Chronic Wasting Disease Surveillance Form
A chronic wasting disease surveillance form for recording observations of deer or elk that look sick, so landowners can pass accurate information to the wildlife agency.
Download free PDF1 page, US Letter, prints clean in black and white
FormWildlife & ConservationFree PDF
What you fill in
- Date of sighting
- Location
- Species
- Signs observed
- Animal status
- Number of animals
- Photos taken
- Agency contacted
- Handling precautions noted
- Reporter name
How to use this form
Fill in each labeled line, sign and date it, and keep a copy. Write clearly, since someone else may need to read it later.
Where to check the details
This sheet is a general template, so confirm specifics with your own manuals, labels and local rules. For current official guidance, start with USDA APHIS and CDC.
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