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  • Flora of
    Virginia Project
  • NATURAL HERITAGE

    Rare Species Sighting Form


    Please print this form and mail it to:

    J. Christopher Ludwig
    Virginia Department of Conservation and Recreation
    Division of Natural Heritage
    600 E. Main St., 24th Floor
    Richmond, VA 23219


    
    Species Name (please include a photograph(s) if available): __________________________________
    
    Date Observed: _____________________
    
    
    County(ies):_____________________________________________________________
    
    USGS Quadrangle Name(s) (if known): ______________________________________________________________
    
    
    
    Location: (Provide a detailed description. Include a copy of a USGS topographic map showing the location
    
    or sketch a map on the back of this form)

    
    
    
    
    
    
    
    
    
    
    Habitat Description: (Include associated species, elevation, natural features, natural community type, etc.)

    
    
    
    
    
    
    
    
    
    
    Population Data: (Include data such as number of individuals, age, size, spatial distribution, evidence of reproduction)

    
    
    
    
    
    
    
    
    
    
    Property Owner (name, address, phone if known): ____________________________________________________

    Threats or evidence of Disturbance:

    
    
    
    
    
    
    Protection Information: (Under present conditions, will this population maintain itself over a long period of time? Why or why not?)

    
    
    
    
    
    
    
    
    Contact Information: Reported By: _______________________________

    Address: Phone: E-Mail: Date:


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