RIFA IDENTIFICATION SUBMISSION FORM

Please complete the information below and submit this sheet with the dead ants to the address below.  Our technical staff will identify the ants and contact you as soon as possible with the results.

Lab Use Only

  ID:    Fire Ants          Other     

  ID By:                                          

 Citizen contacted:  Yes        No    
                                                        

 

Name:                                                                                                                                        
Location Address:                                                                                                                      
City:                                                                     Zip Code:                                                       
Home Phone:                                                       Work Phone:                                                 
FAX:                                                                    E-Mail:                                                          
Weather Conditions:                                             Temperature:                                                
Date:                                                                     Time:                                                            

If you find fire ants at another property, please list that address above.

Orange County Fire Ant Authority, P.O. Box 59, Santa Ana, CA  92702

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