Lenawee County, MI · Lenawee County
Animal Bite Reporting Form
Veterinarians, healthcare providers, and police officers use this form to report an animal bite or exposure to the Lenawee County Health Department.
At a glance
- Issued by
- City of Lenawee County · Lenawee County, Lenawee County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- lenawee.mi.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form reports an animal bite or exposure and collects details about the incident, the animal, the person bitten, and any injury or treatment. The document says the reporting agency must complete and fax it to the Lenawee County Health Department within 24 hours of the incident; it also states that bites should be reported to the local health department where the bite occurred and, if different, where the patient lives.
Who needs it
A veterinarian, healthcare provider, or police officer who is reporting an animal bite or exposure in Lenawee County should complete this form.
How to submit it
The reporting agency should fax the completed form to the Lenawee County Health Department at (517) 264-0790 within 24 hours of the incident.
About notarization
The reporting agency signs this form without a notary; the document does not mention a separate sworn or notarized attachment.
How to submit this form
- 1
Download the Form
Download the Animal Bite Reporting Form from this page.
- 2
Complete the Report
Reporting agency staff provide incident, animal, victim, and reporting agency details.
- 3
Review the Information
Check the entries and include the reporting agency information and signature requested on the form.
- 4
Fax to the County
Fax the completed form to the Lenawee County Health Department at (517) 264-0790 within 24 hours of the incident.
Frequently asked questions
- Do I need a notary for the Animal Bite Reporting Form?
- No. The reporting agency signs the form without a notary, and the document does not mention a separate sworn or notarized attachment.
- Who completes the Animal Bite Reporting Form?
- The document says a veterinarian, healthcare provider, or police officer should complete the report. The form is completed by reporting agency staff.
- How do I submit the Animal Bite Reporting Form?
- Fax the completed form to the Lenawee County Health Department at (517) 264-0790. The document says the report must be faxed within 24 hours of the incident.