Animal Control Bite Report

Incident Information
What address did this bite incident occur at? *
City? *
State? (ex. TN) *
Zipcode? *
Victim's First Name *
Victim's Last Name *
Victim's Phone Number?
Victim's Address? (Street, City, State)
Was this person bit by a dog or cat? *	Dog Cat
What part of the body was bitten? *
If possible, attach pictures of the bite.
How severe was the bite? *	Scratch Broken Skin Stitches
Please describe what happened when this person was bitten. *
Owner Information
Do you know the owner of the animal that bit? *	Yes No I am the owner
Owner's First Name
Owner's Last Name
Owner's Address (Street, City, State)
Owner's Phone Number