* 1. Angler Name:

* 2. Contact Information

* 4. Date Caught

Date Caught

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

8. Bait/Lure used:

9. Was fish released?

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

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.