Goose Complaint Form

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Goose Damage Permitting System

Ohio Department of Natural Resources | Division of Wildlife

Person Making Complaint

= REQUIRED FIELD
First Name:
Last Name:
Organization/Business Name:
Address:
City:
State:
Zip:
Phone:		()-
Email (preferred method of contact):
First time ever registering a complaint?:		Yes No
County where conflict is occurring:
Is the location of conflict different than the address above?: (check if Yes)

Specific Problem Excessive Feces Crop Depredation Water Quality/Health Aggressiveness Property Damage Nesting Location Traffic Hazard Other	Habitat Type Cropfield Farm Pond Golf Course Park/Campground Residential Area Business/Industrial Condo/Housing Assoc. School Other	Existing Conditions Birds are fed Hunting is feasible Other waterfowl present Domestic fowl present	Cost Estimate of Damage Total Geese Total Geese involved in conflict
Abatement Tactics Used In The Past Year None Noise (pyrotechnics, gun, etc.) Visual devices (mylar, scary eye) Chemical repellents Received a goose damage permit Chasing Barriers Grid Hunting Dogs Other			Comments
Questions Do you wish to be contacted by Division of Wildlife personnel?: YesNo

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