Goose Complaint Form

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Goose Damage Permitting System

Ohio Department of Natural Resources | Division of Wildlife

Person Making Complaint


= REQUIRED FIELD
Location of Goose Conflict:
First time registering a complaint:		Yes No
County where conflict occurs:
Address:
City:
State:
Zip:
First Name:
Last Name:
Org/Business Name:
If your mailing address is the same as the address above, check this box:

Permitee Mailing Address:
City:
State:
Zip:
Phone:		()-
Email:

Are you a property management company submitting for a client?

YesNo

Do you hire a company to assist you with goose management?

YesNo

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	Comments
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
Questions Do you wish to be contacted by Division of Wildlife personnel?: YesNo
I certify that the information contained in this Goose complaint report is true.