Form for migratory birds damage or danger permit

To be completed by the permit holder
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Permit number: blank 
Date of report: blank 
Name of permit holder: blank 
Name of business/organization: blank 
Phone: blank 
Email: blank 
Fax: blank 

Note: For any given permitted activity, reporting must be completed as per the requirements described on the permit. Attach extra sheets if the space provided is not sufficient.

Under the Migratory Birds Regulations, any person issued a permit under Section 26(1) to scare or kill migratory birds that are causing or likely to cause damage is required to report all information with respect to the killing of the birds.

We are also interested in your experience implementing the permitted Damage or Danger management practices this year.
Were damage or danger issues with migratory birds resolved as a result of these approaches? Do you expect these issues to reoccur in coming years? In the future, what alternative measures will you adopt in order to prevent or reduce these issues?
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Attestation:

Attestation table
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I, blank_________________________, hereby attest that I have followed all of the requirements as indicated on the permit in completing this form.
Permit Holder blank 
Date (yyyy/mm/dd) blank 
Date of Receipt by Permits Officer blank 
Permit number
Field Blank
Permit number: blank 

Kill to scare

Species: i If you need additional space or if your management activities concern more than one species, space is available in Annex I of this document.
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Maximum of: blank________ birds to kill per week as per permit
Authorization period: fromblank_________________to blank_________________
Location of activities: blank____________________
Kill to scare
Date of activity
(yyyy/mm/dd)
Number of adult birds killed Number of young birds killed Method used
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blank  blank  blank  blank 
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Marker numbers
Please provide the numbers on any markers such as leg bands, neck collars on any of the birds killed (if applicable):
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And/or

Kill

Kill
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Maximum of: blank________ birds to kill as per permit
Authorization period: fromblank_________________to blank_________________
Location of activities: blank____________________
Kill
Species Number of adult birds killed Number of young birds killed Method used
blank  blank  blank  blank 
blank  blank  blank  blank 
blank  blank  blank  blank 
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Marker numbers
Please provide the numbers on any markers such as leg bands, neck collars on any of the birds killed (if applicable):
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Permit number
Field Blank
Permit number: blank 

For the purposes of scientific research and management, please complete the table below with information concerning the collection, destruction and disposal of migratory birds’ eggs and nests.

Collection, destruction and disposal of eggs
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Location of activities: blank____________________
Collection, destruction and disposal of eggs
Species Number of eggs collected, destroyed or disposed of From how many nests were eggs collected, destroyed or disposed of? Method used
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Removal and destruction of nests/eggs for the purpose of relocation
Field Blank
Location of activities: blank____________________
Removal and destruction of nests/eggs for the purpose of relocation
Species Number of nests removed or destroyed Number of eggs removed or destroyed Method used
blank  blank  blank  blank 
blank  blank  blank  blank 
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Page blank______ of blank______

Permit number
Field Blank
Permit number: blank 
Relocation of migratory birds, eggs and nests
Field Blank
Location of activities: blank____________________
Relocation of migratory birds, eggs and nests table
Species Number of adult birds relocated Number of young birds relocated Number of nests relocated Number of eggs relocated
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Relocation of migratory birds, eggs and nests
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During the relocation activity, were there any incidents (e.g., death or injury to birds)? Yesblank________ Noblank________
If yes, how many adults killed blank______?
Injured blank______?
If yes, how many young killed blank______?
Injured blank______?
What was the cause of the death(s)? blank 
Please provide the numbers on any markers such as leg bands, neck collars on any of the birds killed (if applicable): blank 

Page blank______ of blank______

Permit number
Field Blank
Permit number: blank 

Annex I: Kill to Scare

Annex I: Kill to Scare
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Species: blank________
Maximum of blank_________________ birds to kill per week
Authorization period: fromblank_________________to blank_________________
Location of activities: blank____________________
Annex I: Kill to Scare table
Date (yyyy/mm/dd) Number of adult birds killed Number of young birds killed Method used
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blank  blank  blank  blank 
blank  blank  blank  blank 
blank  blank  blank  blank 
Annex I: Kill to Scare
Field Blank
Species: blank________
Maximum of blank_________________ birds to kill per week
Authorization period: fromblank_________________to blank_________________
Location of activities: blank____________________
Annex I: Kill to Scare table
Date (yyyy/mm/dd) Number of adult birds killed Number of young birds killed Method used
blank  blank  blank  blank 
blank  blank  blank  blank 
blank  blank  blank  blank 
blank  blank  blank  blank 

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