Note: The provision of any information on koala records implies agreement for such information to be incorporated into the overall dataset for this project. The purpose of data collection and analysis is to ascertain the historical distribution of koala habitat, and this information may be included in the final Koala Plan of Management. In all other respects, all information provided will be treated as confidential unless otherwise agreed upon by the landowner/community member.

All information provided on this form will be used only for the purposes of the CKPoM and will not be provided to any third parties or separately disseminated publicly.

Question Title

* 1. Contact Information

Question Title

* 2. Please identify the address of your property(s) if it occurs within the study area (or previous residence within the study area).

Please include Street/Road Number, Property Name, Street/Road Name, Village/Locality, Lot and DP (available from your Council rates notice) if known.

Question Title

* 3. Length of time (years) you/your family have resided at this address.

Question Title

* 4. Do you have any knowledge about Koalas in the Cooma-Monaro area prior to 1996? e.g. regular sightings along a travel route, anecdotal information from parents/grandparents; observations in area in which you attended school?

Note: The period from 1996 to the present represents three Koala generations and is considered as the recent and current timeframe. Data from the period prior to 1996 is regarded as historical data.

Question Title

* 5. Can you provide us with any specific information about the locality or localities of your sightings (options for identifying locations could be GPS or map co-ordinates, a street address or the nearest known locality)? Identifying the approximate year of sightings also would be very useful.
Note: the areas you identify may be colonies, sightings of single koalas; a known breeding colony. Any additional comments or observations?

Question Title

* 6. To ensure that we are not including the same data twice in the analyses of records, can you tell us if any of the information provided in this form has been provided previously to koala researchers.

Question Title

* 7. If you answered 'yes' to the previous question, do you mind being contacted to discuss the records?

Question Title

* 8. Do you have any further information or comments regarding Koala occurrence or management you wish to be considered?

All information provided on this form will be used only for the purposes of the CKPoM and will not be provided to any third parties or separately disseminated publicly

T