North and South Carolina Rare Bird Report Form

Use this form to report your rare bird sightings for consideration by the North or South Carolina Bird Records Committee

Please select the state in which your observation took place:	North Carolina South Carolina
Species common name:
Species scientific name:

Observation Date(s):	From	January February March April May June July August September October November December Unknown   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   2007 2008
	To	January February March April May June July August September October November December Unknown   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   2007 2008
(if observation date is unknown, select "unknown".

Time first observed (approximate, if necessary):	1 2 3 4 5 6 7 8 9 10 11 12   00 05 10 15 20 25 30 35 40 45 50 55   AM PM
Duration of observation:
Distance from bird(s):
Lighting/Viewing conditions:
Weather conditions:
Were photos taken?	No Yes
Are photos available?	No Yes
(If photos are available, please mail to the correct address listed at the bottom of this form.)
In what locality was the bird sighted? (county, town, lake, refuge, etc..):
In what habitat was the bird sighted?

Indicate the number of individuals of each gender sighted:
Males:	Females:	Unknown gender:

Indicate the number of individuals of each age sighted:
Adults:	Sub-adults:	Juveniles/immatures:	Unknown age:

Indicate the number of individuals of each plumage sighted:
Breeding:	Winter:	Year-round:
Other plumage (describe):

Type in your description of the bird(s):

Please describe the bird's behavior:

Please describe any vocalizations the bird made:

Please describe field marks expected, but not seen (and why not seen?):

Please describe variations in any expected field marks:

Please list similar species and describe how you eliminated them:

Describe your experience with this and similar species with which it might be confused:

Please list field guides that were consulted to make your identification:

Please list other observers of the bird(s):

Please give us the following information so that we can contact you for more information, if necessary:
Your name:
Your address:
Your phone number:
Your e-mail address:

Date this report was prepared:	January February March April May June July August September October November December Unknown   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   2007 2008
(if prepared on paper or other medium prior to submission of this electronic form...):
Date field notes were made:	January February March April May June July August September October November December Unknown   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   2007 2008
(if no field notes were made, select "Unknown")

From the drop-down menu, please select the option that most appropriately describes the point at which field notes were made:	No Field Notes Made With Bird Present Less Than One Hour After Sighting More Than One Hour After Sighting

Please mail (via U.S. mail) supporting documentation (photos, copies of field notes, etc.) to the address below that corresponds to the state in which your bird was observed:
	NORTH CAROLINA Harry LeGrand Jr. 1109 Nichols Drive Raleigh, NC 27605	SOUTH CAROLINA Donna Slyce 304 Diamond Lane Ridgeway, SC 29130

	Clicking the submit button below will send this form to the appropriate Records Committee (based on the state selected). Please don't forget to mail supporting documentation (photos, field notes, etc..) to the correct address above.