forms

Pest Sighting Log Sheet

Manage the following information:

  • Date / Time
  • Place pest seen
  • Pest seen
  • Number of pests seen
  • Person observing pests
Attachment: 

Sample Pest Control Contract

Description of IPM program: This specification is part of a comprehensive integrated pest management (IPM) program for the school district listed herein. IPM is a process for achieving long-term, environmentally sound pest suppression through the use of a variety of management practices. These practices include structural and procedural modifications that reduce pest access, food, moisture and harborage within the school environment. Chemical methods are applied only on an as needed basis.

Sample IPM Policy Statement

It is the policy of the this school district to implement Integrated Pest Management (IPM) procedures to control structural and landscape pests and minimize exposure of children, faculty, and staff to pesticides...

Request for Proposal: Integrated Pest Management Services

This document is a request for proposal for integrated pest management services for a K-12 public school. It was created by West Des Moines Community School District, West Des Moines, Iowa. It has been reviewed by Dr. Albert Greene of the U.S.General Services Administration, Washington, DC, and Dr. Mark Shour of the Iowa State University, Ames, IA. The contact person to ask questions is Doug Woodley (515) 633-4903; woodleyd@home.wdm.k12.ia.us

Registry of Persons Desiring Pre-notification of Pesticide Use

Manage the following information:

  • Person
  • Phone number
  • Address
  • Association with school
  • Specific requirements

Pesticide Use Log Sheet

Manage the following information:

  • Date
  • Time of application
  • Pesticide name
  • EPA registration number
  • Application method
  • Concentration and quantity used
  • Specific area treated
  • Target pest
Attachment: 

Pest Reporting Slip

Manage the following information:

  • Name
  • Date / Time
  • Pest
  • Number of pests
  • Where was the pest sighted?
Attachment: 

Pest Management Action Sheet

Manage the following information:

  • Date / Time
  • Specific facility or area
  • Nature of problem
  • Corrective actions taken
  • Date of follow-up
  • Follow-up findings

Monitoring Station Log Sheet

Manage the following information:

  • Date
  • Trap location

Landscape Monitoring Sheet

Manage the following information:

  • Name of plant.
  • Condition of plant.
  • Name of pest present.
  • Abundance of pests.
  • Degree of plant damage.
  • Natural enemies present.
  • Management activities.