DEC Region County Town: Name: Are you affiliated with a local not-for-profit wildlife rehabilitation organization or center? Name of organization or center: Link for your website or website of your organization: Email Address: Phone Alternate Phone License: Assistant Class 1 Class 2 RVS Certified? Oil Spill Training? License to Collect and Possess? Animals accepted: Large Mammals Small Mammals Raccoons Skunks Bats Raptors Song Birds Waterfowl Game Birds Reptiles/Amphibians Non-Migratory Birds Other information regarding animals you accept or special knowledge or skills you are willing to share State License # Federal Migratory Bird License # This contact form was created by Freedback.