Lost fishing gear form

*Region of licence issuance: Arctic Ontario and Prairies Gulf Maritimes Newfoundland and Labrador Pacific Quebec

*Date of report (DD/MM/YYYY):

*First and last name of fishing vessel operator:

*FIN (9 digit Fisher Identification Number):

The last date the gear was known to be at this location (DD/MM/YYYY):

Last known position of the lost gear, (as accurate as possible):

NAD 83 (preferred) WGS 84 NAD 27

	Decimal Degrees	or	Degrees	Decimal Minutes	or	Degrees	Minutes	Seconds
Latitude:
Longitude:

For coordinates, use:

• Degrees Decimal Minutes (DOM): Example 42° 45.480' N 62° 32.700' W or
• Degrees Minutes Seconds (DMS): Example 42°45'30" N 62°32'45" W or
• Decimal Degrees (DP): Example 42.758 -62.545

*Target species: Choose an item.

*Fishery Management Area (e.g. LFA 27, NAFO 4X): Choose an item.

Gear type (include all types of trawls): Longline Net Seine Trap / Pot Trawl Troll Other (please specify): ___________________

*Description of part of gear that was lost: (e.g. Nets, vertical lines, anchor, gear markers, etc.):

*Number of units of gear lost:

(if measured by lines, indicate total number of units lost per line. If nets, estimate length of net lost)

*Estimated length of netting lost (in ft):

*Estimated length of rope lost (in ft):

Sequential number(s) of the tag(s) attached to the lost fishing gear(s) (if applicable):

Number of lost buoy(s) and description: (e.g. float, hi-fly, colour etc.):

Equipment failure Gear conflict Ice Snag Suspected theft Weather Other
Other (Specify):