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WNV - Dead Crows Reporting Form

Dead Crow Found By

Name: *

Email:

Phone:

Address:

City:

State:

Zip:

Crow Information

Date Found:

Estimated Death Date:

Symptoms:

Dead, Evidence of Trauma

Dead, No Obvious Cause

Ill, Altered Behavior

Crow Found At (Location)

Address:

City:

State:

Zip:

Township:

County:

Nearest Cross Street:

If not a private home, name of establishment where found:

Available For Testing?

Is the Dead Crow Available for Testing?:

Yes

No

Need to Call Ahead Before Picking Up Crow?:

Yes

No

Additional Comments:

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Contact Information

Claudia A. Edwards,
Director

Health Department
225 Front Street
Binghamton, NY 13905
Phone: 607.778.3930
Fax: 607.778.2838
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