Schedule Bed Bug Service

Company Information:

Company Name*:

Company Representative*:

Representative Phone*:

Email*:

Job Info:

Customer Name:

Service Address:

City:

Zip Code*:

Phone Number:

Cell Phone:

Steam:
 Yes No

How many vehicles?:

Any additional areas?:

Unit #'s To Be Serviced:

If there are multiple units, are they next to each other?
 Yes No

What floor are the units on?

Do the windows open on each floor where service is to be provided?
 Yes No

Sprinkler System?
 Yes No

Level of infestation:
 Heavy Light

Level of clutter:
 Heavy Medium Light

# of Bedrooms:

# Living Areas:

Square Feet (if a home):

Is parking available close to the units to be serviced?
 Yes No

Are there any locked gates or access codes needed?
 Yes No

Access code:

Keys can be picked up
 From Onsite Manager Direct from tenant

Or, Pick up keys from:

Are there any pets or exotic animals?
 Yes No

Please make sure all pets/exotic animals are removed from service site

Signed prep sheet will be:
 sent by PCO picked up on day of service with manager/tenant/owner

Special Instructions: