2. Mosquito Control Request

4. Please complete this form if any of the following apply:

   • You have Bees and need to be added to the Do Not Spray list, 
   • You do NOT have bees and would like to request to be added to the Do Not Spray list, 
   • You would like to submit a Spray Request.

   **DO NOT SPRAY REQUEST MUST BE SUBMITTED ANNUALLY BEFORE SPRAYING SEASON BEGINS.**

   Spraying will be stopped around 300 feet before and after the property location provided.

   NOTE: Requests will be taken into consideration based on current threats levels to Public Health.  Spraying may continue in all areas during an increase in Mosquito populations or Mosquito-Borne Diseases.  

8. Request Type.

9. Mark only one Oval.*
   -- Select One --Bees - Do Not SprayRequest - Do Not SprayRequest - SprayOther

   
   

   
   

11. Provide Description for your Request.

    • If requesting to be added to the Bees- Do Not Spray List , provided location of bees on property.
    • If requesting to be sprayed, please describe the nature of the complaint.
12. Request Description*

16. Contact Information:

18. First Name*
19. Last Name*
21. Phone Number*
22. Email Address
24. Address*
26. City*
27. State*
28. Zip Code*
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field