Harris County Public Health

Requestor's First Name *

Requestor's Last Name *

Primary Phone # *

Secondary Phone #

Location Of Problem

Requestor's Address *

Requestor's City * (If your city is not listed, please call (713) 440-4800)

Requestor's Zip Code *

When are mosquitoes most prevalent? Both Day Night

May we conduct an inspection for mosquito breeding sites on your property? Yes No

To more adequately address your mosquito breeding site concerns, tell us about any potential breeding sites you have identified. Check all that apply.

* Sewage or water main leaks should be reported to 311 if inside the City of Houston or your local water utility if outside the City of Houston. * Submissions are processed in the order received and will typically take 3 business days to process.

By submitting this form, I agree to be contacted by a Harris County Public Health Mosquito and Vector Control Division Representative

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Inspection Request For Mosquito Breeding

To more adequately address your mosquito breeding site concerns, tell us about any potential breeding sites you have identified. Check all that apply.