Report an Animal Bite

You should report any type of animal bite within 24 hours of the bite so the NYC Health Department can assist you with guidance and information. All personal information you submit is confidential.

General Information

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1. Date of Bite (Required.)

Select Date

Date

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2. Animal Species

Dog

Cat

Bat

Raccoon

Horse

Other (please specify)

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3. Animal Breed (Required.)

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4. Animal Breed if Other

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5. Animal Colors

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6. Animal Ownership

Owned

Unowned

I don't know

Animal Owner's Information

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7. Animal Owner Name

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8. Animal Owner Address

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9. Animal Owner's Phone

Person Bitten Information

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10. Person Bitten Name (Required.)

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11. Person Bitten Address

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12. Person Bitten Sex at Birth

Male

Female

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13. Person Bitten Age (Required.)

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14. Borough Where Incident Occurred (Required.)

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15. Person Bitten Phone

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16. Person Bitten E-Mail Address

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17. Area of Body Bitten

Arm

Back

Hand

Face/Head

Leg

Stomach

Other (please specify)

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18. Person's Activity at Time of Bite

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19. Location of Occurrence (address, cross streets, landmark, park name, etc.)

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20. Has the person bitten obtained medical treatment?

Yes

Person Reporting Information

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21. Are you the person bitten?

Yes

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22. Person Reporting Name (Required.)

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23. Person Reporting Address (Required.)

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24. Person Reporting Phone (Required.)

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25. Person Reporting State

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26. Person Reporting ZIP Code

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27. Person Reporting Last Name

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28. Person Reporting First Name

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29. Are you the person bitten?

Yes

Report an Animal Bite

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* 1. Date of Bite (Required.)

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* 2. Animal Species

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* 3. Animal Breed (Required.)

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* 4. Animal Breed if Other

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* 5. Animal Colors

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* 6. Animal Ownership

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* 7. Animal Owner Name

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* 8. Animal Owner Address

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* 9. Animal Owner's Phone

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* 10. Person Bitten Name (Required.)

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* 11. Person Bitten Address

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* 12. Person Bitten Sex at Birth

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* 13. Person Bitten Age (Required.)

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* 14. Borough Where Incident Occurred (Required.)

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* 15. Person Bitten Phone

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* 16. Person Bitten E-Mail Address

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* 17. Area of Body Bitten

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* 18. Person's Activity at Time of Bite

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* 19. Location of Occurrence (address, cross streets, landmark, park name, etc.)

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* 20. Has the person bitten obtained medical treatment?

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* 21. Are you the person bitten?

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* 22. Person Reporting Name (Required.)

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* 23. Person Reporting Address (Required.)

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* 24. Person Reporting Phone (Required.)

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* 25. Person Reporting State

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* 26. Person Reporting ZIP Code

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* 27. Person Reporting Last Name

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* 28. Person Reporting First Name

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* 29. Are you the person bitten?

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* 30. Person Reporting Address

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* 31. Person Reporting City

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* 32. Relationship to Person Bitten

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* 33. Person Bitten State (Required.)

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* 34. Person Bitten ZIP Code (Required.)

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* 35. Person Bitten Address (Required.)

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* 36. Person Bitten City (Required.)

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* 37. Person Bitten Last Name (Required.)

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* 38. Person Bitten First Name (Required.)

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* 39. Animal Owner's City

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1. Date of Bite (Required.)

2. Animal Species

3. Animal Breed (Required.)

4. Animal Breed if Other

5. Animal Colors

6. Animal Ownership

7. Animal Owner Name

8. Animal Owner Address

9. Animal Owner's Phone

10. Person Bitten Name (Required.)

11. Person Bitten Address

12. Person Bitten Sex at Birth

13. Person Bitten Age (Required.)

14. Borough Where Incident Occurred (Required.)

15. Person Bitten Phone

16. Person Bitten E-Mail Address

17. Area of Body Bitten

18. Person's Activity at Time of Bite

19. Location of Occurrence (address, cross streets, landmark, park name, etc.)

20. Has the person bitten obtained medical treatment?

21. Are you the person bitten?

22. Person Reporting Name (Required.)

23. Person Reporting Address (Required.)

24. Person Reporting Phone (Required.)

25. Person Reporting State

26. Person Reporting ZIP Code

27. Person Reporting Last Name

28. Person Reporting First Name

29. Are you the person bitten?

30. Person Reporting Address

31. Person Reporting City

32. Relationship to Person Bitten

33. Person Bitten State (Required.)

34. Person Bitten ZIP Code (Required.)

35. Person Bitten Address (Required.)

36. Person Bitten City (Required.)

37. Person Bitten Last Name (Required.)

38. Person Bitten First Name (Required.)

39. Animal Owner's City

40. Animal Owner's State

41. Animal Owner's ZIP Code

42. Animal Owner's Address

43. Apartment Number

44. Animal Species (Required.)

45. Animal Owner's First Name

46. Animal Owner's Last Name