SCROLL
TO TOP
You do not have javascript enabled. Your browser must support javascript and be enabled to use this resource. See the Site
Disclaimer
for compatibility information.
Toggle navigation
Toggle navigation
Home
Request Service
About
About
Contact
Add New Mosquito Service Request
Request Type
*
Select...
MOSQUITOS
STANDING WATER
DITCHES NEED CLEANING
SPECIAL EVENT SPRAYING
PROPERTY RELEASE
BEEKEEPER
EDUCATION
OTHER
Need help deciding what to request?
Please note: Not all situations necessitate that your property be sprayed. We will apply appropriate mosquito control measures depending upon the mosquito species and severity of the problem. Please help by eliminating any standing water that may provide a place for mosquitoes to breed – thank you.
Contact Information
First Name
*
Last Name
*
Street Number
*
Street Name
*
Apt/Suite/Lot #
Zip Code
*
Primary Phone (H)
*
Alternate Phone (ALT)
Email
*
Gates/Fence Locked
Prefer to be Home
Bees on Property
Dog in Yard
Check the box to indicate, I hereby authorize Chesapeake Mosquito Control Commission, its qualified agents and employees to conduct mosquito control efforts which include, but are not limited to, surveillance, source reduction, and insecticide treatment of mosquitoes from and/or on my personal property.
Additional Comments
*
Field is Required.