Coyote Incident Report Form - Village of Rye Brook

Date of Interaction: * Required
Time of Interaction: * Required
Duration of Interaction: * Required
Name of Reporting Party: * Required
Address of Reporting Party: * Required
Phone Number of Reporting Party: * Required
Email of Reporting Party: * Required
Address of Incident: * Required
Location Type: * Required
Type of Interaction: * Required
OBSERVATION: The act of noticing signs of a coyote(s), such as tracks, scat, or vocalizations, but without visual observation of the coyote(s). SIGHTING: A visual observation of a coyote(s). A sighting may occur at any time of the day or night. ENCOUNTER: A direct meeting that is between human and coyote(s) with no physical contact and that is without incident. INCIDENT: A conflict between a human and a coyote where the coyote exhibits any of the following behaviors: growling, baring teeth, lunging or making physical contact with person. A human is not bitten. HUMAN ATTACK: A human is bitten by a coyote(s). Provoked: An attack where the involved human encourages the coyote to engage. Examples include a human hand-feeding a coyote, approaching a coyote with pups or intervening in a coyote attack on a pet. Unprovoked: An attack where the involved human does not encourage the coyote to engage. PET ATTACK: Coyote(s) kills or injures a domestic pet. Attended: Pet is on a leash less than six feet in length or is in the presence of a person less than six feet away. Unattended: Pet is free-roaming, walking off-leash more than six feet from a person, or on a leash longer than six feet.
Activity of reporting party prior to interaction (e.g. walking, running, riding bike) * Required
Was the coyote being intentionally fed? * Required
Was pet food present nearby? * Required
Was unsecured garbage present? * Required
Were other food attractants present? (e.g. bird seed, compost, fruit, etc.) * Required
If yes to the previous question, please describe:
Was a pet involved? * Required
If yes, type of pet:
Breed of Pet:
Approx. weight of pet:
Was the pet on a leash?
If yes, was leash longer than 6 feet?
Was the pet in a fenced in yard?
Description of interaction/what happened: * Required
Actions taken by reporting party (e.g. ran away, hazed coyote, none, etc.) * Required
How did the coyote respond? (e.g. ran away, approached, etc.) * Required
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