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Posted: Tue Jan 01, 2008 12:55 pm

First name *
Last name *
Middle initial *
Street address *
Address (cont.)
City *
State/Province *
Zip/Postal code *
Country
Work Phone
Home Phone *
E-mail *

Enter the date this occurred:
-- mm/dd/yy *
Enter the time this occurred:
Enter the location this occurred:

City *
State *
County *
Enter the closest Hwy., Road, Landmark, etc.:

Best description of the terrain:

What was seen, heard, observed, encountered or found: *

Any additional things that were observed or heard:

Describe the creature - animal (if any?) observed with as many details as possible: *

Describe the activities of the witness(s) prior to this occurrence: *

Have there been any other occurrences prior to, or since this one, in the same general or neighboring areas:

Are there any other details or circumstances that may or may not be associated with this:

Thank You for your help and assistance, by filing your report with us.