State Form 14072 - Official Indiana Animal Bites Report Page 2

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Animal Bite Classification System – Proper Use
Bites are classified alphanumerically. The alpha designation indicates the victim, geographic location, and if the animal
has bitten previously. The numeric designation indicates severity with (1) the least severe and (5) the most severe.
Section I – Victim
Section II – Confined/Stray
Section III – Repeat Biter
Section IV – Bite Severity
H = Human
C = Confined at the time of
R = Repeat biter, previous
1. Minor Scratch
the bite
information on file
2. Minor, punctures 4 or
less
D = Other animal
3. Moderate, punctures
(domestic)
S = Stray, roaming, off
O = No previous bites
property, or not legally
4. Severe, punctures (4 or
more) deep may include
restrained
W = Other animal
crushing or tears from
shaking
5. Death
Example: H/C/R/3 = A bite to a human; the animal was legally confined at the time of the bite; the animal has bitten
previously, and this is a bite of moderate severity.
Initial Owner/Victim Contact – Action for Quarantine
Location:
Description:
Date:
Officer:
Results:
Failed Quarantine (indicate reason):
th
Victim contacted on the 10
day:
Date:
Agent contacting victim:
Individual spoke with:
Reserved space for office use:

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