SELECT YOUR HUNTING PRESERVE NAME:  
 Enter E-Mail Address:  (Required)

DATE (MM/YYYY):   # HUNTER TRIPS:
   
SPECIES # RELEASED   # HARVESTED  
Ring-Necked Pheasants    
Bobwhite Quail    
Coturnix Quail  
Chukar Partridge    
Hungarian Partridge    
Mallard Ducks    
Wild Turkey    
OTHER USES OF THE AREA:   (# Trips)
Fishing Field Trials Picnics Dog Training Clay Targets

Instructions: 

  1. Records need to be submitted to the Department not later than 10 days following the end of each month during the season. Please develop a separate record for each month. Remember to keep copies of the records for the hunting preserve available at the hunting preserve headquarters - a Conservation Officer may want to review the records on site.
  2. For hunting preserves releasing captive-reared mallard ducks (i.e., mallards with the right hind toe-clipped), report the number of ducks in the hunting preserve's flock only at the end of the first month the ducks are released for hunting. In subsequent months do not report mallard duck releases unless additional ducks are added to the preserve's flock from another source. If additional mallard ducks are added to the preserve's flock, only report the additional ducks on that month's report. Once the preserve's mallard ducks are reported, subsequent monthly reports should only reflect mallards harvested unless ducks are added to the flock.
The Dept. of Natural Resouces is requesting disclosure of information that is necessary to accomplish the statutory purpose as outlined under the Wildlife Code, Chapter 520. Disclosure of this information is REQUIRED. Failure to provide any information will result in the revocation of your license.