Scientific Collection Permit Threatened and Endangered Species Permit Salvage Permit

General Information

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Collection Permit Information

Permit #:	Permit Number Allows only Numbers Permit Number is Required
Affiliate Category:	Affiliate Category is Required

Collection Category:	Collection Category is Required

Permit Type:	Permit Type is Required
Taxa Group:	Select the Taxa Group of your Target Species. If there is no Target Species, select 'Not Applicable' Taxa Group is Required
Target Species:	Species names are listed as 'common name - scientific name,' with the base of the common name listed first (e.g., 'Eagle, bald - Haliaeetus leucocephalus'). Search the dropdown box by starting to type the common name of the species. A generic common name followed by the scientific name is available for species with no common name (e.g., 'Millipede - Pseudotremia sublevis'). Multiple target species can be selected by holding the Ctrl key.

Coordinate/Geographic Information

Lat/Long (Degrees Minutes Seconds)

Lat/Long (Decimal Degrees)

Lat/Long (Degrees Decimal Minutes)

UTM

Coordinate Specification is Required

Datum/Spheroid

NAD83/WGS84

NAD27/Clarke 1866

Datum/Spheroid Information is Required

Principal Permittee Information


First Name:	First Name Allows Text Data Only Permittee First Name is Required
Last Name:	Last Name Allows Text Data Only Permittee Last Name is Required
Affiliation:	Affiliation Allows Text Data Only Permittee Affiliation is Required
Phone Number(0-9 Only):	Permittee Phone Number is Required
Email Address:	Permittee Email Address is Required

Data Entered By

Same as Permittee
First Name:	First Name Allows Text Data Only
Last Name:	Last Name Allows Text Data Only
Affiliation:	Affiliation Allows Text Data Only
Phone Number(0-9 Only):	Phone Number is Required
Email Address:	Phone Number is Required

Collection Site Information

Field Collectors Names

First Name:			Last Name:
Collectors Name is Required			Select the 'Add Collector' button to add the entered collector name to the form. For multiple collectors, enter the next name and select 'Add Collector'

Collection Site and Methods

Your Site ID (optional):		Site Description:	Site Description is Required
Waterbody (Nearest Waterbody):	Waterbody Allows Text Data Only Waterbody is Required	County:	County is Required
Collection Date (mm/dd/yyyy):	Collection date is Required

Collection Method(s) and Effort(s)

Collection Method:
Collection Effort:		Select the 'Add Method/Effort' button to add the selected method and effort.
When multiple collectors use the same gear (i.e., dip net), effort is the number of hours multiplied by the number of collectors (e.g., 2 collectors survey for 3 hours = 6 hours total effort). Collection method/effort is required

Geographic Coordinates

	Degrees	Minutes	Seconds
Latitude:	Latitude in degrees is a number Latitude in degrees is required	Latitude in minutes is a number Latitude in minutes required	Latitude in seconds is a number Latitude in seconds required
Longitude (-):	Longitude in degrees required	Longitude in minutes is a number Longitude in minutes required	Longitude in seconds is a number Longitude in seconds required

Detail Species Information

Species Information

Data for species records are submitted one at a time instead of all at once. Submit each species record individually by date and site. You will have the option to retain collection information between species submissions. View and export your records by selecting 'Search For Permit Record(s)' at the bottom of the form. If you notice any errors in your submission, email corrections to CollectionPermits@dwr.virginia.gov.

Taxa Group:	Select the Taxa Group of the Species to be entered. If Target Species was not observed, make an entry with Quantity = 0. Taxa Group is Required
Species:	Species is Required	Quantity:	Quantity is a number Quantity is Required


Condition When Collected/Observed:	Condition is Required	Final Disposition:	Disposition is Required

Other Information

Field Tag Number(s) and Color(s) Observed or Captured Tagged Individuals OR Tags/Marks you applied. (Excludes ALL Color Coded Bird Bands. All tag numbers for the same species should be included in the Field Tag Number box and separated by semi-colons(;))

Overall Comments:

This form is required for all issued permits, in accordance with the permit agreement and VA wildlife regulations (examples: Collections, Surveys, Studies, Relocations and other related activities). A completed form for all taxa groups and all collections is required by January 31 for the previous years' collections.

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