UBRC Record No.__________ 

                                  
                     UTAH BIRD RECORDS COMMITTEE
            VERIFICATION OF UNUSUAL SIGHT RECORD FOR UTAH
                                  
COMMON NAME:                           SCIENTIFIC NAME:

DATE:                 TIME:            LENGTH OF TIME OBSERVED:

NUMBER:               AGE:             SEX:

LOCATION:

COUNTY:               LATILONG:        ELEVATION:

DISTANCE TO BIRD:                           OPTICS USED::

WEATHER: 

LIGHT CONDITIONS: 

DETAILED DESCRIPTION OF BIRD: 

SONG OR CALL AND METHOD OF DELIVERY:

BEHAVIOR:
 
 
 
 HABITAT:
 
 
SIMILAR SPECIES AND HOW WERE THEY ELIMINATED:
 

 



 
 
 
 
PREVIOUS EXPERIENCE WITH THIS AND SIMILAR SPECIES:
 
 
REFERENCES CONSULTED:

 
DESCRIPTION FROM: NOTES TAKEN AT TIME OF SIGHTING_____, NOTES MADE LATER_____, FROM MEMORY_____

OBSERVER:                              SIGNATURE:

ADDRESS:

CITY:                                         STATE:                                                 ZIP:

E-MAIL ADDRESS:

PERMISSION: I GIVE MY PERMISSION TO POST THIS SIGHTING RECORD ON THE INTERNET IN AN AREA:
       OPEN TO THE GENERAL PUBLIC____, RESTRICTED TO THE RECORDS COMMITTEE MEMBERS_____ 

OTHER OBSERVERS WHO INDEPENDENTLY IDENTIFIED THIS BIRD:

 
 DATE PREPARED:
 
ADDITIONAL MATERIAL: PHOTO_____, DRAWING_____, TAPE_____, OTHER


RETURN THIS FORM TO:    UTAH BIRD RECORDS COMMITTEE
                 2795 Indian Hills Drive
                 Provo, UT 84604

                                                             OR EMAIL TO:         records@utahbirds.org