*Lease Customer Name:

*Lease Name:

*Email:

*County:

*Town:

*WMU - Wildlife Management Unit :

*DDP Tag Number (See example below):

Please report the tag number using the one, two or three digit tag number written in black marker on the right side of the tag. If this number is no longer visible you can use the alternative five digit number printed on the left side of the tag.

Did you harvest a deer?:
Yes
No

If yes, the below fields are all required.

Date of Kill: