Please read the following instructions carefully:

Please fill out the form completely - incomplete forms will result in delays.
Also a copy of your pest control request will be sent to you by email after you fill out the request form.
Once the form is submitted, it will be reviewed by EH&S and the treatment  will be scheduled accordingly.
If you have any questions, please contact EH&S at 742-3876.
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Request Date
date
Requestor Name / Room #
enter your name; room number
Requestor Phone No
enter your phone number (xxx-xxx-xxxx)
Department
enter your department name
Building Name
enter building name
Room(s)to be Sprayed
enter room number(s) (eg. 123-126, 140)
Email
enter your email (eg. Krish.Raya@TTU.EDU)
Pest Problem
enter description of problem

 
For additional Information contact EH&S at 742-3876. If you have any problems/comments with this form contact webmaster.
 
 
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Environmental Health and Safety + 2903 4TH Street Rm 122 + Lubbock + Texas 79409
Copyright 2006 Texas Tech University + Developed by Krishna Rayavaram
Voice: 806.742.3876 + Fax: 806.742.3895 + Last Revised: October 20, 2007