9400-280.docx. Form 9400-379 Scientific Collectors Permit or Research License - wiparks-2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the designated fields, including your name, address, city, state, zip code, institutional affiliation, phone number, and email.
3. List the names of any additional individuals who will be conducting research under this permit.
4. Specify the State Natural Areas where you plan to conduct your activities and provide a title for your project.
5. Clearly outline the objectives of your research and describe the methods you will employ. Be specific about sampling design and equipment used.
6. If applicable, detail the kind and number of specimens you intend to collect. Include a list of species if necessary.
7. Discuss potential disturbances and impacts of your research and suggest mitigation strategies.
8. Indicate the beginning and end dates for your research activities.
9. List any reports or publications that may result from this research along with their anticipated filing dates with DNR.
10. Finally, certify that all information provided is accurate by signing and dating the form at the bottom.

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