Please see instructions for RFFIT submission and reporting at http://www.ksvdl.org/rabies-laboratory/. This submission form is a legal and binding contract between
KSVDL and the submitting entity. Specimens submitted become the property of the KSVDL. All fees, to include collection fees, are the responsibility of the
submitting entity and all entities must adhere to the billing policy. Fees may be paid by check (payable to KDAS), credit card, money order, or electronic bank
transfer. A 1.5% finance charge will be assessed on all charges over 60 days. Version 06/2015
For Lab Use Only:
Opened by: _______________________________ Processed By: ______________________________
Transferred By: ____________________________ Payment Received: _________________________
RFFIT Submission Form for Animals
Rabies Antibody Titer for Vaccine Response
Animal/Specimen Information
: If no specific test type is requested, sample will be run as an Endpoint.
Note: For pets traveling to rabies-free areas, please fill out the FAVN Report Form for Export Animals.
Name / ID#
Test Type
(Check One)
Sex Age Species / Breed
Rabies
Vaccination
History
Rabies Titer
History
Date of Draw
Endpoint
Screen
Endpoint
Screen
Endpoint
Screen
Endpoint
Screen
Endpoint
Screen
Endpoint
Screen
Endpoint
Screen
Endpoint
Screen
Endpoint
Screen
Endpoint
Screen
Signature of Submitter: _________________________________________ Date: ________________________________
Results will be sent to submitting clinic unless otherwise specified.
The Rabies Laboratory
Phone: 785-532-4483
Kansas State University
Fax : 785-532-4474
2005 Research Park Circle
Email: rabies@vet.k-state.edu
Manhattan, KS 66502
http://www.ksvdl.org/rabies-laboratory/
Veterinarian _____________________________________________________
Clinic Name______________________________________________________
Address__________________________________________________________
City __________________ State ______ Zip _________Country ___________
Phone Number ____________________ Fax Number _____________________
Email ___________________________________________________________
For KSVDL Rabies Laboratory Use Only
ANIMAL HEALTH LAB-U OF GUELPH
UNIVERSITY OF GUELPH, BOX 3612
GUELPH
O
N1H 6R8
CANADA
519-824-4120 X 54530
519-827-0961
ahllab@uoguelph.ca
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