sbwa

P.O. Drawer 9
South Bend, WA 98586
Phone: 360-875-5571
FAX:   360-875-4009
TDD: 1-800-833-6388

 

2016 - FOGGING OPT-OUT FORM

 

By filling out this form, you are requesting to be put on the opt-out list for the mosquito fogging program for the current mosquito season. I understand I will have to file another opt-out authorization next year.