Get Ct Tick Submission Form 2022-2026

Filling out the CT Tick Submission Form online is an important step in reporting tick incidents for health safety. This guide provides clear instructions to assist you in completing the form accurately and efficiently.

Follow the steps to fill out the CT Tick Submission Form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the details of the person or health department submitting the tick. This includes the full name, address, city, state, zip code, email address (which is required), and telephone number(s). Ensure that the information is printed legibly.
3. Indicate whether the tick was removed from a pet by selecting 'Yes' or 'No'. If it was removed from a pet, provide the species, name, and age of the pet.
4. Provide information on the person who was bitten by the tick, if it differs from the person submitting. This includes their name, address, telephone number(s), age, date when the tick was removed, and the part of the body where the tick was found.
5. Fill in the town where the tick was acquired. This section is crucial for tracking the geographical spread of tick-related incidents.
6. At the end of the form, ensure all information is correct, then save your changes. You can download, print, or share the completed form as needed.

Complete your tick submission form online today for prompt processing and assistance.