Home > Weed Pest & Mosquito > Larvicide Service Request Form Larvicide Service Request Form Request for control services for treatment of water bodies to target mosquito larvae and pupae before they become adult mosquitoes. Services are paid by your tax dollars.Your Contact InformationName(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) Service LocationService Address(Required) Service City(Required) Parcel Number Service InformationWhat is the type of water body?(Required) Pond Ditch Spongy Ground Irrigation Other (Please Describe) Other (Please Describe) Are there pets on the property?(Required) Yes (please describe below) No Don't know What kind of pets Would you like us to call ahead before we come out?(Required) Yes (phone number below) No Phone number What time of day do you see mosquitoes?(Required) Morning Day Dusk Night Don't know Are the mosquitoes biting?(Required) Yes No Where are the mosquitoes found?(Required) Inside Outside Don't know Do you have a gate code to enter your subdivision You have permission to enter my property without my presence(Required) Yes No Please provide a brief description of the problem(Required) Is there anything else we should know about the property?
