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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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