Mosquito Species Identification Form
Submit detailed observations to help identify mosquito species accurately.
Date of Collection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Collection Location (City, State, Country)
*
Habitat Type
*
Please Select
Urban
Suburban
Rural
Wetland
Forest
Coastal
Other
Upload Specimen Image
*
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of
Number of Specimens Collected
*
Sex of Specimen(s)
*
Male
Female
Both
Unknown
Suspected Species
*
Please Select
Aedes aegypti
Aedes albopictus
Anopheles gambiae
Culex pipiens
Culex quinquefasciatus
Other
Distinctive Physical Features Observed (e.g., wing pattern, leg banding, proboscis length)
*
Larval or Adult Stage?
*
Larval
Adult
Both
Collector's Name
*
First Name
Last Name
Additional Notes
Submit Identification
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