Report an Animal Bite

Report an Animal Bite

Section 11.03 of NYC Health Code requires all animals bites to be reported within 24 hours of the event. All personal information submitted on this form will be held in strict confidence.

Form VPHS 55 - EGP

* Indicates required fields

General Information

Animal Ownership

Person Bitten Information

Person Bitten Sex

Person Reporting Information

Has the person bitten obtained medical treatment?
Are you the person bitten?

Animal Owner's Information

For Office Use Only

Please check "I'm not a robot" below to verify you are a person.