Orkin – Superior Bed Bug Solutions | Detection & Thermal Remediation

Orkin Branch #*

30 Day Warranty Included?*

Yes

No

Total square footage of area to be heat treated (for homes and townhomes include square footage of basement if basement will be included in the heat treatment)*

TYPE OF SERVICE / SERVICE AREA

SELECT ONLY 1 SERVICE LOCATION FOR THE APPROPRIATE SERVICE AREA

I provided the Thermal Pest Eradication Notice and Checklist to the client and answered any questions that he/she had

Remember, it is essential that all densely packed clothing be dried on HIGH HEAT and then sealed in bags prior to heat treatment. This must be communicated to the client/tenant.

I did a pre-treatment walk-through to verify that the client/tenant had followed the Thermal Pest Eradication Notice and Checklist and had dried all dryer-safe clothing on high heat and bagged them

Account/Customer Name*

Name of site contact for treatment day*

Contact Cell Phone*

Address*

Unit Number (Apt, Suite, etc.)

Orkin Account Manager Name*

Orkin Account Manager Cell Phone*

Sprinklers, Building Description & Estimated Distance from Generator to Building Being Treated*

Include age, type of building, floor level, sprinkler information, etc.

Number of Sprinklers*

Location of Sprinklers

Parking Description*

We need to be able to park one or more generators near the exit point for the cables. The cables run from the generator through the door or window of the unit being treated. Each generator is the size of a subcompact car. Include parking pass availability, ticketing times, loading dock availability, etc.

Parking Specifics*

Street Parking

Private Parking

Commercial Area

Residential Area

* A trip fee of $400 will be charged if the job is cancelled after 4 pm the day before treatment.

Extra Steps for Hotels and Nursing Homes

HOTEL:

Please check all that apply

I asked the hotel to use plastic bags to bag all sheets/linens/encasements/pillow cases and have them washed and dried in high temperature setting prior to the treatment. The plastic bag needs to be discarded as soon as the contents are loaded in the washer.

I asked the hotel to remove the headboard from the wall and remove outlet covers around the bed.

NURSING HOME

I asked the nursing home to remove all medicine from treatment area.

Please attach Bed Bug Inspection Report with this form

Please attach the Service Agreement / Contract

Please attach any other supporting documents or pictures

Are You Human?*

Heat Remediation Request

TYPE OF SERVICE / SERVICE AREA

SELECT ONLY 1 SERVICE LOCATION FOR THE APPROPRIATE SERVICE AREA

Extra Steps for Hotels and Nursing Homes