010-56 Wyo. Code R. § 56-5
The claim shall be submitted on the form prescribed by the Department. The claim form shall contain the following information:
(a) A description of the land on which the damage occurred, including the legal description (section, range, township), the county in which the land is located, and whether the land is privately owned, leased, or federally owned;
(b) Whether the claimant is the landowner, lessee, or agent of the landowner or lessee;
(c) A description of individual livestock, including the number, age class and sex if known;
(d) Competent, relevant and material evidence provided by the claimant that a gray wolf caused the damage;
(e) The dates during which damage took place, to include the specific date the damage was discovered by the claimant and the specific date the damage ended;
(f) The amount and value of livestock, including all calculations and evidence supporting the value determination;
(g) Information by which the Department can recognize the claimant signed and swore before a person authorized to administer oaths (notary) the claim to be accurate;
(h) Certification that the claimant did not receive any compensation by livestock insurance or a Federal subsidy program for the damage claimed; and,
(i) The claimant may submit additional supporting information, which shall be considered as part of the complete application.
010-56 Wyo. Code R. § 56-5
Adopted, Eff. 10/13/2016.