Wildlife Mortality Report

North Dakota Game and Fish Department Wildlife Mortality Report

Name

First name

Last name

Preferred contact method *This question is required.

Email address *This question is required. This question requires a valid email address.

Phone number *This question is required.

Would you like a follow-up call or email?
*This question is required.

Date of observation
(Format: MM/DD/YYYY) *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

Species *This question is required.

Number of dead or sick *This question is required.

Location of observation
(Address, latitude/longitude, township/range/section, etc.) *This question is required.

Observations and comments

Please upload any photos you may have of the incident
(Maximum uploads - 5, Maximum file size - 2mb, Allowed formats - png,jpg,jpeg,mov,mp3,mp4)