Please email the completed form to the Levy County Mosquito Control District by clicking on the "Submit" button at the bottom of this page. If you make a mistake when filling out the form, you can clear all entries by clicking "Reset".

* indicates a required field.

First Name: *
Last Name: *
Street Address:
City:
Zip Code:
Telephone Number: *
Email Address: *

Mosquitoes Seen: Adults Pupae (Tumblers) Larvae (Wigglers)
(Put a check mark or X in the appropriate boxes)
Other biting bugs seen:

Describe the problem in the box below, then click on "Submit" to mail your service request.



Clicking "submit" will email the contents of this form to levymc@inetw.net.