TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
DEPARTMENT OF SAFETY SERVICES
ENVIRONMENTAL SAFETY
PEST CONTROL REQUEST FORM
Please fill out the following form to request pest control service. All fields are required. Once the form has been submitted, it will be reviewed by Safety Services and treatement will be scheduled. For additional information, contact your campus safety services office
Amarillo (806)-354-5441
El Paso (915)-783-5245
Odessa (432)-335-1820
Lubbock (806)-743-2597
Request Date:
5/21/2013
Requestor Name:
enter your name
Room Number:
enter office/location to be evaluated
Phone Number:
enter your phone number
E-mail Address:
enter your e-mail address
Department:
enter your department name
Campus:
Amarillo
El Paso
Lubbock
Odessa
select your campus
- Enter the reason for consultation