Raptor Electrocution Report Form
Completed details will be added to 'Operation Jimmy' Electrocution Database
Thank You
Bird Species
Your answer
Date Found
MM
/
DD
/
YYYY
Time Found
Time
:
Postcode
Your answer
State of Bird
Appearance - with Evidence of Electrocution
Position Found
Age of Bird
Power Pole
If Power Pole, check which apply
If Power Line, check which apply
Weather
Location
Landscape
Birds at Location
Electricity Supplier
Your answer
Reported to Supplier
Action Taken by Supplier
Your Name
Your answer
Your Interest in Birds
Personal Comments
Your answer
Your Email (or other way of contacting)
Your answer
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