Your name :

Address: 

City:       

ZIP:        

Your telephone number (???-???-????):

Type of mosquito producing water source: (examples of mosquito sources)

Pond                                            Ditch or culvert                           Depression holding water

Swimming pool stagnating             Building foundation with water     Creek or stream stagnating

Catch basin or drain in backyard   Un-rimmed tires containing water      Wetland or swamp   

Other

Additional Comments:   If your property is large, heavily wooded or the water source may not be obvious to find please describe in detail the location (nearest major street intersection is also helpful)?   If you selected "other" above describe the type of water source? 

Please note:  It may take up to 3 days to schedule an employee to inspect/treat your water source.  If your mosquito producing water source is not already on our mosquito source maps any inspections or treatments on your property will be indicated on a door hanger containing information about what has been done on your property.  If you have any questions please call our District office at (847) 537-2306, M-F, 9-3:30 PM.