nretas > environment

Marine WildWatch

Online Wildlife Incident Form

Description of Incident

This form will be forwarded to Marine WildWatch Officers. Please provide as much information as you can to assist in the effective monitoring and management of marine animals.

Animal/s involved: (provide as much information as you can, ie. species)
When did it happen? (date, time)
Where did it happen? (physical description or GPS location)
What is the incident you would like to report and how did it occur? (boat strike, discarded fishing net, wildlife entangelment, etc. what type of animals was invovled? Species, size)
Fate of animal/s: (please mark and number if appropriate)	Dead Alive Released Other	quantity quantity quantity
How were you involved?	Directly Witness Bystander	Other

Fisheries

Please note that the information below is not to implicate commercial operators but rather to provide a starting point in the case of a Police investigation.

Are you a commercial Fisher?		Yes No
	Do you have your Fisheries Licence Number?	Yes No If yes, please supply licence number
	Do you know your nominated person on your Fisheries Licence?	Yes No
	What Fishery is involved? (eg. Barra, Mud Crab, etc)

Or are you a member of the public?		Yes No
	Were there any other activities occurring within the vicinity of the incident?	Yes No If yes, please provide more information
	Licence number/s of vehicle/boat? (if applicable)
	Make/Model: (if applicable)

Please include any other details you think are relevant?

Contact Details: (for follow up if necessary)

Your name:
Address:
Contact Number(s):
Do you wish to remain anonymous:	No	Yes

Confidentiality
All feedback received is subject to the Information Privacy Principles, as scheduled to the Northern Territory Information Act, to protect the privacy of personal information held by Government. For information, please read the Department of Natural Resources, Environment, The Arts and Sport Privacy Statement (pdf 50Kb).