Avian Influenza Reporting Form

The Arkansas Game and Fish Commission has confirmed several reports of highly pathogenic avian influenza in the state this fall as waterfowl, songbirds and raptors migrate to and through Arkansas. Early indications are that the virus is widespread across Arkansas and beyond with other states experiencing similar reports of sick and dead birds as well. While no management actions can currently be done to lessen the spread of this virus in wild populations, the AGFC is monitoring reports from the public to measure the scope and severity of the outbreak.


Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name  *
Phone Number *
What is/was the date of the observation? *
County where the observation took place: *

Can you provide more information on the location of the observation? (Latitude/Longitude GPS coordinates are ideal, but nearest town and landmarks are helpful)


What species of bird was observed? (If you are unsure, please give general identification)

How many sick birds of each species were observed?
How many dead birds of each species were observed?
To the best of your knowledge, are the birds (or their remains) still present at the site?
Clear form
Never submit passwords through Google Forms.
This form was created inside of Arkansas Game and Fish Commission. Report Abuse