Required fields are marked with asterisks (*)

Gypsy Moth Reporting Form

This form is to report a Gypsy Moth infestation on your property. The Municipality of West Elgin is gathering locations of Gypsy Moth infestations to report to the Ministry of Natural Resources.

Last Name

First Name

House number

Street/Road Name

Town

Is the infestation located on your property?

Yes

If you wish you can upload photos of infestation (not required)

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Gypsy Moth Reporting Form