UAMS Campus Enviromental Services
Pest Control Request

∗ Contact Name (First & Last Name)

∗ Department

Slot

∗ Phone

∗ Contact Email

How to resolve your Email

∗ Preferred Date

∗ Building

∗ Floor

∗ Room

∗ Type of Pest Control Service(s) Needed?

Ants

Cockroaches

Flies

Small Flies

Rodents

Spiders

Other (Give details below)

Description of Tasks / Comments

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∗ - Required fields in yellow

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