REPORTof action taken underSURVEY CLASS LICENCE WML-CL17, CL18, CL19 and CL20
Surveying Bats for scientific (including research) or educational purposes
Technical Services Wildlife Licensing, Natural England, Horizon House, Deanery Road
Bristol BS1 5AH
Tel: 020802 61089
Email:
Online: /
THIS REPORT FORM MUSTBE RETURNED NO LATER THAN THE 30APRIL EACH YEAR
GUIDANCE NOTESPlease read the following notes carefully before completing this form in block capitals or type. It may be downloaded, completed on screen, and posted or emailed to us (email is preferred).
  1. It is a condition of Class Licences WML-CL17, WML-CL18, WML-CL19 and WLM-CL20 that each Registered Person provides Natural England with a report detailing action taken under the licence (using this form) by no later than 30Aprileach year for the preceding twelve month period from 1 April and including 31 March. This report must be completed, even if no action is taken,and returned to Natural England (details above) and to the relevant Local Record Centre (visit contact details).
  1. If you fail to comply with reporting requirements then, by default, you will no longer be considered registered to act under this licence. Furthermore, failure to complete and submit a report using this form is a breach of the conditions of the licence and may mean that the licence cannot be relied upon and an offence could therefore be committed.
  1. The report is used to provide summary information to the Department for Environment, Food and Rural Affairs (Defra) and the European Commission. The data collected from licence reports may also be used for scientific monitoring purposes. Please see the Using and Sharing Your Informationsection in Annex A of the relevant Class Licence.
  1. The table entry for the number of bats ‘observed’ includes all bats that are disturbed (which includes batsobservedwhen using torches) in the course of surveying conducted under a licence and ‘taken’ means captured/trapped/handled and immediately released. Details on any accidental deaths or injuries which have occurred whilst using this licence must also be reported.

Customer Details

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Name of Registered Person / Registration No.
(e.g. 2015-xxxx-CLS-CLS)
Level of Bat Survey Licence registered to use(please tick) / CL17 ☐ or CL18☐ or CL19 ☐ and/or CL20☐
Period covered by this report / From to

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Action under licence

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Have you or anyone acting under your authority conducted surveys under this licence during the period specified above?
YES NO
If you used accredited agents or assistants under this licence period please state the number and names of :
  1. Accredited Agents used:
  2. Assistants:
If ‘YES’ to either of the above please provide survey details on the table provided overleaf
If ‘NO’,
Is this a nil return because the licence was not used?
YES NO
Is this a nil return because the licence was used but no bats were affected?
YES NO
Please move to the next box and then sign, date and return the form.

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Continuation of registration

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Do you wish to remain registered to use this licence?
YES NO
If YES, please ensure that you notify Technical Services Wildlife Licensing of any changes to your contact details. Should your registered details have changed please provide correct details below:
Name:
Email address:
Address:
Phone Number:
N/A:

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Declaration
To be completed by the Registered Person. I confirm that the details given in this report are correct to the best of my knowledge and belief, and that the conditions specific to this licence have been complied with. I confirm that any accredited agents acting on my behalf were competent, experienced and skilled in the works they undertook and that all assistants (as appropriate) were directly supervised.
Signed / Name / Date
If submitting via email, please insert an electronic signature or tick here to confirm acceptance of the declaration.

Please turn to overleaf to provide survey details if applicable

PLEASE NOTE: If you have a voluntary bat roost visitor (CL15 or CL16) please complete the separate VBRV form in addition to this return.

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Date / Location: Site name and County / OS grid reference of surveyed site
(6 figure minimum) eg SP450350 / Methods used (e.g. artificial light, by hand, static hand-held net, mist nets, harp traps) / Capture/release (specify if different) / Number and species of bats observed, taken or captured each time licence used (please specify) / Comments (including details on any accidental injuries or casualties whilst using this licence and who undertook survey activities (eg accredited agents, registered person etc)).

WML-LR-CL17-18-19-20 (December 2017)

WML-LR-CL17-18-19-20 (December 2017)

**Please note that you can add more rows to the table: right click in any cell outside the grey box area. Choose Insert > Insert rows below

PLEASE ENSURE YOU COMPLETE THE LOCATION TO INCLUDE PLACE, COUNTY AND SUPPLY A FULL GRID REFERENCE.

WML-LR-CL17-18-19-20 (December 2017)