Alaska Department Of Fish And Game Defense Of Life Or Property Game Animal Report

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Defense of Life or Property Game Animal Kill Report
Please return to:
ADF&G Staff Only
ATTN: Information Services
Sealing Certificate Number
Alaska Department of Fish and Game
Division of Wildlife Conservation
333 Raspberry Rd.
Anchorage, AK 99518-1599
Sex of animal:
Date of Kill
Species killed:
(MMDDYY)
Male
Black Bear
Female
Brown Bear
GMU
Unknown
Other:
Kill location:
State regulation (5 AAC 92.410(b)) requires any person killing a game animal in defense of life or property (DLP) to submit a written report to
the Department of Fish and Game within 15 days of the incident. This form, properly filled out, satisfies that requirement.
Persons shooting game under this DLP regulation also must salvage the skull and hide (for bears, wolves, etc.) or meat (for moose, caribou,
etc.) and surrender it to the state. For bears, the salvaged hide must have the claws attached.
The report should be completed by the person who killed the animal. If that person cannot complete the form, the agency official (ADF&G
staff person, FWP officer, police officer, etc.) who talks to the person who shot the animal, or who initially receives information from the
shooter should complete this report. This official should attach a copy of the sealing form (if available) and any other documentation submit-
ted by the shooter and return this report to the above address without delay.
Accurate and complete information is essential to help the department understand why people have conflicts with bears and other wildlife and
how these conflicts can be minimized. Thank you for your cooperation.
SECTION TO BE COMPLETED BY
Part A. Information on the person killing the animal (Please print):
AGENCY PERSON ACCEPTING
FORM AND SEALING ANIMAL (ADD
LAST NAME
FIRST NAME
MI
YOUR COMMENTS ON THE LAST
PAGE).
Estimated age (especially for bears):
MAILING ADDRESS
Offspring of year:
Subadult (ages 1-4):
CITY
STATE
ZIP CODE
Adult estimated age:
10-DIGIT PHONE NUMBER
(
)
All contact information provided is subject
-
Kill Type of Classification:
to public disclosure- do NOT submit
unlisted phone numbers.
Defense of life/property
Yes
Alaska Resident?
How many years?
No
Mercy killing
Other (describe)
Agency Official:
ADF&G
FWS
AWT
Other
Information on person filling out this form (if different from above):
Items Received:
MI
FIRST NAME
LAST NAME
Hide
Skull
None (explain on
MAILING ADDRESS
Meat
back)
Condition of Hide:
CITY
STATE
ZIP CODE
Good
Fair
10-DIGIT PHONE NUMBER
(
)
All contact information provided is subject
Poor (poor if no
-
to public disclosure- do NOT submit
unlisted phone numbers.
claws on bear hide)
Page 1

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