Tick Submission Form 2026

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The document is a Tick Submission Form designed for individuals or health departments to report and submit tick specimens for identification and testing. It includes sections for the submitter's contact information, details about the tick and the person bitten, and instructions for submission to the Connecticut Agricultural Experiment Station.

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Click ‘Get Form’ to open the Tick Submission Form in our editor.
Begin by entering the date at the top of the form. This helps track when the submission was made.
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.
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.
Complete the section regarding the person bitten by the tick. If different from above, include their name, address, telephone number(s), age, and gender.
Document where on the body the tick was found and specify the town where it was acquired.
Finally, review all entries for accuracy before submitting your completed form along with your tick specimen to the specified laboratory address.

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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (75 Votes)
2015	4 Satisfied (22 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can you send a tick off to be tested?

miyamotoi), Babesiosis, Anaplasmosis, Ehrlichiosis, Bartonellosis, and Rickettsiosis. The tick does not need to be fully intact to be sent in for testing. Fill out the Tick Test Request Form to send a tick for testing.

How do I tick on an online form?

The standard charge for tick testing is $50.

What are the odds of getting Lyme disease from a tick?

If a biting tick carries the Borrelia bacteria, people can contract Lyme disease. The chance of contracting Lyme after a tick bite is on average 2 to 3 percent, despite the fact that 20 percent of ticks are infected with the Lyme bacteria. If you remove the tick quickly (within a few hours) this chance halves.

How do I submit a tick?

Ticks should be submitted by residents to their municipal health departments. Tick testing is offered by The Connecticut Agricultural Experiment Station (CAES) as a public service and there is no fee for tick identification and/or testing.

Where to go if you have a tick?

Ask for an urgent GP appointment or get help from NHS 111 if: youve been bitten by a tick or visited an area in the past 3 months where infected ticks could be.

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How to get a tick checked for Lyme?

Contact your local and provincial public health authorities for details on the: availability of tick testing programs in your area.

Where to send a tick for testing in CT?

Insert a check mark or tick mark in Word Place your cursor at the spot where you want to insert the symbol. Go to Insert Symbol. Select a checkmark symbol to insert or do the following: Select More Symbols. Double-click the symbol to insert it into your document. Select Close.

Tick Submission Form 2026

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