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  • Ca Animal Bite Report - County Of San Mateo 2010

Get Ca Animal Bite Report - County Of San Mateo 2010-2026

STATE LAW REQUIRES COMPLETED FORM TO BE IMMEDIATELY FAXED TO: PLEASE PRINT (650) 6850102 ANIMAL BITE REPORT Do not submit this form if skin was not broken or victim was only scratched. Reporting Facility.

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How to fill out the CA Animal Bite Report - County Of San Mateo online

This guide provides clear and comprehensive instructions on how to complete the CA Animal Bite Report for the County of San Mateo online. By following these steps, you will ensure that all necessary information is accurately submitted for the reporting of any animal bite incidents.

Follow the steps to complete the form with ease.

  1. Press the ‘Get Form’ button to access the CA Animal Bite Report and open it in a digital format.
  2. Begin by filling out the 'Reporting Facility / Person' section. Include the name of the person or facility reporting the bite, the date of report, their address, and telephone number.
  3. Fill in the details for the 'Owner of Animal' section, including the owner's name, address, and contact numbers.
  4. Provide information about 'Person Bitten,' including their name, date of birth, address, and contact numbers, in the respective fields.
  5. Complete the 'Animal' section by selecting the species of the animal involved (dog, cat, or other) and include the address or place where the bite occurred, as well as the name, age, breed, color, and sex of the animal.
  6. Indicate if the animal was leashed, fenced, or loose at the time of the incident, and specify whether the animal has current rabies shots.
  7. Document the date and time when the bite occurred, along with the body part that was bitten and whether the skin was broken.
  8. If medical care was obtained, indicate 'Yes' and provide the date of the visit, the physician's name, their telephone number, and details of the treatment received.
  9. In the section for 'Explain circumstances of bite incident,' provide a detailed description of the incident and mention any previous bite incidents if applicable.
  10. Complete the 'To be filled out by animal shelter' section as necessary, including dates for quarantine and release of the animal, and any other pertinent information.
  11. Sign and date the report at the bottom, confirming your understanding and acknowledgment of the requirements related to the quarantine.
  12. Once everything is filled out accurately, review the form for completeness, save your changes, and prepare to print, download, or share it as needed.

Complete your CA Animal Bite Report online for efficient processing.

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