Online No Spray Request Form

Sevier County Mosquito Abatement No-Spray Request Form
Note: This request is valid for the current spray year only. A request form must be completed each year no-spray is requested. Refer to the 'No Spray Ordinance' for further details. All applications will be reviewed for approval.
Mosquito Abatement No-Spray Year*

Please select the current year. Annual renewal is required!

Name:

Address:

Address Line 2:

City or Town:

State or Province:

Zip or Postal Code:

Phone:

Email:


Reason for no-spray request*

 Beekeeper (Utah Department of Agriculture and Food UDAF license is required)
 Organic Farmer (Utah Department of Agriculture and Food UDAF license is required)
 Health (physician certification is required)

Beekeeper License  Organic Farmer License  Health Certificate 
Please include a scanned or electronic copy of your beekeeper license.  Please include a scanned or electronic copy of your organic farmer license.  Please include a scanned or electronic copy of your physician certificate. 

Files:

Warning:
If a public health threat is identified during the spray year in your area, pesticide will be applied regardless of the no-spray request. If you have a no-spray request for the current year in which a public health threat is identified, you will be given 24 hours' notice before spraying begins.

Signature*

By placing your name in this box your are electronically signing this form.

Date*

     
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