One record per affected unit, from the first report to closure: discovery, identification, neighboring units, resident preparation and help offered, each treatment, belongings on relocation, follow-up and the closure finding.
Prepared by Trenton S. Frazer, M.S., Board Certified Entomologist (BCE #B3413) · Version 1.0, October 13, 2026 · Not legal advice
Open one record for each unit with a suspected or confirmed bed bug. Fill it in as events happen, with dates; do not reconstruct it afterward. Write findings in neutral, factual terms. Attach the pesticide application records the applicator gives you (in Utah, R68-7-11(11)). Keep the record with the unit file. It is not legal advice.
1. Property and unit
Property: [ ]
Building / unit: [ ]
Resident(s) (as recorded in the unit file): [ ]
Record opened by: [NAME] on [DATE]
Programs that apply (NSPIRE, HUD Model Lease, LIHTC, HOME, MHPI, none): [ ]
2. Report or discovery
Date and time the property first learned of it: [ ]
How (resident report, staff, inspection, neighboring unit, agency inspection): [ ]
Who reported, and what was described: [ ]
Photo or specimen received? Where kept: [ ]
3. Identification
Identified by: [NAME, LICENSE NO. OR CREDENTIAL]
Date: [ ]
Basis (specimen, clear photo, live insect seen): [ ]
Result: [BED BUG CONFIRMED / NOT A BED BUG (NAME IT) / NOT DETERMINED]