EASTERN COYOTE SIGHTING / MORTALITY REPORT FORM (page 2)
2
Mail To:
Division of Fish & Wildlife
Or
Division of Fish & Wildlife
Northern District Office
Nacote Creek Research Station
26 Rt. 173 West
PO Box 418
Hampton, NJ 08827
Port Republic, NJ 08241-0418
FAX: (908) 735-5689 (609) 748-2057
E-mail: Joseph.Garris@dep.nj.gov
Andrew.Burnett@dep.nj.gov
Reported By:
Name:
Address:
Phone:
Reported To:
Name:
Address:
Phone:
Report Date:
Month:
Day:
Year:
Specific Location:
Township: County:
Wildlife Mgt. Unit
FOR DIVISION USE
MORTALITIES
Date: ____________ ______ ________ Time: _________ AM PM
Month Day Year
Cause of Mortality (Check one)
Vehicle kill Destroyed due to disease
Legal trapping Destroyed due to damage complaint
Legal hunting Unknown / Other
Was the coyote recovered?
YES NO
Description of Animal (Please provide available information for recovered specimens)
Sex (if known) Male Female
Weight (pounds) Estimated Actual
Hair color
Hair loss YES NO
Other Information: