Wildlife Habitat Conservation and Management Program

Landowner Annual Report Form

After the landowner has an approved WHCMP plan, the landowner must begin implementing the plan. The Oregon Department of Fish and Wildlife will conduct periodic monitoring of approved plans (including an on-site inspection with prior notification), to ensure land is being managed in accordance with the plan. If the plan is not being implemented as approved, ODFW will notify the landowner in writing and indicate what changes need to occur within six months. If the plan still is not being implemented as required by ODFW at the end of the six-month period, ODFW will notify the landowner and the county assessor, and the property will be disqualified from wildlife habitat special assessment. Completion of the annual status report assists the local ODFW District Office with monitoring WHCMP properties and identifying any immediate compliance concerns.[1]

Directions: Complete the below information and submit to the local ODFW District office[2] (via regular mail or email) with photos of the enrolled WHCMP property.

Landowner:
Address:
Mailing address (if different):
Phone: / Fax:
Email:
Township: / Range: / Section(s): / Tax Lot(s):
Latitude: / Longitude:
County: / Zoning:
Total property acreage: / Acreage enrolled:

Has the property been sold or is there a planned change in landownership?

Yes

No

Please list the WHCMP plan objectives for your property for each habitat type. What actions were taken in the last year to meet those objectives? Please attach photo documentation of your WHCMP property, including which habitat type and date photo was taken.

Please describe any issues or challenges that were identified in the last year that hindered the implementation of the WHCMP plan and how they were and/or plan to be addressed in the coming year.

______

Landowner Printed NameLandowner Signature

1

[1]ORS 308A.430; OAR 635-430-0800(4); OAR 635-430-0090(1)-(6)

[2]