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Animal Bite Information Sheet

  1. County Seal (color)

  2. Wyoming County Health Department
    Environmental Division
    5362 Mungers Mill Road, Silver Springs, NY 14550
    Telephone 585-786-8894

    Animal Bite Report

  3. Individual Completing Form

  4. Person Bitten

  5. Animal Information

  6. Animal Type*

  7. Was The Animal Killed?*

  8. Did The Animal Die?*

  9. Leave This Blank:

  10. This field is not part of the form submission.