Bat Sick Reporting Data Entry

contract_edit Report Sick Acting Bats

This page is intended for Vermont reports of sick acting bats.

Bats flying during the daytime
Bats having trouble flying
Bats dying
Bats exhibiting a white fungus on the face or wings

Step 1: Data Entry

Step 2: Photo Upload

Step 3: Print / Save

YOU person

Date (mm/dd/yyyy): * Please enter a valid date: mm/dd/yyyy * This field is Required

Name:

Physical 911 Address:

City/Town:

State:

Zip Code:

Work Phone

Home Phone

Cell Phone

Email Address

BAT INFORMATION bedtime

LEGEND Leave blank if same as listed above

Sighting Date (mm/dd/yyyy):

Location Address:

Location City/Town:

Has any person been in contact with a bat?
YesNo

Observation Description:

SAVE MY DATA AND CONTINUE save

Note: When done entering info on this page, please press the save button below. This will save your data. Afterwards, you will go on to the next page, giving you a choice to either finish your entry and/or upload photos. Either way, please don't hold off on pressing the button below and risking your data entry session timing out. We're looking forward to receiving your information!