Get the free Animal Specimen Submission Form

This form is used for submitting animal specimens to the William A. Hinton State Laboratory for testing, including information about the animal, tests requested, and epidemiological data.

How to fill out animal specimen submission form

How to fill out Animal Specimen Submission Form

1. Obtain the Animal Specimen Submission Form from the appropriate source.
2. Fill in the owner's information, including name, contact information, and address.
3. Provide details about the animal, such as species, breed, age, and any identifying marks.
4. Indicate the reason for submission, such as diagnosis, research, or educational purposes.
5. Ensure that all required fields are completed accurately, including any additional remarks or notes.
6. Sign and date the form to confirm the information is correct.
7. Submit the form along with the animal specimen to the designated laboratory or facility.

Who needs Animal Specimen Submission Form?

1. Veterinarians submitting specimens for diagnostic purposes.
2. Researchers conducting studies involving animal specimens.
3. Animal welfare organizations needing to document specimens for rehabilitation or investigation.
4. Educational institutions that require specimens for teaching and research.

People Also Ask about

What is the submission form you must submit with an animal head for rabies testing?

Animals specimens Include completed CDC Form 50.34(s) with each specimen in your shipment. If a human exposure is involved with the animal for which specimens were submitted: Contact your state health department and the Rabies Duty Officer to facilitate expedited testing.

Do you have to cut an animals head off to test for rabies?

SLD accepts heads or brains of animals; bats should be submitted whole (see rabies submission guide for further laboratory submission instructions). For large animals (horses, cattle, etc.) the entire brain should be removed intact (including medulla, cerebellum and hippocampus) and sent in for testing.

How do you ship a head for rabies testing?

Packaging and Shipping Rabies Specimens as Biological Substances, Category B UN3373 Primary Container: A sealable, leakproof plastic bag such as a zip-top storage or freezer bag. Secondary Container: A sealable, clear, plastic storage or freezer bag (could also use a biohazard transport bag).

Where to send a bat for rabies testing?

If you find a bat (dead or alive) in your home, call your local health department. The health department can help you determine if the bat needs to be tested for rabies. Testing the bat may be important to decide whether the exposed person(s) will require treatment to prevent rabies.

How do you get an animal tested for rabies?

Rabies testing requires that the animal be euthanized. There are no approved methods for ante-mortem rabies testing of animals. In the U.S., the results of a rabies test are typically available within 24 to 72 hours after an animal is euthanized.

What are examples of animal specimen?

A single specimen may be a composite of preparations sharing a unique number. An example would be a vertebrate with an alcohol-preserved skin and viscera, a cleared and stained head, the post-cranial dried skeleton, histological, glass slides of various organs, and frozen tissue samples.

For pdfFiller’s FAQs

What is Animal Specimen Submission Form?

The Animal Specimen Submission Form is a document used to collect and submit biological samples from animals for diagnostic testing, research, or regulatory purposes.

Who is required to file Animal Specimen Submission Form?

Individuals or organizations that collect animal specimens for testing or research, including veterinarians, researchers, and animal health professionals, are required to file the Animal Specimen Submission Form.

How to fill out Animal Specimen Submission Form?

To fill out the Animal Specimen Submission Form, provide all required information including the submitter's contact details, animal identification, the purpose of submission, specimen type, and any relevant health history or clinical signs.

What is the purpose of Animal Specimen Submission Form?

The purpose of the Animal Specimen Submission Form is to ensure accurate processing and analysis of animal samples, providing essential information that aids in diagnosis, research, or compliance with regulations.

What information must be reported on Animal Specimen Submission Form?

The information that must be reported includes the submitter's contact information, animal details (such as species, age, and ID), type of specimen submitted, clinical history, and specific tests requested.