Reptile & Amphibian Records

On-line Submission Form

You may not be able to fill in all of this form, but the more information you can give us the more valuable the record.

If you would like a species identified please attach a picture using the browse buttons at the bottom of the page.

A valid email address is required to submit this form.

WHAT?	Species	Not sure? Visit our identification pages If 'other' species please enter the common or scientific name below, or if 'unknown' please enter a brief description
	Lifestage
	How many	Male Female Unknown Indicate numerically how many of each lifestage you observed. You might know that you saw 3 males and 2 females, or you might have seen approximately 500 eggs where the sex was unknown, or maybe you just saw one animal of unknown sex, enter these values above
WHEN?	Date	Day Month Year
	Time	Hour Minute (GMT BST Not sure which ) If you are not sure of the the exact time of your sighting you can give an approximate time in the further comments box.
WHERE? (Where you saw the animal)	Site Name
	Nearest Town or Village
	County
	Grid Reference Or	Zone Easting Northing Need a grid reference? Visit OS Get-a-map
	Post Code
HOW?	Method	Choose 'Visual' if you simply spotted the animal, 'Refugia' if it was under something 'Torch' if you spotted an amphibian at night in a pond etc.
WHO?	First Name
	Last Name
	Address line 1
	Address line 2
	Town
	County
	Post Code
	Telephone	(Please include area code)
		You do not need to fill in your address or telephone number, but they might be useful to us for verification of your record. If you leave this section blank your email address will be our reference.
	Email	*Required field
	Further comments
	Photographs & Files	If you have digital images of your sighting that you wish to send or a file containing your records you may upload them here Picture/File #1 Picture/File #2 Picture/File #3 Please review our acceptable file extension policy before submitting files.
	Contact	Tick if you are willing to be contacted regarding your record

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