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Required entries are indicated by *

Tenant(s): et al (and all others)
Address*: Unit:
City*: Oregon Zip*: Phone:

Owner/Agent has inspected the rental unit prior to occupancy and knows of no infestation of pests or bed bugs in the rental dwelling. It is the responsibility of the resident(s) to use proper housekeeping techniques and preventative measures to maintain a pest-free dwelling.

Resident(s) responsibilities include but are not limited to:

  • Report any pest activity to Owner/Agent upon discovery
  • Report any maintenance issues to Owner/Agent upon discovery
  • Inspect all items brought into dwelling for pests and bedbugs, especially used items
  • Regularly clean all surfaces of dwelling, cleaning up any spills or messes right away
  • Vacuum carpet at least once a week
  • Take trash and recycling to dumpster/receptacles daily
  • Keep all food covered or in containers when not being eaten, including pet or service animal food
  • Do laundry regularly not allowing it to accumulate into larges piles, wash bedding on a regular basis
  • Do not have large accumulations of any items in the dwelling or garage, store excess items in a storage unit facility

Resident(s) may be charged for pest control if Owner/Agent determines resident(s) improper housekeeping or lack of prevention is the cause of the infestation.

Resident(s) will allow and not interfere with Owner/Agent's chosen method of pest control.

Resident(s) are responsible for preparing the rental unit for pest control appointments, with proper notice
given according to Oregon law, by doing the following:

  • Following any special instructions given to Resident(s) by pest control contractors or Owner/Agent
  • Emptying and cleaning all cabinets
  • Removing non-furniture items from floor, under beds and closets
  • Removing all people and pets from unit during and after treatment (usually 3-4 hours)
  • Covering all fish tanks and turning off air pumps during and after treatment (usually 3-4 hours)
  • Putting any food in air tight containers during treatment

Resident(s) will be responsible for any costs occurred by Owner/Agent or retreatments due to the Resident(s) not properly preparing the unit for pest control appointments.

Tenant_______________________________ Date _________ Tenant _______________________________ Date _________
Tenant_______________________________ Date _________ Tenant _______________________________ Date _________
Owner/Agent _______________________________________ Date __________________________


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1462 Commercial St. NE, Salem, OR 97301
Phone: 503-364-5468 | Fax: 503-585-8119

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