BC Wildlife Health Program Moose Winter Tick Survey (FS1436) – Environmental Protection & Sustainability Forms

Fields marked with an * are required.
Date of observation*
YYYY slash MM slash DD
Time of observation (please specify am or pm)*

: Hours

Minutes

AM/PM
Nearest city or landmark*
Location of observation (please be as specific as possible; ie coordinates, forest service road km markers, intersections of roads etc.)*
Sex*
- Male
- Female
- Unknown
Body condition*
- Poor
- Moderate
- Good
- Excellent
Age classification*
- Calf
- Adult
Check the box below to describe the amount of hair loss (for carcasses see below). If both sides are viewed, the more severely side should be recorded*
No loss Slight loss Moderate loss Severe loss Ghost
- No loss: normal hair coat. No obvious tick infestation
- Slight loss: small patches of hair loss. Tick infestation affecting 5–25% of winter hair, lost/broken near skin level.
- Moderate: large patches of hair loss. Tick infestation affecting 25–40% of winter hair.
- Severe: significant hair loss on shoulders and hind quarters. Tick infestation affecting 40–80% of winter hair
- Ghost: hair loss over most of body (except head). Tick infestation affecting over 80% of winter hair.
If carcass is observed: check the appropriate box to describe tick abundance
- Light tick abundance (<100 swollen ticks on head and neck)
- Moderate tick abundance (100–1000 swollen ticks on head, neck, shoulders)
- Heavy tick abundance (1000+ swollen ticks everywhere)
Would you like to report another moose observation at the same location?
- Yes
- No
Sex*
- Male
- Female
- Unknown
Body condition*
- Poor
- Moderate
- Good
- Excellent
Age classification*
- Calf
- Adult
Check the box below to describe the amount of hair loss (for carcasses see below). If both sides are viewed, the more severely side should be recorded*
No loss Slight loss Moderate loss Severe loss Ghost
- No loss: normal hair coat. No obvious tick infestation
- Slight loss: small patches of hair loss. Tick infestation affecting 5–25% of winter hair, lost/broken near skin level.
- Moderate: large patches of hair loss. Tick infestation affecting 25–40% of winter hair.
- Severe: significant hair loss on shoulders and hind quarters. Tick infestation affecting 40–80% of winter hair
- Ghost: hair loss over most of body (except head). Tick infestation affecting over 80% of winter hair.
If carcass is observed: check the appropriate box to describe tick abundance
- Light tick abundance (<100 swollen ticks on head and neck)
- Moderate tick abundance (100–1000 swollen ticks on head, neck, shoulders)
- Heavy tick abundance (1000+ swollen ticks everywhere)
Would you like to report an additional moose observation at the same location?
- Yes
- No
Sex*
- Male
- Female
- Unknown
Body condition*
- Poor
- Moderate
- Good
- Excellent
Age classification*
- Calf
- Adult
Check the box below to describe the amount of hair loss (for carcasses see below). If both sides are viewed, the more severely side should be recorded*
No loss Slight loss Moderate loss Severe loss Ghost
- No loss: normal hair coat. No obvious tick infestation
- Slight loss: small patches of hair loss. Tick infestation affecting 5–25% of winter hair, lost/broken near skin level.
- Moderate: large patches of hair loss. Tick infestation affecting 25–40% of winter hair.
- Severe: significant hair loss on shoulders and hind quarters. Tick infestation affecting 40–80% of winter hair
- Ghost: hair loss over most of body (except head). Tick infestation affecting over 80% of winter hair.
If carcass is observed: check the appropriate box to describe tick abundance
- Light tick abundance (<100 swollen ticks on head and neck)
- Moderate tick abundance (100–1000 swollen ticks on head, neck, shoulders)
- Heavy tick abundance (1000+ swollen ticks everywhere)
Would you like to report a final moose observation at the same location?
- Yes
- No
Sex*
- Male
- Female
- Unknown
Body condition*
- Poor
- Moderate
- Good
- Excellent
Age classification*
- Calf
- Adult
Check the box below to describe the amount of hair loss (for carcasses see below). If both sides are viewed, the more severely side should be recorded*
No loss Slight loss Moderate loss Severe loss Ghost
- No loss: normal hair coat. No obvious tick infestation
- Slight loss: small patches of hair loss. Tick infestation affecting 5–25% of winter hair, lost/broken near skin level.
- Moderate: large patches of hair loss. Tick infestation affecting 25–40% of winter hair.
- Severe: significant hair loss on shoulders and hind quarters. Tick infestation affecting 40–80% of winter hair
- Ghost: hair loss over most of body (except head). Tick infestation affecting over 80% of winter hair.
If carcass is observed: check the appropriate box to describe tick abundance
- Light tick abundance (<100 swollen ticks on head and neck)
- Moderate tick abundance (100–1000 swollen ticks on head, neck, shoulders)
- Heavy tick abundance (1000+ swollen ticks everywhere)
Phone
This field is for validation purposes and should be left unchanged.