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Human Attacked by Animal


  1. 1. Submitter Information
  2. 2. Victim Information
  3. 3. Location of Incident
  4. 4. Description of Incident
  • Submitter Information

    1. Animal Care and Control

    2. Your Information

      You must be 18 years of age or older to submit a request

    3. Contact information

      How would you like us to follow up with you? Please provide us with a valid email or phone number, as we may need to follow up with you on your request.