directions To Observation:
(e.g., distance and direction from nearest town, intersection, etc.)
Specific Location:
GPS or Township, Section, Range:
County:
Habitat at Occurrence Site:
Old Field
Cropland
Regenerating Forest
Mature Pine
Upland Hardwoods
Bottomland Hardwoods
Pasture
River/Stream Bank
Residential
Other:
Date Evidence Was Discovered:
Month:
Day:
Year:
Time Sighting Occurred:
Number Seen:
Distance From Bear(s):
Estimated Size(s):
(Adult, Adult w/Cub, Cub)
Ear Tags
Left Ear:
(Color / Number)
Right Ear:
(Color / Number)
Was The Bear Wearing A Collar
Collar Color:
Comments Or Description Of Encounter:
Alabama Black Bear Alliance © 2006