BRENTWOOD TOWNHOMES

PEST TREATMENT REQUEST FORM

***SERVICE REQUESTS MUST BE SUBMITTED BY 5:00 P.M. TUESDAY TO BE SERVICED THE FOLLOWING THURSDAY IF YOUR REQUEST IS SUBMITTED AFTER THE CUTOFF TIME, YOUR REQUEST WILL BE ASSIGNED TO THE FOLLOWING WEEK'S SERVICE***
**If you are experiencing COVID symptoms please quarantine for 10 days before submitting your request.**
*Para obtener una versión en español de uso general del formulario de solicitud de tratamiento, utilice el siguiente enlace. Tenga en cuenta que debe especificar en qué propiedad vive. Formulario de solicitud de tratamiento.*

IF YOU ARE EXPERIENCING A PEST EMERGENCY, PLEASE CONTACT YOUR LEASING OFFICE AT: (512)-476-0111

Question Title

* 1. What is your apartment number?
If you do not provide your apartment number, we will be unable to perform the service. By completing this survey and providing the apartment number you are confirming you are the legal resident/tenant and are permitting Titan Pest Management to enter your unit.

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* 2. Are you experiencing issues with Cockroaches? If so, which type of Cockroach best matches what you have seen?

American Cockroaches
For more information visit: American Cockroaches

German Cockroaches
For more information visit: German Cockroaches
To prepare for treatment for German Cockroaches, please follow the steps here.

Both

Neither

*Please specify exactly where you are seeing roaches in your home. (Ex: Lower left cabinet by refrigerator)
*How many Roaches have you seen per day/week/month?
*When did you first begin experiencing Roach activity?

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* 3. Are you having any other pest issues?
Texas A&M Insect Database

Please give a description of the pest issues for your technician including type, location, and approximate number.

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* 4. Do you have any pets? (Dogs or Cats)
Please note: that Titan staff will not enter a unit if a pet is loose for any reason. Please keep them kenneled or stored in a spare room for us to access the kitchen area.

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* 5. Would you like your backyard treated (if any)?

Yes

Not Applicable

If yes, please leave gate unlocked or provide the gate code below for your technician. Please make sure all pets and children stay off the yard until treatment has dried.

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* 6. Picture upload

If you would like to upload a photo for your technician to review, you may do so here.

PNG, JPG, JPEG, GIF file types only.

Choose File

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* 7. For scheduling your service, please provide a good phone number to reach you.

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* 8. Would you prefer to be contacted by phone call, text, or E-Mail?

Call Me

Text Me

E-Mail

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* 9. "I submit this survey as a request of service for my unit. I confirm I am the resident and I type my name as follows as my digital signature. By signing this form I confirm I have read and understand the policies in place for treatment."

If your full name is not entered, your unit WILL NOT be serviced.
If you receive an error message when submitting this form, please clear your cookies and try again.

Titan Service Pros, LLC - DBA Titan Pest Management

844-558-4826

Licensed and regulated by:

Texas Department of Agriculture,

PO Box 12847, Austin, Texas 78711-2847, Phone 866-918-4481, fax 888-232-2567.

BRENTWOOD TOWNHOMES

PEST TREATMENT REQUEST FORM

Question Title

* 1. What is your apartment number?If you do not provide your apartment number, we will be unable to perform the service. By completing this survey and providing the apartment number you are confirming you are the legal resident/tenant and are permitting Titan Pest Management to enter your unit.

Question Title

* 2. Are you experiencing issues with Cockroaches? If so, which type of Cockroach best matches what you have seen?

Question Title

* 3. Are you having any other pest issues?Texas A&M Insect Database

Question Title

* 4. Do you have any pets? (Dogs or Cats) Please note: that Titan staff will not enter a unit if a pet is loose for any reason. Please keep them kenneled or stored in a spare room for us to access the kitchen area.

Question Title

* 5. Would you like your backyard treated (if any)?

Question Title

* 6. Picture upload

Question Title

* 7. For scheduling your service, please provide a good phone number to reach you.

Question Title

* 8. Would you prefer to be contacted by phone call, text, or E-Mail?

Question Title

* 9. "I submit this survey as a request of service for my unit. I confirm I am the resident and I type my name as follows as my digital signature. By signing this form I confirm I have read and understand the policies in place for treatment."

* 1. What is your apartment number?
If you do not provide your apartment number, we will be unable to perform the service. By completing this survey and providing the apartment number you are confirming you are the legal resident/tenant and are permitting Titan Pest Management to enter your unit.

* 3. Are you having any other pest issues?
Texas A&M Insect Database

* 4. Do you have any pets? (Dogs or Cats)
Please note: that Titan staff will not enter a unit if a pet is loose for any reason. Please keep them kenneled or stored in a spare room for us to access the kitchen area.