Report Form

Red fields are required.

Host:

Observation Date(?):

Location

State:

County:

Marker status:Click to drop the marker.

Additional Location Options

Latitude (?): Must be expressed in Decimal Degrees (XX.XXXX),and DATUM NAD83/WGS84.

Longitude (?): Must be expressed in Decimal Degrees (XX.XXXX),and DATUM NAD83/WGS84.

Nearest Address / Location Description:

Private (?): Yes No

Images

Image 1:

(.jpg, .jpeg)

Caption:

Photo by:

Image 2:

(.jpg, .jpeg)

Caption:

Photo by:

Additional Information

Comments:

Your Contact Information

First Name:

Last Name:

Email address:

Confirm email:

Phone Number:

Report Anonymously:
Yes No
Reporting anonymously will still show your reports in maps/data if they are released, but your name and contact information will be omitted