NARCAM Data Submission Form Sections 1-III

NARCAM: Data Submission Form

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NARCAM: Data Submission Form
Please note: fields denoted with a red asterisk * are mandatory.

I. Information About the Reporter
*Reporter's Name:
*Email address:
Phone number with area code:
Your Street Address:
State: ALABAMA

City:
Zip Code:

*Are you a student
List your position/title and institution, if applicable :

*May we follow up with you if we have additional questions about your report? yes
Is this report being submitted in conjunction with No Program

II. Location of Amphibian Sighting
Zip:

Find coordinates of sighting location

Latitude:

Longitude:

*Location Name:
e.g. my backyard; Old Mill Pond; Rock Creek Park; culvert along I25 east

http://frogweb.nbii.gov/narcam/form1.asp

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NARCAM: Data Submission Form

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Approximate distance and direction to nearest crossroads:
e.g. 123 Main St; 2 mi west of visitor entrance on Nature Loop Trail; State highway rest area at I25
milepost 123
*Nearest Town/City:
County:

*State:

Description of Habitat
*Describe nearest wetland area:
Wet Meadow
Swamp
Pond/Lake
Stream/Creek/Brook
Spring/Seep
River/Floodplain area
Vernal Pool
Roadside puddle/rut
Other
Please describe:
Not Known

*Describe land area:
Wilderness
Fragmented natural area
Suburban residential area
Rural residential area

http://frogweb.nbii.gov/narcam/form1.asp

10/31/2007

NARCAM: Data Submission Form

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Farmland/Rangeland
To your knowledge, are any pesticides herbicides or fertilizers used? yes
If you answered yes, please describe them
Other
Please describe:

III. Date of Sighting
Day (dd):
Month (mm):
Year (yyyy):

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http://frogweb.nbii.gov/narcam/form1.asp

10/31/2007