Animal Bite Report Form
With animal bite reporting, Polk County Public Health assesses the risk of rabies exposure in a person bitten
or otherwise exposed to an infected animal’s saliva. (OAR 333-019-0024)

To ensure the safety of our communities, Polk County Public Health works with Polk County Animal Control, and other relevant agencies to address animal bite reports. 

If you have any questions, you may call us at 503-623-8175. Thank you!

Complete and submit the Animal Bite Report Form below. 

Sign in to Google to save your progress. Learn more

Date of incident
*
MM
/
DD
/
YYYY
Time of incident
Time
:
Type of animal *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of co.polk.or.us.

Does this form look suspicious? Report