VICTORIA NATURAL HISTORY SOCIETY RARE BIRD REPORT FORM

Reports of birds seen in Southeastern Vancovuer Island that area shown as accidental or not listed in the current Victoria & Southeastern Vancouver Island Checklist of Birds, should be accompanied by a completed copy of this form. Typed or handwritten reports in a similar format are also acceptable.  Please send reports to Bryan Gates, 3085 Uplands Road, Victoria, BC  V8R 6B3.
Species
	Date
	Time
	Number of birds/sex/age/plumage
	
Name/Address/Telephone No/Email

	Others present 
	
Location

Optical Equipment Used

Light Conditions/ Distance of Bird/ Duration of Observations

	
Description (If detailed notes were made in the field, please attach a photocopy.  If more space needed, attach extra sheet.)

	
Vocalizations (if any)

	
Actions and behaviours

	
Did the bird associate with other species?  Provide details.

	
Habitat

	

Similar species you considered and reasons for eliminating them.

	
Previous experience with this and other species

	
List Field Guides/References/ etc. used to identify bird

	
Were Field Notes made during/after observation?  If after, how long after?

	
Were Photos obtained? If so, provide name and address of photographer

	
Date of completing form

	Signature