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:

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

*Target species: Choose an item.

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

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

Number of units lost and/or Sequential number(s) of the tag(s) attached to the lost fishing gear(s): (if applicable)

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

*Estimated length of rope lost (in ft):

Number of lost buoy(s)

Buoy(s) description: (e.g. markings, sequence number, colour, etc)

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