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RAT CONTROL RELEASE OF LIABILITY FORM

  1. Village of Niles - Community Development

    1000 Civic Center Drive, Niles, IL. 600714

    847-588-8040

  2. I, The Owner

  3. Is this a Rental Property? *

    Please be advised, the Village of Niles does not perform extermination or baiting of rodents in rental properties. 

  4. I give my permission to employees of the Village of Niles and/or its contractor, a licensed pest control operator, to come onto the property to do work required to exterminate or to bait for rats. I understand that pesticides may be used in this process. I will do my part by cleaning the yard and removing any bulk items, by not feeding pets outside, and will use my durable refuse carts and keep the lids closed at all times. I also agree to release the Village from any claims or actions arising out of or related to the Community Development Department Rat Control Program.
  5. Please Check Box Below:*
  6. Leave This Blank:

  7. This field is not part of the form submission.