Animal Survey Form Fill out this form to submit your rare animal survey. If you would prefer to print out, email, or fax your animal survey, you may download the form as a Word document. Email that form to natural.heritage@ncdcr.gov or mail to: N.C. Natural Heritage Program; MSC 1651; Raleigh, NC 27699-1651. We can no longer accept sketches/maps of areas online due to security concerns. Please follow the directions sent to you via email to submit your sketch/map in addition to completing this form. Download This Form Fields marked with an asterisk (*) are required. Indicates required field Person Making this Report (Name) Person Making this Report (Name) First Name Last Name Agency/Affiliation Email Address Address Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Phone Number Scientific Name Common Name Observer(s) (if updating existing EO) Date(s) of Observation County Exact Location: (Please provide lat/long along with detailed location information – lat/long can be generated from Google Maps by clicking once or twice on the location) Number of Animals (include age and sex, if known) Type of Observation (sight record, vocal record, specimen, photograph, etc.) Behavior of Animals (singing, foraging, at nest, etc.) Habitat (use NC NHP natural community name if known; describe dominant vegetation, maturity of vegetation, slope, aspect, etc.) Owners of Land, if Known Other Information Owners Phone Number Owners Email Address
Animal Survey Form Fill out this form to submit your rare animal survey. If you would prefer to print out, email, or fax your animal survey, you may download the form as a Word document. Email that form to natural.heritage@ncdcr.gov or mail to: N.C. Natural Heritage Program; MSC 1651; Raleigh, NC 27699-1651. We can no longer accept sketches/maps of areas online due to security concerns. Please follow the directions sent to you via email to submit your sketch/map in addition to completing this form. Download This Form Fields marked with an asterisk (*) are required. Indicates required field Person Making this Report (Name) Person Making this Report (Name) First Name Last Name Agency/Affiliation Email Address Address Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Phone Number Scientific Name Common Name Observer(s) (if updating existing EO) Date(s) of Observation County Exact Location: (Please provide lat/long along with detailed location information – lat/long can be generated from Google Maps by clicking once or twice on the location) Number of Animals (include age and sex, if known) Type of Observation (sight record, vocal record, specimen, photograph, etc.) Behavior of Animals (singing, foraging, at nest, etc.) Habitat (use NC NHP natural community name if known; describe dominant vegetation, maturity of vegetation, slope, aspect, etc.) Owners of Land, if Known Other Information Owners Phone Number Owners Email Address
