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Pueblo De Cochiti Harvest Report 
All hunters must complete Annual Harvest Report within 30 days of hunt. (Hunters who did not harvest must also complete) 
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Full Name *
License Number *
Phone Number *
Hunt Information
Successful Harvest *
Date of Harvest
MM
/
DD
/
YYYY
Time of Harvest
Time
:
Harvest Location
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Species
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Weapon
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Optional Testing for Chronic Waste Disease (CWD)
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Additional feedback/ comments or concerns
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