Wildlife Conflict Prevention Report Form
Please complete this form to report a wildlife conflict incident and help improve prevention efforts. Provide as much detail as possible.
Incident Location (address, landmark, or GPS coordinates)
*
Date and Time of Incident
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Type of Wildlife Involved
*
Elephant
Leopard
Bear
Wolf
Wild Boar
Other
Type of Conflict
*
Crop damage
Livestock attack
Property damage
Human injury
Other
Brief Description of the Incident
*
Impact of Incident (select all that apply)
*
People affected
Livestock affected
Property damaged
No direct impact
Other
Number of Animals Involved (if known)
Actions Already Taken
Reported to authorities
Attempted to deter wildlife
Medical/veterinary care provided
No action taken
Other
Upload Supporting Evidence (photos, documents, etc.)
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Your Contact Information (for follow-up, optional)
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