Form 1700-049 (R 9/02)

NHI Rare Plant Field Report Form

Notice: Completion of this form is voluntary. Data collected will be used to supplement the Wisconsin Natural Heritage Inventory database. Personal information collected on this form will be used to process your request, and is intended to be used to contact you if DNR staff require additional information; it may also be made available to requesters under Wisconsin’s Open Records law [ss. 19.31-19.39, Wis. Stats].

NOTE: An email address is required in order to submit a report using the online form. If you do not have an email address, please contact Ryan O'Connor for a hard copy of the form or other electronic options.

Observation Information

Species name:

Location

Site Name (if known): County: USGS Quad (if known):
Township:
N
Range:
E W
Section:
1/4:
1/4 1/4:


GPS Coordinates: GPS Position accuracy:
meters
GPS Datum: GPS'd Date:

Directions to site and Location of Plant Population in Relation to Landmarks: *

* Also email a map of the site (USGS 1:24,000 Topographic Map preferred) and mark the location of the rare species and its boundary (if known).


Landowner name (if known):

Note: The Natural Heritage Program can not accept data derived from trespass. Please gain landowner’s permission before entering private property.

Observation Details

Observation Date:

Number of Individuals: Stems Clumps Clones

Estimate the Percentage of the Population Belonging to the Following Categories:

% in Flower / Bud
% in Fruit
% Sterile Adults
% Seedlings / Juveniles

Area Covered by Observed Population:

Do you think you saw the whole population?

Full Extent Known
Full Extent Unknown
Uncertain

Habitat Description – Including associated species, community type, slope, aspect, light level, soil moisture and type as known:


Current management:


Describe any Evidence of Disturbance or Threats to the Plant Population – Include evidence of predation, logging, succession, etc., and changes since you last saw the population if this is a return visit:

Was a specimen taken?

Yes No
If yes, collection number:

Herbarium name:


Was a photograph taken? *

Yes No
If yes, storage location:

* Please email us any photos you may have taken of your observation.


Taxonomic Reference(s) Used:

Memory
Gleason & Cronquist
Wildflowers & Weeds
Peterson Guide

Michigan Flora
Swink & Wilhelm
Gray’s Manual
Fassett’s Aquatic Plants

Spring Flora of Wisconsin
Preliminary Reports
Comparison with verified herbarium specimen
Other – specify:


Observer Information

Name:
Email:
Address:
City:
State:
Zip Code:
Telephone Number:


Problems using this form? Please email Dawn Hinebaugh.

Last Revised: August 8, 2008