Client Acknowledgement Form

DECLARATION FORM FOR RESIDENTIAL PEST CONTROL SERVICE
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AIPM Agriclinic & Integrated Pest Management Private Limited

SF 04, Second Floor, Jaiwant Complex, Sonarpeth, Bicholim, North Goa - 403504

Contact: 9607171409  |  Email: info@aipm.org.in  |  Website: www.aipm.org.in

Important Safety Guidelines

1. Chemical Usage
WHO-approved chemicals are safe when dry. Avoid contact while wet/semi-dry.

2. Cleaning
Do not clean for 2–4 hrs after service. Mop only with plain water (no phenyl/chemicals).

3. Pets
Remove pets during service. Keep away until floors are dry & cleaned once. Remove bowls, toys, and bedding before treatment.

4. Children & Elderly
Children, elderly, or those with respiratory issues should avoid treated areas for 2–3 hrs.

5. Kitchen & Electrical
Cover/store all food items. Switch off or cover sensitive electronics.

6. Support
For queries or reservice, contact +91-9607171409.


Customer Declaration

I have read and understood the above guidelines and will follow the required precautions.
I agree that AIPM Pest Control will not be held responsible for non-compliance.

 


 

 

Important Safety Guidelines  

1. Chemical Usage
WHO-approved, safe when dry. Avoid contact while wet/semi-dry.

2. Cleaning
Do not clean for 2–4 hrs. Use plain water only; avoid phenyl/chemicals for 24 hrs.

3. Food Safety
Cover/store food, utensils & cutlery. No entry in kitchens/pantries till 2–4 hrs post-treatment.

4. Staff Safety
Employees/visitors must vacate during service. Sensitive staff (elderly, pregnant, respiratory issues) to avoid area for 4 hrs.

5. Equipment
Switch off/cover sensitive electronics. Keep refrigerators/appliances closed.

6. Monitoring
Do not disturb bait stations/traps placed by technicians.

7. Support
For service issues, contact +91-9607171409 | info@aipm.org.in.


Customer Declaration

I have read and understood the safety guidelines.
I will ensure staff compliance post-treatment.
AIPM Pest Control is not responsible for non-compliance.