Onondaga County, NY · Onondaga County
Animal Rabies Examination Release and Disposal Certificate
This certificate documents an animal reported to have bitten someone, its confinement, and an examination finding that it has no rabies symptoms at that time.
At a glance
- Issued by
- City of Onondaga County · Onondaga County, Onondaga County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- onondaga.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This certificate records details about an animal reported to have bitten someone, including its owner, confinement dates, and examination. The examiner records whether the animal is free from rabies symptoms at the time of examination, then signs and dates the certificate. It also provides space for remarks and warns that rabies may develop after release.
Who needs it
An animal owner and the person examining an animal reported to have bitten someone use this certificate to document its confinement and examination.
How to submit it
Send a copy to the Onondaga County Health Department, Animal Disease Prevention, at 4170 State Route 31, Clay, NY 13041. The form also lists an email address and fax number.
About notarization
This certificate is signed and dated without a notary; it names no sworn or notarized attachment, so the examiner signs and dates it.
How to submit this form
- 1
Download the Certificate
Download the Animal Rabies Examination Release and Disposal Certificate.
- 2
Complete the Animal and Bite Details
Enter the owner and animal information, reported bite details, and the animal’s confinement dates and location.
- 3
Record the Examination
The examiner records the finding, signs and dates the certificate, and may add remarks.
- 4
Send a Copy to the County
Send a copy to Onondaga County Health Department, Animal Disease Prevention, at the address shown on the form.
Frequently asked questions
- What does the Animal Rabies Examination Release and Disposal Certificate record?
- It records the owner and animal details, the reported bite, where and when the animal was confined, the examination finding, and any remarks.
- Who signs the certificate?
- The person who examines the animal signs and dates the certificate and may add remarks about the examination.
- Do I need a notary for the Animal Rabies Examination Release and Disposal Certificate?
- No. This certificate has a signature and date line for the examiner, but no notary block or notarized attachment is identified.
- How do I submit the certificate?
- Send a copy to Onondaga County Health Department, Animal Disease Prevention, at 4170 State Route 31, Clay, NY 13041. The form also lists an email address and fax number.