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 Environmental Safety at 806-743-2597.
     
REQUEST DATE:  5/17/2008  
REQUESTOR NAME:  enter your name
ROOM NUMBER:  enter room number to be treated
PHONE NUMBER:  enter your phone number
E-MAIL ADDRESS:  enter your e-mail address
DEPARTMENT:  enter your department name
CAMPUS:  select your campus
     
  PEST PROBLEM - ENTER DESCRIPTION OF THE PROBLEM
     
 
     
Environmental Safety - TTUHSC
806-743-2597