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* 1. Angler Name:

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* 2. Contact Information

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* 4. Date Caught

Date

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* 7. Fish Size (length is required, weight is optional):

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* 8. Bait/Lure used:

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* 9. Was fish released?

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* 10. Will you be submitting a photo of the fish? (this is done by emailing the photo to Holly.Luft@dnr.iowa.gov)

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* 11. Witness Name and Contact Information

Please email photograph of fish to Holly.Luft@dnr.iowa.gov, and include your name and the fish species you are submitting.

T