OERS

OCEANOGRAPHIC ENVIRONMENTAL RESEARCH SOCIETY

OERS

Disclaimer: All information provided in this form is confidential and will be used solely for research purposes.

OTTER ATTACK REPORT FORM

Information about Attacked Person(s) (if more than one individual involved please indicate):

Name: Age: Occupation:

Gender: City: Country:

Severity and type of injury / treatment received:

Information about Otter Attack:

Date of Attack: Time:







Yes

  Please check all that apply:



 

Information about Person reporting Otter Attack (if different than above):