Date of incident :

Location of incident :                                    Grid Reference :

Reported by :

Name :

Address :




Telephone : 
Mobile :
E-mail :

Incident Categories : place tick after incident type

Road Traffic Accident :
Snare :
Lamping :
Baiting :
Serious digging to sett (tunnels / chambers exposed) :
Illegal sett blocking :
Other sett damage :
Gassing :
Other Incident : state below

Injuries to Badger

Was Badger killed as result :
Was Badger injured but survived :

Police informed :

Incident number :
Attending officer :

Has Badger recieved Veterinary Attention :

Surgeon :
Practice :

Gwent Badger Group Attending Officer(s) :

Name :

Telephone :

Name :

Telephone :

Other Comments :