Your Information
Use this form to request service from Calaveras County Mosquito Control.
Date
Your Email
Additional Comments
Day Phone *
Your Name *
City . . .
Address .
Ø indicates an incorrect or required entry
Zip
Complaint Location (if different)
Street Address
City
APN
Complaint or Service Type (check all that apply)
Adult Mosquitos
Breeding Sites
Ponds - Fish Inquiry
Time of Day Mosquitos Noted (check all that apply)
Morning
Daytime
Evening/Night
OK to inspect if I am not home
OK to treat with larvacides
Please Check
Calaveras County Environmental Management Agency
Mosquito Complaint / Service Request Form
* = required