CONTACT INFORMATION
Today's Date: Name: Address: City: State: ZIP: Phone number: Email address:
EVENT INFORMATION Note: Only the county location will be reported to the general public. Specific township, range, and section information will be for internal use only.
Date of Event: County Event Occurred: Nearest Town to Event: Nearest Crossroads: Township: Range: Section:
Was this a: (please check the event type and fill out the appropriate section below)
1. Feral Swine Sighting 2. Feral Swine Harvest 3. Report of Feral Swine Sign/Activity
1. Feral Swine Sighting Estimated number of adults observed: Estimated number of piglets observed:
2. Feral Swine Harvest Estimated number of adults harvested: Estimated number of piglets harvested:
3. Report of Feral Swine Sign/Activity (Check all that apply)
Tracks Scat/Droppings Rooting Wallows Rubs Trail Camera Pictures Crop Damage Crop Type(s): Other
Please check the following box if you can provide feral swine photos. We will contact you for details.
Additional Comments/Remarks Regarding Sighting: