Form 2300-330 (10/13)
Broad Incidental Take Permit/Authorization
for Cave Bats - Health Exemption Request
State of Wisconsin
Department of Natural Resources
Bureau of Natural Heritage Conservation
PO Box 7921, Madison, WI 53707-7921
Notice: Pursuant to s. 29.604(6m, 6r), Wis. Stats., this required information is used to allow for the incidental taking of state listed cave bats in
Wisconsin that may occur as a result of bat exclusions for human health and safety reasons during the non-exclusion period, June 1 - Aug. 15.
This request must be completed and submitted within 5 working days from the start of exclusion of bats from buildings on your property. Failure
to do so may result in a fine and/or imprisonment or forfeiture under the provisions of applicable laws including s. 29.604(5), Wis. Stats.
Personal information collected will be used for administrative purposes and may be provided to requesters to the extent required by Wisconsin's
Open Records Law (ss. 19.31-19.39, Wis. Stats.).
General Information
The Wisconsin Department of Natural Resources (WDNR) listed four species of bats as state-threatened in 2011 because of the
impending disease white-nose syndrome. These species included the two most likely found roosting in buildings: little brown bat
(Myotis lucifugus) and big brown bat (Eptesicus fuscus). To protect bats in Wisconsin while also allowing continued management of
bats in buildings, the WDNR created a Broad Incidental Take Permit and Authorization (Broad ITP/A; Bat exclusion activities completed from August 16 through May 31 are covered under this
Broad ITP/A and require no special permit. Exclusion activities conducted from June 1 through August 15 are not covered under this
Broad ITP/A unless there is a human health and safety issue. If you as the landowner feel the bats roosting on your premises pose a
health or safety risk to you, you may conduct the exclusion, but you must complete the following form and submit it to the WDNR within
5 working days of start of exclusion.
Exclusion is defined as the act of allowing bats to leave the roost structure but not reenter. This activity is covered under the Health
Exemption section of the Broad ITP/A. Physically removing the colony of bats is not included in the definition of exclusion and is not
covered under the Broad ITP/A. Exclusion activities that cause intentional take (killing) of bats, such as but are not limited to sticky
traps or sealing entry/exit points while bats are inside the roost, are illegal and will incur fines under Endangered Species Law
(s. 29.604, Wis. Stats.
The non-exclusion period (June 1 - Aug 15) is put in place so flightless pups born in early June do not get separated from their mothers
who would be excluded. Exclusions conducted during this time often cause more trouble than simply waiting until pups are able to fly.
Not only will the exclusion result in dead pups, but frantic mothers attempting to get back to their young often find their way into living
The landowner is legally responsible for actions occurring on their property as a result of following this Broad ITP/A.
Last Name First Name MI Phone number (incl. area code)
E-mail City State ZIP Code
Landowner Information
Location of Exclusion
Date of Exclusion: Address of Exclusion:
City State ZIP Code
Pest Control Operator hired:
Reason for health exemption:
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Clear Data
Submit by Email
Form 2300-330 (10/13)
Broad Incidental Take Permit/Authorization
for Cave Bats - Health Exemption Request
Date SignedLandowner Signature
I hereby certify that the information provided on this application is true and accurate. I certify that I will conduct the incidental take in
compliance with all the conditions of the Broad Incidental Take Permit and Broad Incidental Take Authorization for the Wisconsin Cave
Bats Conservation Plan. I understand that a failure to comply with any or all of the provisions of the permit(s), or a failure to submit this
form within 5 working days of the start of exclusion when a human health or safety issue is involved during the non-exclusion period,
may result in permit revocation and a fine and/or imprisonment or forfeiture under the provisions of applicable laws.
Contacts for questions about:
Bats? WDNR Bat Program at: or 608-266-2576
Incidental Take?
Note: If submitting this request by email, please type
your name on the signature line and the date signed.
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Submit by Email