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Mosquito Control Division

Dead Bird Reporting Form

*Your Name:
           
 

*Phone Number where you can be reached during the day:
  

*Your email address:
  
*Date Bird found:      
 
*Time Bird found: (estimate if you don't remember)    AM    PM 

Dead less than 24 hours (no flies or maggots)
Appears ill or injured, but not dead yet
Ants, flies or maggots present on bird

*Address where bird was found
         
 

*City:        * Zip:     

*Location: (driveway, backyard, sidewalk)  
                                                       

*Nearest Intersection:
         
 


Your Address:
         

City: :    Zip:   

KeyMap Location, if known 

Comments/Special instructions

IMPORTANT!

Dead bird should be sealed in a plastic bag and stored in the freezer until pickup.

Submission of this form does not guarantee specimen pickup. HCPHES Mosquito Control will contact you with more information and to schedule a pickup.

I agree to the above terms and conditions  


You must check  the "I agree" button before pressing "Submit" or no data will be sent.

 

 

For more information contact:
Harris County Public Health & Environmental Services
Mosquito Control Division
3330 Old Spanish Trail, Bldg. D, Houston, Texas 77021
Phone: (713) 440-4800 Fax: ( 713) 440-4795

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Last updated:  May 18, 2011 
Harris County Public Health & Environmental Services
2223 West Loop South
Houston, TX 77027
Tel: (713) 439-6000
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