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Send your insect specimen with this completed form to:

How to submit an insect specimen for proper identification:

• All insects (excluding butterflies and moths) should be placed in a small leak-proof container with just enough rubbing alcohol to cover specimen for preservation.
• Butterflies and moths should be packed in tissue or cotton for best possible preservation.
• You can mail or drop off specimens at your local County Extension Office or the Pest Management Office.
• IMPORTANT: Please do not submit floor sweepings, vacuum cleaner contents or specimens from the body (although ticks, suspected nits, and lice will be accepted

Please Provide:

Your Name:___________________________________      Phone Number:_____________________________

Mailing Address:______________________________________________________________________________

Email Address:_____________________________________________________________________________

Please provide the following information about your insect specimen:

Where was the insect found? (i.e. kitchen, yard, bathroom, etc.)_______________________________________

What was the insect on? (i.e. animal, tomato, sink, etc.) _____________________________________________

Approximately how many insects were found? ____________

Describe damage, if any? _____________________________________________________________________

Additional Comments: _______________________________________________________________________

Do you have treatment preferences? ____________________________________________________________

Do you have children or pets in the home? _______________

(If applicable) Submitted By:

___________________  ____________________

EDUCATOR                                   COUNTY