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West Somerset Council

Pest Control Request For Service

Fields marked with * must be completed
Details of the pest (please select) *:	Rats Mice Squirrels in houses Wasps nests Cockroaches Flies Fleas Bed bugs Other, please specify
Other:
Please give details of location of the problem and any further information which may assist the Pest Control Contractor (max 600 characters) *:
If you would like advice please give details of your enquiry (max 600 characters):
Your Details
Name *:
House Number/Name *:
Street Name *:
Town/Area *:
Postcode:
Preferred method of contact *:	Telephone Email Fax
Contact Telephone Number:
If you would like to be contacted by telephone please state when, during normal office hours (9.00am - 5.00pm Monday to Thursday and 9.00am - 4.30pm Friday), it will be convenient
Time to contact you by Telephone:
Email Address:
Fax Number:
Security Code *:

Your form will be received by our Customer Services Team who will forward the details to our contractors who will contact you to arrange an appointment.

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