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APARTMENT TREATMENT REQUEST FORM AND WAIVER OF LIABILITY

Para obtener una versión en español de este formulario de solicitud, haga clic aquí.

 

Please fill out the following request form to opt-in for service of your unit. Failure to fully complete the form in it's entirety will result in denial of service. Please contact your apartment complex should you have any questions. A copy of the exterior treatment schedule (if any) is available at your apartment complex / property management office.

 

***PLEASE NOTE*** All treatment requests must be submitted by 5:00 P.M. 2 business days PRIOR to your scheduled service. (Example, if your apartment complex is serviced on Wednesdays, the treatment request form must be submitted by 5:00 P.M. Monday... If your property is serviced on Mondays, it is due by Thursday at 5:00 P.M.)

**If you are experiencing COVID-19 symptoms or have COVID-19, please wait until you are no longer contagious to submit the treatment request**

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COCKROACHES ARE OUR MOST REQUESTED PESTS TO BE TREATED. IF YOU ARE EXPERIENCING ISSUES WITH COCKROACHES, PLEASE FAMILIARIZE YOURSELF WITH THE TWO MOST COMMON SPECIES BELOW:

 

American Cockroaches - Adults are roughly 1 and 1/2 inches long, reddish brown, prefer dark damp areas, wings develop on adults but younger stages will not. They are typically accidental invaders seeking shelter from the elements. If they are present in large numbers, that may indicate a moisture issue/plumbing leak. 

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​German Cockroaches - Adults are approximately 1/2 inch long, light brown with 2 stripes running lengthwise. They prefer to live in gaps and crevices within 2 feet of a food source. If they have consistent access to water and food, they can number in the thousands.

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German Cockroach.png
Apartment Complex

Please select the apartment complex / rental property that you live in.

Preferred method of contact (Please skip if there is an on-site leasing office)
Call
Text
Email

A verification email of your form submission will be sent to the email address if provided. Please be sure to check your spam folder.

If you live at a rental property that does not have an on-site leasing office that can provide us with keys to access your unit, please provide your phone number so that our office can reach out to schedule your service. Please note our service hours are from 9 AM - 5 PM Monday through Friday only. We will provide a 2 hour arrival window. Scheduling is subject to technician availability.

Please describe the pest issues you are experiencing. Please include details including number of pests and specific locations. If you have a gate code to your community or yard, please provide it here.

If you would like to upload a photo of the pest you may do so here.

If you fail to provide your full name for verification of lease with the property management, your request will be denied. Abreviations or initials will not suffice.

"I, the undersigned, hereby grant my authorization for the treatment of my residence. I acknowledge that I am the legal resident of the dwelling and am fully aware that no pesticide can be guaranteed as entirely safe, and that all pest control treatments inherently carry a certain degree of risk. I understand that the technician will treat in accordance with the laws, regulations and product limitations and has the right to refuse specific treatment requests.


By signing this form, I grant permission to the designated pest management technician to enter my residence and carry out the necessary treatment(s) to effectively address the specified pest issue(s). I understand and agree that the technician will not enter my residence under the following circumstances:

  • If my pets are not properly secured away from the treatment area.

  • If a minor is present in the home without a legal adult present.


I confirm that I have been provided with access to the consumer information sheet and have had the opportunity to review it."


Please allow a few seconds for the submission message to appear.

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