Bat Mortality Reporting Form

Important: If a person or domestic animal has been exposed to a bite, scratch, or saliva from a live or dead bat call the local public health department for further guidance regarding getting the bat tested for rabies and consult your physician or veterinarian. Bats for rabies testing should be refrigerated not frozen.

* Indicates Required Fields

* Name:
Address 1:
Address 2:
* City: Zip:
* Phone # - -
* E-mail:
* # of Bats Found:
* Date of Observation: January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 , 2017 2018
* County of Observation Adams Ashland Barron Bayfield Brown Buffalo Burnett Calumet Chippewa Clark Columbia Crawford Dane Dodge Door Douglas Dunn Eau Claire Florence Fond du Lac Forest Grant Green Green Lake Iowa Iron Jackson Jefferson Juneau Kenosha Kewaunee LaCrosse Lafayette Langlade Lincoln Manitowoc Marathon Marinette Marquette Menominee Milwaukee Monroe Oconto Oneida Outagamie Ozaukee Pepin Pierce Polk Portage Price Racine Richland Rock Rusk Sauk Sawyer Shawano Sheboygan St. Croix Taylor Trempealeau Vernon Vilas Walworth Washburn Washington Waukesha Waupaca Waushara Winnebago Wood
* Description of Location:
Additional Comments:
* Enter the exact characters shown below:

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