Bat Observation Form
This form is used to report bat activity in Kentucky

Your Information	* denotes required field
Full Name *
Street Address *
City *
State *
Zip Code *
Phone # *
Email *
Sighting Information
Date of Sighting (mm/dd/yyyy) *
Location / Address *
City *
GPS Location in Degrees (not required) Example: 38.200906, -84.873283	Latitude     Longitude
Do you want to.... *	Report a Bat Colony Location Report Sick or Dying Bats (in groups of 5 or more) Report change in number of bats seen (from known colony)
If applicable, please specify the structure	Barn Bat Box Attic Other (please specify in observation notes)
# of bats sighted *
# of sick/dead bats sighted *
Observation Notes
Comments