Vermont Reptile and Amphibian Survey Form

This form may be printed before or after filling it out, or you may fill it out and submit it electronically.

Please note that digital photographs and audio records must be submitted in a separate emailto jandrews@middlebury.edu. Please send printed forms (with any photos or recordings) to

James S. Andrews
The Vermont Reptile and Amphibian Atlas Project
642 Smead Road
Salisbury, VT  05769
Phone: (802) 352-4734
jandrews@middlebury.edu

Please fill out this report form as completely as you can. Thank you!

Species Common Name:

Latin Name:

Town:

County:          State:    

Date of Sighting:    

Specific site location:

Directions to Location:

Who owns the land where this animal was found:

Habitat Description (e.g. meadow, marsh, woods):

Good quality photographs or tapes allow others to verify your report. Please send copies of them if at all possible (eventually we hope you will be able to send them with an electronic submission). Please list here all tapes and photographs which will document this record. Be sure to label each tape or photograph.

How did you observe the animal? Naked eye? Binoculars? Did you hear it? How far away was it? For how long did you observe or hear it? How clearly did you see or hear it?

: How big was it? What colors and pattern(s)(if any) did it have? What shape? Please provide as much detail as you can remember.

How familiar are you with this species? Have you identified it before? How many times?

What field marks did you use to rule out similar species? This is very important. Please be detailed

Miscellaneous additional information (malformities, number of individuals, lengths, behavior, sex, weather, other species that it was found with, etc.):

Your Contact Information (in case we need to contact you for more information):
First Name:   Last Name:

Street Address:

Town:   State: Zip Code:

Telephone:   E-mail:

Please do provide this. The Vermont Herp Atlas will not use or forward your e-mail address for any mass mailings. It allows us to contact you with questions about your report and/or additional information that may be useful to you, and to thank you (once) for your report.

Thanks for your help!