Airport permit report

To be completed by the permit holder

Permit number : [textbox]

Date of report submission

(yyyy/mm/dd) : [textbox]

Full name of permit holder :

Name of airport : [textbox]

Phone : [textbox]

Email address : [textbox]

Note: Reporting must be completed as per the requirements described on the permit. Please ensure that the managed kills table is filled out completely and accurately. Attach extra sheets if the space provided is not sufficient.

Attestation:

I, [textbox] (full name), hereby attest that I have followed all of the requirements as indicated on the permit in completing this form in its entirety, and that the information is accurate to the best of my knowledge.

Signature of applicant:

[textbox] (sign with dark ink)

Date:

[textbox] (yyyy/mm/dd)

Please describe any new or novel non-lethal management techniques that you adopted, or plan to adopt, and whether you believe these alternative measures were or will be useful in deterring migratory birds from your airport. This will help us assist other airport managers in their control of problematic migratory birds.

[textbox]

Managed kills

Note: Please ensure that only one line is used per date/species combination.

Date of Kill (yyyy/mm/dd)

[textbox]

Species (Common name of each species)

[textbox]

Number killed (Of each species)

[textbox]

Location where killed (On runway, etc.)

[textbox]

Band / Tag Number (If applicable)

[textbox]