OCEAN COUNTY MOSQUITO COMMISSION

How you can stop mosquitoes:

[Become a junior inspector:]

Section A

Section B

Form Submission

Kids if you want to become a junior inspector then fill out your name and address info and place a check mark below by all the items you found around your home containing water and have your parents help you.When you are finished click on the submit button below::

SECTION A -- Address Info:

What is your mailing address:

Name:

Street:

City :

State:

Zip :

Phone:

Email:

 

 

 

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SECTION B -- Breeding areas around your home:

  1. Select breeding sites in your yard:

    Clogged Gutters
    Old Tires
    Plastic wading pools
    Clay pots and plastic containers
    Empty bottles,cans,toys,etc.
    Water trapped in tarps used to cover pools,boats,etc.
    Canoes and small boats holding water
    Water in bird baths
    Water in garbage cans and lids
    Flower pot dishes holding water
    Dripping outside water faucets
    Unused swimming pools that have become stagnant
    Other: Please specify other areas in the additional comments field.
2. Comments

 

 

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FORM SUBMISSION

Thank you for taking the time to fill out this form.

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Author information goes here.
Copyright © 2002 [Ocean County Mosquito Commission]. All rights reserved.
Revised: March 25, 2002.