Get Animal Handler Questionnaire Form

Completing the Animal Handler Questionnaire Form is essential for those working with vertebrate animals or animal tissues. This guide will help you navigate each section of the form efficiently and accurately.

Follow the steps to successfully complete the questionnaire.

1. Press the ‘Get Form’ button to access the questionnaire and open it in the editor.
2. Provide your general information, including your last name, first name, middle name, date of birth, and optional social security number or university ID. Indicate the primary purpose of your animal handling, checking one option that applies.
3. Select your current status by checking all applicable boxes, such as faculty member, student, or volunteer, and fill in your campus address, including room/building, phone extension, and email address.
4. Fill in your permanent (home) address with complete details including street, city, state, zip, and phone number.
5. Provide emergency contact information, including the name of the person to notify, their relationship to you, and their phone number.
6. Enter your physician information, including the name and phone number of your personal physician or practitioner, and the date of your most recent physical examination.
7. If you will have contact with animals, complete the section regarding the animals with which you will be in contact. Indicate the frequency and place of contact for each category of animals listed.
8. If you will handle unfixed animal tissues, blood, or other body fluids, specify how often and where you will handle these materials.
9. Complete the handler history section by checking any symptoms you may experience when working with animals and past medical conditions relevant to your animal handling.
10. Document your vaccination history, specifically for tetanus and rabies, and provide the required dates.
11. Sign and date the questionnaire at the designated section.
12. Once completed, save your changes, and choose to download, print, or share the form as necessary.

Complete your questionnaire online to ensure your health and safety while working with animals.