Redbridge e-forms Pest control treatment data sheet Step 1 of 3 - Treatment details 33% Treatment detailsReference Number(Required)Operative(Required)Customer name(Required)Does customer live in Redbridge(Required) Yes No Enter postcode(Required)Find addressSelected address Address(Required) Address Line 1 Address Line 2 City AberdeenshireAngus/ForfarshireArgyllshireAyrshireBanffshireBedfordshireBerkshireBerwickshireBlaenau GwentBridgendBuckinghamshireButeshireCaerphillyCaithnessCambridgeshireCardiffCarmarthenshireCeredigionCheshireClackmannanshireConwyCornwallCromartyshireCumberlandDenbighshireDerbyshireDevonDorsetDumfriesshireDunbartonshire/DumbartonshireDurhamEast Lothian/HaddingtonshireEssexFifeFlintshireGloucestershireGwyneddHampshireHerefordshireHertfordshireHuntingdonshireInverness-shireIsle of AngleseyKentKincardineshireKinross-shireKirkcudbrightshireLanarkshireLancashireLeicestershireLincolnshireLondonMerthyr TydfilMiddlesexMidlothian/EdinburghshireMonmouthshireMorayshireNairnshireNeath Port TalbotNewportNorfolkNorthamptonshireNorthumberlandNottinghamshireOrkneyOxfordshirePeeblesshirePembrokeshirePerthshirePowysRenfrewshireRhondda Cynon TaffRoss-shireRoxburghshireRutlandSelkirkshireShetlandShropshireSomersetStaffordshireStirlingshireSuffolkSurreySussexSutherlandSwanseaTorfaenVale of GlamorganWarwickshireWest Lothian/LinlithgowshireWestmorlandWigtownshireWiltshireWorcestershireWrexhamYorkshire County Postcode Customer telephone number(Required)Customer email address(Required) Rodenticide usedPlease selectRaccumin FoamSakarat D Whole WheatContrac Super BloxSolo Super BloxRodilon Wheat Tech.Rat / mouse baitRatimor brodifacoum blockRatimor difenacoum blockRatimor bromadiolone soft blockRodolin difethialone soft blockOtherNot usedIf other Rodenticide used, please specify(Required)Insecticide usedPlease selectCimetrol Super EWBiopren 6 ECEffect Ultimum ProEffect Microtech CS ProK-Othrine PartixCytrol Forte WPMaxforce Platin GelAdvion Cockroach GelBayer Flying Insect KillerBiopren BMSAdvion Ant GelMaxforce Quantum GelFicam DVulcan PS DP.OtherNot usedIf other Insecticide used, please specify(Required) Second Treatment detailsWas second treatment given Yes No Rodenticide usedPlease selectRaccumin FoamSakarat D Whole WheatContrac Super BloxSolo Super BloxRodilon Wheat Tech.Rat / mouse baitRatimor brodifacoum blockRatimor difenacoum blockRatimor bromadiolone soft blockRodolin difethialone soft blockOtherNot usedIf other Rodenticide used, please specify(Required)Insecticide usedPlease selectCimetrol Super EWBiopren 6 ECEffect Ultimum ProEffect Microtech CS ProK-Othrine PartixCytrol Forte WPMaxforce Platin GelAdvion Cockroach GelBayer Flying Insect KillerBiopren BMSAdvion Ant GelMaxforce Quantum GelFicam DVulcan PS DP.OtherNot usedIf other Insecticide used, please specify(Required)Any additional safety information Treatment information Rodent Treatments 1. The product used is an Anticoagulant. Its action depends on body weight and it is unlikely that eating small quantities will have any ill effect. If it is eaten by a child or pet, you should seek advice from your Doctor or Vet and show them this form. 2. If any of the bait is spilled it should be swept up and placed in a sealed bag and placed in the dustbin. The area can be cleaned with soap and water. 3. After contact with the skin, wash with soap and water. Insect Treatments 1. The products used are generally safe to humans and most pets. Most insecticides are however dangerous to fish and you should be careful to make sure that they do not come into contact with ponds or aquariums. 2. If any insecticide is eaten by a child or pet, you should seek advice from your Doctor or Vet and show them this form. 3. After contact with the skin, wash with soap and water. 4. If carpets or furnishings are being treated, these should be thoroughly cleaned before the treatment and contact avoided until after the insecticide has dried. They should not be cleaned again for at least 2 weeks after the treatment. 5. If your property is treated for fleas, please ensure that all pets are treated at the same time or the treatment will not work. General Information 1. The Pesticides that we use are for professional use only; they are safe for the public, children and pets if used correctly. You MUST NOT interfere with any of the baits laid in anyway. 2. We guarantee our treatments for 4 weeks and will return free of charge if the problem recurs. Please note we will not return if proofing works and/or housekeeping required have not been conducted. 3. If you have any problems with the treatment, please telephone 0208 708 5000 or email pestcontrol@redbridge.gov.uk