Service Request Form

Name

Would you like to remain anonymous? Would you like to remain anonymous? I would like to remain anonymous (I understand that I will not receive results from my request)

Address (or Location of Issue)

Phone #

Email Address

Reason for Request

Comments

How Did You Hear About Us? How Did You Hear About Us? Family/Friends Radio Social Media Online Search Newspaper Other

11 + 5 =

No representative of Delta Vector Control District will ever ask you to pay for services.

The Delta Vector Control District is a special District empowered by the State to protect public. Under the California Health and Safety Code, any condition that promotes the breeding of pests capable of transmitting disease is considered a public health nuisance.