Have you experienced a wildlife incident (such as raccoons, squirrels, rats, etc.) in your trash?
*
Yes
No
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How many incidents are you aware of since residing at your current address?
None
1-3
3-5
5 or more
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Address of the incident(s)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Your Email
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We only use this to communicate with you if we have any follow-up questions. We will not share your email with anyone.
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Date of the Recent Incident
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
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Upload any photos or video you may have of the incident:
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