Microsoft Word

							                            Angler Self-Reporting Form

Please submit this completed form to:                U.S. Fish and Wildlife Service
                                                     1340 Financial Blvd., Suite 234
                                                     Reno, NV 89502
                                                     775-861-6300 or 775-861-6355
                          For Walker Lake, Lake Tahoe, or Fallen Leaf Lake Email to: stephanie_byers@fws.gov
                                              For T ruckee River or Pyramid Lake Email to: tim_loux@fws.gov


Date:_____________ Time fishing:_______                        Fishing depth:___________

Location fish was caught: ________________                     Shore/Boat: _____________

If you caught a tagged fish, please enter the tag code and total length (tip of nose to
tip of tail) in inches in the appropriate column:

    Tag Color             Tag Number                  Length of Fish                   Released?
                                                         (Inches)




----------------------------------------------------------

If you would like to share more information about your fishing experience please
fill out the rest of this form:

Type of tackle used: ______________________________

Number in your party, including yourself:___________________

Number and type of fish caught:
Species                    Number Kept and (Total length -                             Number
                           inches)                                                     Released
Mackinaw or Lake Trout

Kokanee salmon

Cutthroat trout

Rainbow trout

Brown trout

Other?


Thanks very much for your participation. If you would like us to contact you
please leave your name, telephone number, email or physical address below: