Tick Submission Form 2026

1. Click ‘Get Form’ to open the Tick Submission Form in our editor.
2. Begin by entering the date at the top of the form. This helps track when the submission was made.
3. Fill in your information in the section labeled 'Information on person/health department submitting tick.' Include your name, address, city, state, zip code, email address (required), and telephone number(s). Ensure all details are legible.
4. Indicate whether the tick was removed from a pet by selecting 'Y' for yes or 'N' for no. If yes, provide the pet's species, name, and age.
5. Complete the section regarding the person bitten by the tick. If different from above, include their name, address, telephone number(s), age, and gender.
6. Document where on the body the tick was found and specify the town where it was acquired.
7. Finally, review all entries for accuracy before submitting your completed form along with your tick specimen to the specified laboratory address.

Start using our platform today to easily fill out and submit your Tick Submission Form for free!