Get Animal Bite & Exposure Report Form

Filling out the Animal Bite & Exposure Report Form is a vital step in documenting an incident involving an animal. This guide will assist you in completing the form accurately and efficiently in an online environment.

Follow the steps to complete the Animal Bite & Exposure Report Form.

1. Press the ‘Get Form’ button to access the report and open it in your preferred online editor.
2. Begin filling out the form by entering the city where the incident occurred. If it happened in Cleveland, note the fax number 216-348-7359. For Shaker Heights incidents, use 216-491-8828. For all other cities, fax to 216-676-1316.
3. In the 'Victim Name' field, enter the full name of the individual affected by the incident, followed by their age, address, and primary phone number.
4. Provide the city, state, and zip code of the victim's residence when required.
5. Choose the type of exposure from the dropdown options (e.g., bite, scratch, other). If you select 'other', please include a brief description in the adjacent text box.
6. Indicate the date of the bite or other exposure incident using the appropriate date field.
7. Fill out the location of the exposure, providing details if 'other' is selected.
8. Complete the ‘Date Reported’ field, and the name of the person reporting the incident in the next section.
9. Indicate if medical treatment was administered and provide the details of the treating medical professional or facility.
10. Indicate whether rabies prophylaxis was administered by selecting 'Yes' or 'No'.
11. Specify the type of animal involved, categorizing it as a pet, stray, or wild, and include the species such as dog or cat and any additional identifiers.
12. Fill out the owner's information, including name, phone number, and address.
13. Provide the rabies vaccination tag number and vaccination details, including the date and type of vaccine administered.
14. Lastly, include any comments or special information in the designated section.
15. After completing all fields, review your entries for accuracy. You can then save your changes, download, print, or share the completed form as needed.

Start completing the Animal Bite & Exposure Report Form online today to ensure the incident is documented properly.