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RAT CONTROL RELEASE OF LIABILITY FORM

  1. seal green

  2. Skokie Health Department

    5127 Oakton Street Skokie, Illinois 60077 847-933-8484

  3. I, The Owner

  4. I give my permission to employees of the Village of Skokie 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 Health Department Rat Control Program.

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