Mosquito Complaint Form - Southern Nevada Health District

Mosquito, Green Swimming Pool and Stagnant Water
Complaint Form

Complaint Information * Indicates a required field
What are you reporting?
Mosquitoes Green Swimming Pool Stagnant Water

Address (required if known)	Gate Code (required if gated community)
* Major East/West Street or Road
* Major North/South Street or Road
* Corner of Intersection NE NW SE SW
* City
* Are the mosquitoes biting? Yes No
Comments/Description:


Your Information

* Name
Address
City	State	Zip
* Phone	Email Address




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