SC 1799-ENG-DPH 2013 free printable template

Animal Bite Report Bureau of Environmental Health Services Date Incident Reported: Time Incident Reported: AM/PM Person Reporting Incident: Phone: Ext: ER/Medical Office: DEC Person Contacted: DEC

How to fill out SC 1799-ENG-DPH

How to fill out a dog bite incident report:

1. Obtain the necessary form: Contact your local animal control agency or police department to request a copy of the dog bite incident report form.
2. Provide personal information: Fill in your name, contact information, and any other requested personal details on the form.
3. Describe the incident: Clearly and accurately describe the details of the dog bite incident, including the date, time, and location of the incident.
4. Identify the dog and owner: Provide information about the dog and its owner, such as the breed, color, and any identifiable markings. If you know the owner's name, address, or contact information, include that as well.
5. Document injuries: Describe any injuries sustained from the dog bite, such as puncture wounds, scratches, or bruises. If medical treatment was sought, include details about the healthcare provider and any necessary procedures or medications.
6. Include witness statements: If there were any witnesses to the incident, ask them to provide their account of what they saw. Include their names and contact information in the report.
7. Attach supporting documents: If you have any supporting evidence, such as photographs of the injuries or the scene of the incident, include them with the report.
8. Sign and date the report: Once you have completed filling out the form, review it for accuracy, sign, and date it.

Who needs a dog bite incident report:

1. Victims of dog bites: If you or someone you know has been bitten by a dog, it is important to fill out a dog bite incident report to document the incident and seek appropriate legal action if necessary.
2. Animal control agencies: Dog bite incident reports help animal control agencies keep track of dangerous dogs and enforce regulations to prevent future incidents.
3. Law enforcement agencies: Police departments may need dog bite incident reports for investigation purposes, especially if the incident involved a criminal offense.
4. Insurance companies: When filing a claim for medical expenses or damages resulting from a dog bite, insurance companies may require a dog bite incident report as supporting documentation.
5. Legal professionals: Attorneys representing victims of dog bites may need dog bite incident reports to build a case for compensation or to defend against any allegations made by the dog owner.

People Also Ask about

What are the dog bite laws in Pennsylvania?

Pennsylvania doesn't have a one-bite rule; it follows a strict liability dog bite statute. ing to this law, the dog owner is liable for their dog's aggressive actions regardless of its history of violent behavior. You don't need to prove the owner's fault if a dog bites you. It's automatic.

What is the dog bite protocol in Massachusetts?

Massachusetts State Law requires a 10-Day rabies quarantine for any dog, cat, or other domesticated mammal which bites or scratches a human or other animal, regardless of vaccination status.

How do you make a dog bite claim?

If they don't have pet insurance, their home insurance policy will potentially cover a claim for a dog bite. However, if a stray dog bites you, your claim could be made through the Criminal Injuries Compensation Authority. To do this, you would need to ensure the incident has been reported to the police.

How do you document a dog bite?

Ask them to prepare a written statement of what they saw, including describing the attack in detail, and documenting that you did not do anything to provoke the dog (if this in fact was the case). The more detail that the witness can provide, the better. The witness should also sign and date the witness statement.

Are dog bites supposed to be reported?

Not reporting a dog bite to the authorities and insurance company could have negative ramifications for you and others. Even if you suspect your injuries are minor, you may suffer consequences after the fact and then face pushback when seeking damages in a dog bite liability suit.

Why is it important to report dog bites?

Reporting allows the local public health authority to investigate whether the biting animal may have transmitted rabies to the bite victim.

What is the one bite rule for dogs?

"One Bite" Rule: The owner is liable if they knew or should have known that the animal might act in a dangerous or harmful way. The name of this theory comes from the idea that an animal gets one free bite, and after that, the owner is aware of and responsible for the animal's vicious tendencies.

What happens after a dog bite is reported in Massachusetts?

While you may have to pay for the victim's damages if your dog bites someone in Massachusetts, you generally do not have to worry about animal control seizing or putting down your dog. If someone reports the attack, an animal control officer will order you to quarantine your pet for 10 days to check for rabies.

What happens in Arizona if your dog bites someone?

Yes, per state statute, the dog must be quarantined for a period of ten (10) days starting from the date of the bite to a person. Please note, quarantine is not a punishment - this quarantine time is needed for observation of the dog (or cat) to ensure it does not have rabies.

What happens during a dog bite investigation?

How is a dog bite report investigated? The animal control officer will try to verify that the dog bite happened the way it was reported. They will also assess the risk of the victim contracting rabies from the bite. The officer is supposed to investigate within 24 hours of receiving the report.

What is the protocol for a dog bite?

Animal bites must immediately receive medical attention and be reported to the proper authorities, who will supervise the response. Information about the incident should be transferred with the animal and its paperwork at every point along the path to and from an Emergency Animal Care Center.

What happens after a dog bite is reported in South Carolina?

If the animal and the owner can be located, DHEC will investigate the incident to determine if the animal will need to be quarantined - kept away from the public and other animals. Some pets, especially those never vaccinated for rabies, and strays or wild animals, will need to be tested for rabies.

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What is SC 1799-ENG-DPH?

SC 1799-ENG-DPH is a form used for reporting specific data required by regulatory authorities, typically related to public health and safety.

Who is required to file SC 1799-ENG-DPH?

Individuals or organizations involved in activities or practices that fall under the jurisdiction of the regulatory authority are required to file SC 1799-ENG-DPH.

How to fill out SC 1799-ENG-DPH?

To fill out SC 1799-ENG-DPH, one should follow the instructions provided on the form, ensuring all required fields are completed accurately with relevant data.

What is the purpose of SC 1799-ENG-DPH?

The purpose of SC 1799-ENG-DPH is to collect essential information for monitoring compliance with public health regulations and ensuring community safety.

What information must be reported on SC 1799-ENG-DPH?

The information that must be reported on SC 1799-ENG-DPH includes personal details, organizational information, specific activity data, and compliance-related information.