Eiderdown Commerce Permit Report and Log Charts

This form must be submitted by the date specified on the eiderdown commerce permit to the regional Canadian Wildlife Service (CWS) permitting office that issued the original permit.

Permit number:

Reporting period (yyyy/mm/dd to yyyy/mm/dd):

Permit holder (full name):

Mailing address:

Telephone number:

Email address:

I certify that the information in the accompanying tally and log charts* is correct and complete to the best of my knowledge.

Signature of permit holder:

________________________

(sign with dark ink)

Date:

________________

(yyyy/mm/dd)

Note: The tally and log charts are only required for eiderdown collection.

Eiderdown collection – tally and log chart

Tally

Net weight of down collected during entire reporting period from all locations (specify grams or kilograms):

Log chart

(a chart must be completed for each collection event and each location):

Location(s) (must match the location(s) listed on the permit):

Date (yyyy/mm/dd):

Start time:

End time:

Weather conditions (include temperature, cloud cover percentage, estimated wind speed):

Net weight of down collected (subtract the weight of the bags):

Number of participants:

Nests harvested

Nests not harvested

Number of nests being incubated

Number of nests being incubated

Number of nests hatching

Number of nests hatching

Number of nests hatched

Number of nests hatched

Number of nests predated

Number of nests predated

Number of nests abandoned

Number of nests abandoned

Total of harvested nests

Total of non-harvested nests

Number of eiders found dead

Female:

Male:

Additional log charts, found on the last page, can be re-printed as many times as necessary to ensure all events and all locations are logged.

Location(s) (must match the location(s) listed on the permit):

Date (yyyy/mm/dd):

Start time:

End time:

Weather conditions (include temperature, cloud cover percentage, estimated wind speed):

Net weight of down collected (subtract the weight of the bags):

Number of participants:

Nests harvested

Nests not harvested

Number of nests being incubated

Number of nests being incubated

Number of nests hatching

Number of nests hatching

Number of nests hatched

Number of nests hatched

Number of nests predated

Number of nests predated

Number of nests abandoned

Number of nests abandoned

Total of harvested nests

Total of non-harvested nests

Number of eiders found dead

Female:

Male:

Location(s) (must match the location(s) listed on the permit):

Date (yyyy/mm/dd):

Start time:

End time:

Weather conditions ( include temperature, cloud cover percentage, estimated wind speed):

Net weight of down collected (subtract the weight of the bags):

Number of participants:

Nests harvested

Nests not harvested

Number of nests being incubated

Number of nests being incubated

Number of nests hatching

Number of nests hatching

Number of nests hatched

Number of nests hatched

Number of nests predated

Number of nests predated

Number of nests abandoned

Number of nests abandoned

Total of harvested nests

Total of non-harvested nests

Number of eiders found dead

Female:

Male: