Service Request Form - Sacramento-Yolo Mosquito & Vector Control District

Neglected Pool Report Form

Please enter the address of the neglected pool:
Address of pool:
City:
Zip:
Nearest Cross-Street:
Vacant Home:
Pool Type:
	Please describe any further details that will assist our technicians inspecting the property (where pool is best viewed from, any dogs or other animals, how long the pool has been dirty, etc).
If you would like to be contacted to assist the technician or after the pool is inspected, please fill out your contact information below. You may leave the contact fields blank and the report will be anonymous.
First Name:
Last Name:
Phone:	() -
E-Mail Address:
	How did you hear about us? Check as many as apply: Radio commercial TV/Radio news report Bus ad Online web ad Newspaper ad Outdoor Billboard Over the gas pump ad Brochure Presentation Community event Door hanger Word of mouth Web search engine Vehicle ad or bumper sticker Other (please specify below)
	Important notes regarding neglected pools Once your request is processed one of our technicians will inspect the pool, treat it with products that kill mosquito larvae and add mosquitofish which will help keep mosquito production under control. Pool water will remain dirty and dark even after it has been treated and mosquitofish have been added. Please DO NOT add chlorine to the pool. This will kill the fish and start the mosquito production cycle. Thanks for your help in protecting our community from mosquitoes and West Nile virus! Upon submitting this form you will be shown a confirmation detailing your request. If you do not see this confirmation screen or experience other issues please send us an email with the web browser and version you are using to webmaster@fightthebite.net or call 1-800-429-1022.