AGK Dog Bite Report Thank you for completing the Dog Bite Report to provide Adopt a Golden Knoxville with detailed information about the recent dog bite. Note: If there has been more than one bite by this dog, please submit a separate report for each one.DOG'S DETAILSDog's name and AGK number if known:
CONTACT INFORMATIONName, age (if under 18), phone number, address & email address of the person who was bitten.
Name, phone number, address & email address of the person completing the Dog Bite Report (must be at least 18):
Your relationship to the person who was bitten:
Did you witness the bite or are you reporting what you were told?
DETAILS OF THE BITEDate of bite:
Physical location where bite occurred: (Please include all details - Did bite happen inside or outside? If the bite happed inside, what room was the dog in? If the bite happened outside, where was the dog?)
Location(s) of wound(s) on the person's body:
How long had the dog been in the foster or adoptive home before the bite?
How long had the dog known the individual who was bitten?
To your knowledge, has the dog previously bitten or theatened to bite anyone - a member of the family, frequent visitor to the home, stranger? If so, briefly describe the situation.
QUESTIONSPlease select ONE response that best describes the bite. You will have an opportunity to provide more details about the bite when responding to the questions that follow.
Please answer the following questions to give us a better understanding of the dog bite. If you do not know the answer to a question or if it is not applicable in this situation, leave it blank.Describe the bite in your own words in such detail that we have a mental image - a video, if you will - of the bite.
Did the dog give any kind of warning before the bite, such as growling and/or baring its teeth?
Did the dog bite and let go or hold on? If the dog held on, for approximately how long? What did it take for the dog to release?
Was the bite an opposing bite, meaning pressure from the upper and lower teeth (often you can tell by the marks left on the skin)?
Did the bite occur when the dog was in genuine pain? Explain.
Could the dog have retreated rather than bitten?
Was anyone attempting to break up a dog fight when the bite occurred?
Dogs sometimes bite because they are afraid. They cannot talk, so they express fear in nonverbal ways. What makes one dog afraid may not scare another dog. Common fears of dogs include: *Children - making sudden, loud noises, getting in dogs' faces, running toward dogs & climbing on them, following dogs when they are trying to get away, grabbing a toy or bone away from a dog. *Unfamiliar locations & objects – vacuum cleaners, balloons, hats, garden statues, costumes, loud noises, masks & unfamiliar people. * People staring straight into a dog's eyes. *Forcing a dog to do something (pulling it off a couch, pushing it in a crate, pulling it through a doorway, grabbing it for a hug). *Threats from other dogs especially if they are new to them or aggressive.In your opinion, did anything happen before the bite that could have caused the dog to be afraid?
Was there any resource (food or toys, for example) close to the person who was bitten? If yes, please explain.
Describe the movement of any people or animals in the moments/seconds immediately before the bite. Did any event or action seem to trigger the bite?
ACTIONS AFTER THE BITEWhat did the dog do immediately after the bite? If some of its actions were in response to human intervention, please explain what was done by the person.
What treatment did the person who was bitten receive? Check all that apply.
Provide details of treatment.
Was Animal Control called? If yes, please provide the contact name & number, the case number, and any instructions.
Were the police called? If yes, please provide the contact name & number, the case number, and any instructions.
Was any other action taken after the bite? If so, please explain.
PHOTOSPlease provide photos of the bite. Email the photos to [email protected] and include the dog's name. If preferred, you can request a cell phone number from this same email address to text the photos. Adopt a Golden Knoxville appreciates your willingness to provide the details about the dog bite to us. Our team will review this report and reach out to you with any questions. In the meantime, if you have any questions, please email [email protected] and a volunteer will respond.