Tick or Pest Identification Request Form
Please fill out this form. A copy of your responses will be emailed to the address you provided.
Please print the email and place it in the envelope with the Tick or Pest sample before mailing it to the District.
Our address is 155 Mason Circle, Concord, CA 94520
Email address *
Date *
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DD
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Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Type of Request *
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