NOXIOUS WEEDS ACT 1936
(Thistle, Ragwort, Dock, Common Barberry, Male Wild Hop plant & Wild Oat)
Public Report Form -2017
Completed forms should be returned by email to or by post to Crop Policy, Production & Safety Division, Department of Agriculture, Food and the Marine, 2nd Floor - Block 3, Administration Building, Backweston Campus, Celbridge, Co. Kildare.
1. Person(s)/Business against whom this report is being made
(a) Name of Landowner/Occupier*______
(b) Address*______
______
Location of affected land(s)*______
(Please provide information that will allow the identification of the affected lands. GPS co-ordinates/Map referencing centre of lands or road reference)
Species of Noxious Weeds present: ______
Area of land infested: ____Hectares (approx)
Other information: Please provide details of any animals observed being kept on the affected lands or adjoining lands. Photographs should also be submitted in support of a report.
………………………………………………………………………………………………………………………
2. Your details*
Name: ______
Address: ______
Telephone No &
Email Address: ______
Signature* : ______Date: ______
*Mandatory information
For official use only: 2017/NW/