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  • Phs Animal Bite Report - San Mateo County - Co Sanmateo Ca

Get Phs Animal Bite Report - San Mateo County - Co Sanmateo Ca

FAX COMPLETED REPORTS TO: PLEASE PRINT (650) 685-0102 ANIMAL BITE REPORT Reporting Facility / Person: Date Reported: Address: Tel: PERSON BITTEN OWNER OF ANIMAL Name: DOB: / / Name: Street Address:.

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How to fill out the PHS Animal Bite Report - San Mateo County - Co Sanmateo Ca online

Filling out the PHS Animal Bite Report is an important step in reporting incidents involving animal bites. This guide provides clear instructions to help you accurately complete the form online, ensuring that all necessary information is captured for proper processing.

Follow the steps to accurately complete the report.

  1. Click ‘Get Form’ button to obtain the report and open it in your preferred editor.
  2. Begin by providing the information about the reporting facility or person. Enter the name, date reported, address, and telephone number in the respective fields.
  3. Next, fill in the details of the person bitten. Include their name, date of birth, address, and telephone numbers. Ensure all fields are clearly filled out to avoid any delays.
  4. In the owner of the animal section, enter the owner’s details similarly. Be sure to include the name, address, and contact numbers.
  5. Under the animal bite section, select the species of the animal (dog, cat, or other). Fill in the place where the bite occurred, name of the animal, its age, breed, color, and sex.
  6. Indicate whether the animal was leashed or fenced and whether it had a current rabies shot. Include the date and time of the bite.
  7. Specify where on the body the bite occurred and indicate if the skin was broken. If medical care was obtained, mark 'Yes' and provide details of the visit.
  8. In the circumstances section, briefly explain the context of the bite incident, including any previous bite incidents.
  9. If applicable, fill out the quarantine section, providing the dates and names of individuals involved in the animal's quarantine.
  10. Complete the final sections regarding rabies vaccination and condition of the animal upon release. Ensure you sign and date the report.
  11. Once you have filled out all sections of the form, you can save changes, download for your records, or print the report for submission.

Complete your PHS Animal Bite Report online today to ensure swift processing of your report.

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PHS Animal Bite Report - San Mateo County - Co Sanmateo Ca
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