Skip to Main Content
Loading
Close
Loading
Government
Departments
Our Community
Doing Business
I Want To...
Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
Animal Control
Aquatics
Building Inspections
City Secretary
Communications
Community Center
Customer Services
Finance
Fire Department
Library
OEM
Parks and Recreation
Parks Facilities
Planning
Police Department
Recreation Center
Special Events
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Mosquito Concern Report
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Citizen First Name
*
Citizen Last Name
*
Citizen Address
*
Citizen Phone Number
*
Citizen Email Address
*
If this report concerns standing water, is the standing water on:
Private property
Public property
Not sure
Address of standing water, if different from your own:
Description of standing water, including where the standing water is located to allow City staff to easily find the issue when investigating:
If this report concerns mosquitoes, what time of day do you notice the mosquitoes?
Morning
Afternoon
Evening
All of the above
If you have mosquito bites, where on your body are the bites located?
Below the knees
All over body
If this report concerns spraying for mosquitoes, what is your concern?
Why are you spraying my neighborhood?
Why aren't you spraying my neighborhood?
Other
If you answered Other to the question above, please explain:
Any other information that you would like to share with City staff so that we can investigate your mosquito concern efficiently:
Do you want a City staff person to follow up with you regarding this report?
*
Yes
No
Thank you for submitting a report. Please remember that the best protection against West Nile Virus is to follow the four D’s: (1) Dress to protect: wear long sleeves and long pants. (2) Dusk, Daytime and Dawn: protect yourself against mosquitoes anytime you are outside. (3) Defend: wear insect repellent with DEET, Picaridin, Oil of Lemon Eucalyptus or an effective alternative. (4) Drain standing water: eliminate any water that stands for longer than 5 days or treat water with larvicide according to the label.
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
* indicates a required field
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow