KENTUCKY ORNITHOLOGICAL SOCIETY
Kentucky Bird Records Committee

REPORT FORM

This form is intended as a convenience in reporting observations of species on the KBRC review list. The KBRC recommends the use of this form or this format when submitting records for review (to assure that all information involving an observation is accounted for). Attach additional sheets as necessary. Please print or type. Attach drawings, photographs, or tape recordings, if available. Include all photos if they exist. When completed, mail to: Ben Yandell, KBRC Secretary, 513 Lymington Ct., Louisville, KY 40243 (Email: secy@kybirdrecords.org).

Species name:________________________________________________________________________

Number of individuals, sexes, ages, general plumage (e.g., 2 adults in breeding plumage):
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Specific locality (including county):_______________________________________________________
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Date(s) when seen:____________________________________________________________________

Time(s) of day when seen: ______________________________________________________________

Reporting observer & address:___________________________________________________________
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Other observers accompanying reporter who also identified the bird:______________________________
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Other observers who independently identified the bird:_________________________________________
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Light conditions (position of the bird in relation to shade and to direction and amount of light): 
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Optical equipment (type, power):_________________________________________________________

Distance to bird:______________________________________________________________________

Duration of observation:________________________________________________________________

Habitat:_____________________________________________________________________________
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Behavior (flying, feeding, resting, etc. -- include and stress any habits used in identification: ___________________________________________________________________________________
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Description (include only what was actually seen, not what "should" have been seen). Include if possible: total length or relative size compared to other species present or familiar species; body bulk; shape, bill, eye, leg and plumage characteristics. Stress features that separate it from similar species: ___________________________________________________________________________________
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___________________________________________(use reverse or another sheet if necessary)

Voice:______________________________________________________________________________
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Similar Species (include how they are eliminated by your observations):___________________________
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Photographs or tape recordings obtained (By whom? Attached?):_________________________________

Previous experience with this species:_____________________________________________________
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Aids (give books, illustrations, birders, etc., used in identification) at time of observation: ___________________________________________________________________________________
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After observation:_____________________________________________________________________
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This description was written from: ______notes made during observation; _______notes made after observation, (on what date?: ); _______memory.

Are you positive of your identification? ___________. If not, explain:_____________________________
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Signature of observer:__________________________________________________________________

Date and time of writing this account:______________________________________________________