Disease Reporting Form

According to Sec 32. 7 M.R.S.A. §1801 and 01-001 Chapter 206: Prevention and Control of Certain Diseases of Domestic Animals and Poultry, diseases or pathogens must be reported to the Maine Department of Agriculture, Conservation and Forestry, Division of Plant and Animal Health. Please fill in all applicable fields below and be sure to hit the submit button when finished.

If you are unable to submit this form for any reason, please download the printable disease reporting form (PDF), fill it out and fax 207-624-5044, or e-mail renee.blais@maine.gov, or telephone your report by calling 207-287-7624.

Contact Information
Check one:
Confirmed Suspicion
Location of Animals
Owner's Name and Address
Please fill in the following information (if applicable):
Other comments or questions you may have: