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Report of the Presence of Wild Animals

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Report of the Presence of Wild Animals Report of the Presence of Wild Animals The information recorded here is essential to emergency services personnel so that they may protect themselves and your neighbors, provide for the safety of your animals, ensure the maximum protection and preservation of your property, and provide you with emergency services without unnecessary delay. Every person in New York State, who owns, possesses, or harbors a wild animal, as set forth in General Municipal Law §209-cc, must file this Report annually, on or before April 1, of each year, with the clerk of the city, village or town (if outside a village) where the animal is kept. A list of the common names of animals to be reported is enclosed with this form. Failure to file as required will subject you to penalties under law. A separate Report is required to be filed annually for each address where a wild animal is harbored. Exemptions: Pet dealers, as defined in section 752-a of the General Business Law, zoological facilities and other exhibitors licensed pursuant to U.S. Code Title 7 Chapter 54 Sections 2132, 2133 and 2134, and licensed veterinarians in temporary possession of dangerous dogs, are not required to file this report. Instructions for completing this form: 1. Please print or type all information, using blue or black ink. 2. Fill in the information requested on this page. 3. On the continuation sheets, fill in the information requested for each type of animal that you possess. 4. Return the completed forms to the city, town, or village clerk of each municipality where the animal or animals are owned, possessed or harbored. 5. File a new report each year, by April 1, for as long as you keep the animal or animals. 6. You are referred to General Municipal Law §209-cc for additional information. A Copy of the statute is attached and can be accessed at: www.dos.ny.gov. And the list of common names of animals to be reported is attached and can also be accessed at the OFPC website: www.dhses.ny.gov/ofpc/laws/wildanimals.cfm Instructions to the Municipal Clerk: Forward copies of this report to: 1. Each NYS Police troop, county sheriff, and municipal police agency having jurisdiction over the location of the wild animal; 2. The fire chief of each fire department, fire corporation, or fire company serving the location of the wild animal; 3. Each ambulance, or emergency medical service department, serving the location of the wild animal; 4. The Ontario County Humane Society. Report of the Presence of Wild Animals Owners Name: Business Name (if a business): Street Address: City, State, Zip: Telephone Number: Cell Number: Address where animal(s) located (if different than above): Name of emergency contact: Daytime phone number: After-hours phone number: Signature of person completing form: Print name: Title (if a business): Report of the presence of Wild Animals List of Animals at this Address Common Name of Animal Number of such Scientific Name (Genus and Species) If Animals at this location Known THIS FORM MUST BE FILED WITH THE TOWN OF VICTOR CLERK’S OFFICE @ 85 EAST MAIN STREET, VICTOR, NY 14564. DO NOT FILE THIS FORM WITH THE NYS DEPARTMENT OF STATE OR THE NYS DIVISION OF HOMELAND SECURITY AND EMERGENCY SERVICES. Report of the presence of Wild Animals List of Animals at this Address Continued Common Name of Animal Number of such Scientific Name (Genus and Species) If Animals at this location Known The Notification of Presence of Wild Animals Pursuant to General Municipal Law §209-cc, everyone who owns, possesses or harbors certain wild animals must report the location of the animal to his or her municipal clerk. The clerk must then forward the Report to all police agencies and emergency responders having jurisdiction, for their awareness in case of a call to that location. The documents contained in this section will explain these requirements in further detail. Required Annual Reporting of the Presence of Wild Animals Statutory Authority: General Municipal Law §209-cc All persons required to report the owning, possessing or harboring of a wild animal under General Municipal Law §209- cc shall file such report with the relevant city, town or village clerk on or before April 1 of each year. The state fire administrator, in consultation with the Department of Environmental Conservation, has developed the following list of the common names of wild animals to be reported: If your animal is on this list, use the attached form to properly report your animal to your local municipality. Ursidae . American Black Bear . Brown Bear, or Grizzly Bear . Giant Panda, or Panda Bear, or Panda . Polar Bear . Red Panda . Malayan Sun Bear . Spectacled Bear . Sloth Bear . Asiatic Black Bear Felidae . Serval . Flat-Headed Cat . Eurasian Lynx . African Golden Cat . Caracal . Canada Lynx . Puma, or Mountain Lion, or . Asian Golden Cat . Spanish Lynx Cougar . Bornean Bay Cat . Bobcat . Painter, or Florida Panther . Black-Footed Cat . Pampas Cat . Marbled Cat . Chinese Desert Cat . Geoffroy's Cat . Clouded Leopard . Jungle Cat, or Swamp Lynx . Guigna . Lion . Sand Cat . Pallas's Cat . Jaguar . African Wildcat . Leopard Cat, or Bengal Cat, . Leopard . Jaguarundi or Tiger Cat . Tiger, or Siberian Tiger . Ocelot . Rusty-Spotted Cat . Snow Leopard . Margay . Fishing Cat Canidae . Dhole . Gray Fox, or Tree Fox . Falkland Island Fox . Island Fox . Arctic Fox . Fennec Fox . Red Fox, or Silver fox . Short-Eared Dog . African Wild Dog . Corsac Fox . Side Striped Jackal . Hoary Fox . Blanford's Fox . Golden Jackal . Raccoon Dog . Tibetan Sand Fox . Coyote . Bat-Eared Fox . Swift Fox . Gray Wolf . Pampas Fox . Kit Fox . Black-Backed Jackal . Culpeo . Bengal Fox . Red Wolf . Argentine Gray Fox . Sand Fox . Simian Jackal . Sechura Fox . Pale Fox . Crab-Eating Fox . Bush Dog . Cape Fox . Maned Wolf Nonhuman Primates and Prosimians . Woolly Spider Monkey, or . Black And White Colobus, or Muriqui Guereza . Crowned Lemur . Common Woolly Monkey . Black Colobus Monkey . Red-Footed Lemur . Titi Monkey . Proboscis Monkey . Black Lemur . Masked Titi . Francois Leaf Monkey . Mongoose Lemur . White-Fronted Capuchin . Thomas's Langur, or . Red-Bellied Lemur . Brown Capuchin Monkey Thomas's Leaf Monkey . Golden Bamboo Lemur . White Throated Capuchin . Red Colobus Monkey . Gray Gentle Lemur . Red-Backed Squirrel Monkey . Tana River Red Colobus . Ring Tailed Lemur . Squirrel Monkey Monkey . Ruffed Lemur . Uakari . Olive Colobus . Hairy-Eared Dwarf Lemur . White-Nosed Saki . Golden Monkey, or Golden . Greater Dwarf Lemur . Saki Snub-Nosed Monkey . Fat-Tailed Dwarf Lemur . Allen's Swamp Monkey . Hanuman Langur, or Gray . Greater Mouse Lemur . Collared Mangabey Langur . Mouse Lemur . Redtail Monkey . White-Headed Langur . Brown Mouse Lemur . Diana Monkey, or Guenon . Dusky Leaf Monkey . Fork-Marked Lemur . Owl-Faced Monkey . Goeldi's Monkey . Indri . Blue Monkey . Silvery Marmoset . Avahi, or Woolly Lemur . Mona Monkey . Common Marmoset . Sifakas . Debrazza's Monkey . Pygmy Marmoset . Aye-Aye . Grivet, or Savanna Monkey . Golden-Headed Lion Tamarin . Allen's Bush Baby . Patas . Golden Lion Tamarin . Lesser Bushbaby . Black Mangabey, or White- . Saddle-Backed Tamarin . Thick-Tailed Galago, or cheeked . Emperor Tamarin Bushbaby . Mangabey . Red-Chested Moustached . Slender Loris . Formosan Rock Macaque Tamarin . Slow Loris . Long Tailed Macaque, or . Red-Footed Tamarin . Lesser Slow Loris, or Pygmy Crab-Eating Macaque . Moustached Tamarin Slow Loris . Japanese Macaque, or Snow . Black-Mantled Tamarin . Potto Monkey . Cotton-Top Tamarin . Western Tarsier . Rhesus Monkey, or Rhesus . Agile Gibbon . Spectral Tarsier, or Celebes, Macaque . Hoolock Gibbon or Sulawesi . Black Macaque, or Celebes . White-Handed Gibbon, or Lar . Tarsier Ape, or Celebes Macaque Gibbon . Philippine Tarsier . Macaque . Molochs Gibbon . Howler Monkey . Lion-Tailed Macaque . Gray Gibbon . Brown Howler . Barbary Macaque . Pileated Gibbon . Mantled Howler Monkey . Drill . Siamang, or Great Gibbon . Red Howler Monkey . Mandrill . Eastern Lowland Gorilla . Southern Night Monkey, or . Talapoin Monkey . Mountain Gorilla Southern Owl Monkey . Savanna Baboon, or . Western Lowland Gorilla . Owl Monkey Hamadryas Baboon . Bonobo, or Pygmy . Black-Handed Spider Monkey . Olive Baboon Chimpanzee . Spider Monkey . Gelada Baboon . Chimpanzee . Angolan Colobus . Orangutan All Venomous Snakes and All . Rhinoceros Viper, or River . Tiger Rattlesnake Constrictors and Python Snakes Ten Jack . Uracoan Rattlesnake Feet or Greater in Length . Dwarf Sand Adder . Chihuahuan Ridge-Nosed . Namaqua Dwarf Adder Rattlesnake . Black Mamba . Yellow-Lined Palm Viper . Sharp-Nosed Viper, or . Eastern Coral Snake, or . Honduran Palm Viper Hundred Pacer Harlequin Snake, or Western . Guatemalan Palm Viper . Saw-Scaled Viper, or Carpet Coral Snake . Guatemalan Tree Viper Viper . Brazilian Coral Snake . Eyelash Viper, or Schlegel's . Leaf-Nosed Viper, or . Arizona Coral Snake Viper McMahon's Viper . Indian Cobra, or Monocled . Amazonian Palm Viper . Bushmaster Cobra, or Chinese Cobra . Fer-de-Lance . Undulated Pit Viper . Black-Necked Cobra, or . Barba Amarilla . Barbour's Pit Viper Spitting Cobra . Urutu, or Wutu . Godman's Pit Viper . Mozambique Spitting Cobra . Rhombic Night Adder . Black-Tailed Horned Pit Viper . Cape Cobra, or Yellow Cobra . Horned Desert Viper . Hognosed Viper . White-Lipped Cobra, or . Malayan Pit Viper . Jumping Viper Forest Cobra . Eastern Diamondback . Western Hog-Nosed Viper . Egyptian Cobra Rattlesnake . Massasauga Rattlesnake . Shield-Nosed Cobra, or Cape . Western Diamondback
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