Help eliminate the West Nile Virus. Mosquitoes need stagnant or standing water to lay their eggs. To reduce the mosquito population around your home, and properly reduse or eliminate all stagnant water, we are asking residents for help.

The City of Texarkana, Texas Vector Control is taking standing water complaints for tracking purposes in order to indentify potential problem areas. Vector Control will not be able to visit and treat all reported nuisances, therefore, we are depending on our residents and business owners to eliminate standing water on their property.

Directions:

This form is only for location within the City of Texarkana, Texas. Enter all information requested below by typing in the available spaces. Use the Tab button to move from box to box or use your mouse to point and click. Use your Space Bar or mouse clicks to make checks within the boxes. After all of the information is entered, use the Submit button at the bottom of the form to submit the Standing Water Monitoring Report form. Note: If when you hit the "Submit" button you recieve a message dealing with your browser trying to send a message be sure to click yes so that the form will be sent.

Your Name:
 Your Address:
Day Phone:
 Evening Phone:
Email Address:
 Zip Code:
Today's Date:
 Date Water was first noticed:


Standing Water Information


Unchlorinated swimming pool
Swimming Pool Cover
Discarded Tires
Catch-Basin/Sewer
Depression in street (example: pot holes, poorly paved street, etc.)
Ditch in ground
Small containers(example: bucket, etc.)
Large containers(example: Children's Wading Pool, garbage can, refrigerator, etc.)
Roof Top
Marsh/Swamp
Pond
Roof Gutters
Other(Desrcibe):


Please classify the standing water as:

Small(example: bucket, children's wading pool, etc.)
Medium(example: swimming pool)
Large(example: large outside area is flooded)

Location of Standing Water:

Private House
Apartment Building
Business/Commercial Property
Vacant Lot(Abandoned house, non-active construction site, etc.)
Public Property (Please specify site name)


Comments:


Confidentiality Policy

Information that you give us is confidential, so we will not reveal the source of a complaint. It is important that you give us your name, phone number and address so that the City of Texarkana, Texas Vector Control can contact you for the following reasons: