Province of Manitoba | Manitoba Conservation

Report a Rare Species

Please read this first:

Fields with * are required. Other fields should be filled out if known.

This form should be completed by the person who made the observation and is for reporting first-hand on-site field observations; do not use this form to report second or third hand data from a letter, report, or conversation. Send us a copy of the letter, report, memo, etc. and we will process it in another manner.

Complete one form per observation.

Or you can download and print a PDF version of this form. If printing this form, please attach a copy of a topographic map indicating the location/boundary of the species/plant community. Mail or fax the form and map to the address/fax number indicated on the PDF form.

Observation Data
Species Name (Scientific Prefered)*:
Please enter one or both of the following two fields. *
Common Name:
or, Plant Community Type:
Location*:	Enter the legal description (quarter-section-township-range-meridian) or Global Positioning System (GPS) coordinates (please provide datum (NAD83, NAD27) and zone (e.g. 14) if using UTM) or describe the location by referring to nearby topographic landmarks and road or street names. Include distances or mileage whenever possible.
First Observed:	(YYYY/MM/DD)
Last Observed:	(YYYY/MM/DD)
Confidence of Identification:	Excellent Good Fair Poor
Explain:	You may enter key characteristics used to identify the species/community.
Photo/Slide Taken?	Yes No
Specimen/Voucher Collected?	Yes No
If yes, Collection #:
Repository:
Description:	Total number of animals (adults, juveniles, nests, etc.) or plants (flowering, fruits, stems, dense, scattered, flower colour etc.) observed. Specify if precise count or estimate.
Habitat/Site Description:	Plant communities, dominants, associated species, other rare species, substrates, soils, aspect, slope, etc.
Habitat Quality:	Excellent Good Fair Poor Explain:
Management and Protection
Landowner(s) or Manager(s):	Include name / address /phone/e-mail
Current Land Use:	crop, cattle, hay, idle, etc.
Visible Disturbance and Possible Threats:

Conservation/Management Needs:
Contact Information
Name of Observer*:
Address:
City:
Province/State:
Postal Code:
Phone*:
E-mail:

Although the Manitoba Conservation Data Centre maintains high standards of data quality control, it makes no warranty as to the fitness of the information for any purpose, or that the information is necessarily accurate or complete.

The Data User is advised that the Biotics Database maintained by the Data Centre is continually growing as new information is acquired and records are added or updated. Please contact the CDC directly for the most up-to-date information.

Manitoba Conservation Data Centre
Box 24, 200 Saulteaux Crescent
Winnipeg, Manitoba R3J 3W3
Tel: (204) 945-7743
Fax: (204) 945-3077

� 2001 Manitoba Conservation Data Centre