Standing Water Report Form:
 
Standing Water Report Form
 
 
If you would like to leave a message instead with the NSMAD district
office,@(847) 446 - 9434:  Please Press/Enter in THREE(3) anytime
during the welcome message and Report your Potential Breeding Site.
 
 
Name:
Telephone#:
Location of Standing Water:
Address:
City:
Type of Mosquito Breeding Site(s):
 Artificial Pond
Catch Basin
Drainage Ditch
Bird Bath
Construction Site
Forest Area
Old Tires
 Roadside Ditch
Yard Depression
Swimming Pool
 Tire Ruts
Other
Thank You for your Report, The NSMAD
The NSMAD is interested in finding and locating potential breeding sites.
This form will help us with our Larvaciding program and our control
efforts in treating standing water throughout the district. If you could
please fill out the following information and when finished please click
on the "Send Form" button below. Your information is greatly
appreciated.
Standing Water Report Form (That Stands for seven days or more) :
If "Catch Basin": is Checked Above, Please Select # Found:
Please Give A Brief Description of the Breeding Site(s) Location(s) and if
you own a family pet (Dog,Cat,or Other) please add a note below:
North Shore Mosquito Abatement District
Standing Water Report Form
 

© 2008 NSMAD

If you have any additional type of information that
you would like to share with us, Please E-Mail Us: nsmad@nsmad.com

NSMAD HOME PAGE  I  NSMAD DISTRICT PROFILE  I  NSMAD DISTRICT MAP  
NSMAD ANNUAL REPORT  I  NSMAD HOME OWNER TIPS  I  WEST NILE VIRUS INFORMATION
NSMAD STANDING WATER REPORT FORM  I  NSMAD DEAD BIRD FINDING REPORT FORM    
NSMAD LARVICIDING PROGRAM  I  NSMAD ADULTICIDING PROGRAM  I  FUN  MOSQUITO STUFF
VECTEST/PCR POSITIVE TEST RESULTS  I  NSMAD BOARD MEETING DATES
CONTACT NSMAD  
To see a poster that reviews Homeowner Tips on
Standing Water around your house, Click on the
following link:"Protect Your Home Against Mosquitoes":
Designed and Created by:
The Illinois Department of Public Health.