Mosquito Complaint Form

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Know of a mosquito nuisance that needs reporting?

Please help the Environmental Health Division control the mosquito population in Dallas County by filling out the following:

**indiates required information

LOCATION OF COMPLAINT
**Address
Major East/West cross street
Major North/South cross street
City
**Zip code
Additional Comments
COMPLAINT SUBMITTED BY
**Name
**Phone
**E-mail
Need notification of the results of the site investigation?		YES		NO