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Homeowner
Bat Exclusion Form
This form is for
Homeowners
to complete the letter for bat exclusions.
Click here
for the Wildlife Damage Control Operator Exclusion Letter portion of this form.
A letter will be populated and sent to the homeowner/resident's email entered below.
Any questions can be directed to
wildlifepermits.dnr@maryland.gov
.
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* Indicates required question
Email
*
Your email
Today's Date:
*
MM
/
DD
/
YYYY
Owner Name:
*
Your answer
Owner Address:
*
Your answer
Owner City, State, Zipcode:
*
Your answer
Owner Phone Number:
*
Your answer
Colony Location Resident Name
(if the same as the owner, re-enter the same information):
*
Your answer
Colony Location Address
(if the same as the owner, re-enter the same information):
*
Your answer
Colony Location City, State, Zipcode
(if the same as the owner, re-enter the same information):
*
Your answer
Colony Location Resident Phone Number
(if the same as the owner, re-enter the same information):
*
Your answer
Estimated Colony Size:
*
Your answer
Situation (brief description of the problem)
*
Your answer
Exclusion Date:
*
MM
/
DD
/
YYYY
Damage Control Operator Name (type "Self" if you will be performing the work yourself)
*
Your answer
Damage Control Operator Permit Number (type "N/A" if you will be performing the work yourself)
*
Your answer
Have any bats entered the living quarters of the residence? If so, you must contact your local county health department to discuss the possibility of exposure to the rabies virus.
*
Yes
No
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