Thursday, June 30, 2016
Request Service
Orange County Mosquito and Vector Control District • Online Service Request Form


To request service please complete the form below and then press the "Submit" button at the bottom of the page. Fields marked with '*' are required.

 

 
*E-mail: A valid e-mail is required.Minimum number of characters not met.A valid e-mail is required.
This is regarding someone else's property.
First Name:
Last Name:
*Why are you placing this Service Request?: Please select a valid reason.Please select an reason.
This is the location of the problem.
Site/Company Name:
*Address: A valid address is required.Minimum number of characters not met. *Street Type: Please choose NONE if there is no Street Type.
*Unit Type: Please select a valid unit type.Please select a valid unit type.
Unit Number:
*City: A valid city is required.Minimum number of characters not met.
*State: A valid State is required.Minimum number of characters not met.Exceeded maximum number of characters.Invalid format.
*Zip Code: A valid zip code is required.Minimum number of characters not met.Invalid format.

*Cross Streets:

(example: Brookhurst & Ellis)

A valid cross street is required.Minimum number of characters not met.
*Daytime Phone: A valid phone number is required.A valid phone number is required.A valid phone type is required.A valid phone type is required. Please select a valid type.Please select a valid type.
Evening Phone: A valid Phone Number is required.A valid Phone Number is required.
*Are there dogs on the property?: Please select if you have dogs.Please select if you have dogs.
Gated Community:
Gate Code: or Guard
Comments:
 


Insect Identification Form

Mosquito Fish Pick-Up Form
Mosquito Fish Pick-Up Form

Dead Bird
Report a Dead Bird


 
home | request service | vectors | environmental program | outreach | board of trustees | employment | district info
district transparency | public records request | control products | employee login | employee continuing education

Orange County Mosqutio and Vector Control District · 13001 Garden Grove Boulevard · Garden Grove, CA 92843
(714) 971-2421 or (949) 654-2421 · Hours: M-TH: 7:00 AM - 4:30 PM; F: 7:00 AM - 3:30 PM

© Web Site Created by the Orange County Mosquito and Vector Control District (OCMVCD)