Sample Resident Bed Bug RepoRting FoRm - extension entm purdue 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name and date at the top of the form. While providing your name is optional, including it can help with follow-up communications.
  3. Fill in your address details, including unit number, city, state, and zip code. This information is crucial for accurate reporting.
  4. Indicate your preferred contact method by checking either phone or email and providing the necessary details.
  5. Answer how many rooms are in your unit and describe any signs of bed bugs you have observed, such as bites or stains.
  6. In the evidence section, check all applicable boxes regarding where you’ve noticed signs of bed bugs and provide additional details if necessary.
  7. Complete the questions about recent travel or visitors, used furniture purchases, and any vulnerable individuals in your home.
  8. Review all entries for accuracy before submitting the form through our platform for efficient processing.

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Collect potential bed bugs in a sealed container and save them for ID by your pest management professional. If in an occupied room, have the patient shower and put on clean hospital-distributed clothes. Place their clothes and personal items in a sealed plastic bag. Move patient to a new room.
The following is a letter i wish to submit to work due to the last year and several cases of bed bugs they have Customer: Dear Sir, I would like to submit a letter regarding the situation we faced last year with multiple cases of bed bugs in the apartment where we worked.
If you think you have found bed bugs in a hotel, nursing home, hospital, prison, or on public transportation, you should report it to property staff and the local county health or environmental health department.
If traces of bed bugs are found: Take the room out of service and quarantine it. If the room is occupied, work with management to move residents to a new room. Contact Orkin immediately to (1) inspect the infested room and (2) pre-treat room to which any residents are to be moved.
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