MOU Records Committee – Request for Documentation

Species:		Record:
Observer:		Status:
Observation Date:		Submitted:
County (location):
Latitude/longitude:
Reason:
Occurrence:

Physical Description of the Bird
Similar species
Your experience with the reported and similar species
Other Observers

Applicable statements:

	You were aware at the time of the observation that this record was unusual
	Photos or tape recordings were taken of bird (Please attach to this report.)
	Field guides were not used nor needed to make identification
	Field notes or sketch made during observation, field guide was consulted (Please attach to this report.)
	Field notes or sketch made after observation,
	Identification made by consulting field guides while bird was in view
	Identification made from memory after consulting field guides later

Field guides and other references consulted.

Viewing Conditions
Light Conditions:
Distance from bird:		Length of observation:
Optics used:
Habitat:

Supporting Materials

Name and address of person completing this form