Onondaga County, NY · Onondaga County
Rabies Specimen History Form
This form records an animal’s history and contact details for submission to the Onondaga County Health Department’s Animal Disease Prevention division.
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
The form collects information about an animal submitted as a rabies specimen, including its species, breed, vaccination status, behavior, and how and when it was killed. It also asks who submitted the specimen, whether anyone was bitten or had contact with the animal, and whether it contacted other pets. The form directs the submitter to send a copy to Animal Disease Prevention.
Who needs it
A person submitting an animal specimen for rabies-related review can use this form to provide its history and relevant contact information.
How to submit it
Fax, mail, or email a copy to Onondaga County Health Department, Animal Disease Prevention, 4170 State Route 31, Clay, NY 13041; fax (315) 435-1651 or email [email protected].
About notarization
This form is completed without a notary; it identifies no sworn or notarized attachment and asks the submitter to provide the requested information.
How to submit this form
- 1
Download the Form
Download the Rabies Specimen History Form PDF.
- 2
Complete the Form
Provide the requested animal, specimen submitter, and contact information.
- 3
Review the Information
Include details about any bites, contact with people, or contact with other pets.
- 4
Send the Form
Fax, mail, or email a copy to Onondaga County Health Department Animal Disease Prevention.
Frequently asked questions
- What information does the Rabies Specimen History Form request?
- It asks about the animal, its rabies vaccination status and behavior, how and when it was killed, possible bites or contact, and the submitter’s contact details.
- How do I submit the Rabies Specimen History Form?
- Send a copy by fax, mail, or email to Onondaga County Health Department Animal Disease Prevention using the contact information printed on the form.
- Do I need a notary for the Rabies Specimen History Form?
- No. The form does not require a notary and identifies no sworn or notarized attachment.