Dead/Ill Bird Report and Lab Submission - Department of Health (New Jersey)
Form Template
Information from this form should be entered into the web-based, secure WNV surveillance system by the agency submitting the specimen.
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The WNV surveillance system will generate a unique identifier called a USI. Vectorborne Disease Program staff will enter the information for you and contact you about getting access to the electronic surveillance system. Be sure to include your fax number so program staff can send you the USI to be submitted with the bird.
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