Ill/Dead Bird Report Form

Cortland County Health Department
60 Central Avenue
Cortland, New York 13045
(607) 753-5035

ILL/DEAD BIRD REPORT FORM, NEW YORK STATE, Year 2000

The Health Department is taking reports on dead bird sightings within Cortland County, especially crows, and blue jays. While the Health Department is interested in collecting information about dead birds as part of its efforts to understand the West Nile virus, we will not be picking up every dead bird reported. The Department will only be collecting a small sample of the bird population. However, we encourage County residents to report all dead bird sightings on this Web site to assist the department's monitoring efforts. Birds waiting to be picked up should be kept cold by either: a) Placing a bag of ice on the bird and covering the carcass with a pail, or b) Placing the bird with ice in a cooler not used for food.

If arrangements are not made for a pick-up, please dispose of the dead bird. While West Nile virus cannot be spread directly from birds to people, you should always avoid bare-handed contact when handling dead birds and animals. Use gloves to put the dead bird in double plastic bags. Then place the bagged carcass in an outdoor garbage can.

Directions:
Enter all information requested below by typing on the computer keyboard in the available spaces. Use the Tab button to move from box to box or use your mouse to point and click. Use your Space Bar to make checks within the boxes. After all of the information is entered, use the Submit button at the bottom of the page to submit the Ill/Dead Bird Report form.

Please fill out the following information. This information will be kept strictly confidential.

Date form Completed: Email (Required):

Dead Bird(s) found by:

Name: Date of initial report:

Type (of person reporting dead bird): DEC Local Health Public

Other

Day phone: Night Phone:

Address:

City: State: Zip:

Bird(s) Information:

Species: Crow Fish Crow Bluejay

Other species:

Date found:

Symptoms:

Dead, evidence of trauma Dead no obvious cause Ill, with neurologic signs

Other:

Estimate death date: Number of Birds Dead: Ill:

Type: Captive Free ranging

Maintained: Indoor Outdoor

Location of Bird(s):

Address: Township:

City:

State: Zip: County/Borough:

Nearest cross street:

If public site, provide name:

If the above information is correct, use the Submit button to submit the Ill/Dead Bird Report form. If you need to make a change, you can hit the Reset button below to erase all of the information entered.

Copyright © 2000 Cortland County. All rights reserved. Revised: April 18, 2003 .

Copyright © 2000 Cortland County. All rights reserved.
Revised: April 18, 2003 .