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2. Report a Dead Animal / Bird

   This is the form you need to use to report a dead animal or bird to the Public Health Department. The location must be within Jefferson County. If you are reporting road kill, please contact your local municipality.

4. First Name*
5. Last Name*
7. Address*
9. Address Line 2
11. City
12. State
13. Zip Code
14. Country
16. Phone Number*
17. Email Address*
19. Is the dead animal/bird located at your address?*
    -- Select One --YesNo
21. Type of dead animal / bird
23. Dead Animal / Bird Condition

    Check all that apply

    1. Bite marks
    2. Maggots present
    3. No signs of death
    4. Road kill (Please report to your local municipality)
    5. Trauma present
25. Additional Comments
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field