Get Dog Bite Incident Report Form 2020-2025

Filling out the Dog Bite Incident Report Form online can help ensure that all pertinent information regarding the incident is documented accurately and efficiently. This guide provides a clear, step-by-step approach to completing the form, making it accessible for all users.

Follow the steps to fill out the form correctly and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the ‘Bite reported by’ section. Input the full name of the individual reporting the incident.
3. In the ‘Address’ field, provide the complete postal address of the person reporting the bite.
4. Record the ‘Date reported’ by entering the current date.
5. Fill in the ‘Phone’ section with the contact number of the person reporting.
6. Document the ‘Date/Time of Bite’ by entering when the incident occurred.
7. In the ‘Person bitten’ section, provide the full details of the individual who was bitten.
8. If the individual bitten is a minor, fill out the ‘Parent/Guardian if minor’ section with their name.
9. Complete the ‘Address’ field for the person bitten, ensuring all necessary details are included.
10. Provide the ‘Phone’ number for the person bitten, or the parent/guardian if applicable.
11. In the ‘Description of bite’, describe the nature and severity of the injury.
12. Fill out the ‘Owner of animal’ section with the name of the individual who owns the animal involved in the incident.
13. Complete the ‘Address’ and ‘Phone’ fields for the animal owner.
14. In the ‘Type / Description of animal’ section, provide a detailed description of the animal involved.
15. Indicate the ‘Name of animal’ and whether the animal has been vaccinated by selecting yes, no, or unknown.
16. If the animal is vaccinated, enter the date of the last vaccination along with the name and contact information of the veterinarian.
17. Include details of where the animal is confined and the dates related to the confinement.
18. If the animal was sacrificed, provide the lab details where the test was conducted and the results.
19. Utilize the reverse side of the page for any additional notes regarding persons contacted or other relevant information.
20. After completing the form, users can save changes, download, print, or share the completed document.

Complete your Dog Bite Incident Report Form online today for accurate documentation.