Appendix A
Page 1
Species Listing PROPOSAL Form:
Listing Endangered, Threatened, and Special Concern Species in Massachusetts
Scientific name: ____________________________ Current Listed Status (if any): _________________
Common name: ____________________________
Proposed Action:
Add the species, with the status of: ________
Remove the species
Change the species’ status to: ________
Change the scientific name to: _________
Change the common name to: _________
(Please justify proposed name change.)
Proponent’s Name and Address:
Phone Number: E-mail:
Fax:
Association, Institution or Business represented by proponent:
Proponent’s Signature: Date Submitted:
Please submit to: Natural Heritage & Endangered Species Program, Massachusetts Division of Fisheries &
Wildlife, 1 Rabbit Hill Road, Westborough, MA 01581
Justification
(1) Taxonomic status. Is the species a valid taxonomic entity? Please cite scientific literature.
Justify the proposed change in legal status of the species by addressing each of the criteria below, as listed in the
Massachusetts Endangered Species Act (MGL c. 131A) and its implementing regulations (321 CMR 10.00), and
provide literature citations or other documentation wherever possible. Expand onto additional pages as needed
but make sure you address all of the questions below. The burden of proof is on the proponent for a listing,
delisting, or status change.
(2) Recentness of records. How recently has the species been conclusively documented within Massachusetts?
(3) Native species status. Is the species indigenous to Massachusetts?
(4) Habitat in Massachusetts. Is a population of the species supported by habitat within the state of
Massachusetts?
(5) Federal Endangered Species Act status. Is the species listed under the federal Endangered Species Act? If
so, what is its federal status (Endangered or Threatened)