Free Pest Control Service Form Template
Pest Control Service Form
Please complete this form to request pest control services for your property and to help us serve you better.
Client Information
Name
Address
Phone number
Property Details
Property Type
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Residential Home
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Commercial Building
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Apartment/Condo
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Industrial Facility
Size of Property
Areas of Concern
Pest Identification
Type of Pest
Check all that apply.
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Ants
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Roaches (Cockroaches)
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Rodents (Mice/Rats)
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Termites
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Bed Bugs
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Fleas
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Prior Treatments
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No Prior Treatments
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Chemical Treatments
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Organic/Natural Treatments
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Exclusion Services (e.g., sealing entry points)
Treatment Plan
Type of Treatment
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Chemical Treatment (e.g., insecticides, rodenticides)
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Organic/Natural Treatment (e.g., botanical insecticides)
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Integrated Pest Management (IPM) (a combination of methods)
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Exclusion and Preventative Measures (sealing entry points, habitat modification)
Frequency of Service
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One-Time Treatment
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Monthly Service
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Quarterly Service
Service Agreement
I agree to the terms and conditions of the pest control services provided by
Name:
Date:
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