Title Page

  • Requesting Venue to complete form and forward to the below recipients:

    📧 Public_Area_Supervisors@star.com.au
    📧 Michael.Gilzean@star.com.au
    📧 Colin.Taylor@star.com.au
    📧 Christopher.Smith@star.com.au

    Public area will forward request to Pest Control administration for job to be lodged

  • Document No.

  • Please type in Venue Name

  • VENUE NAME AND DATE ❇️ It is essential to enter venue and date as this will be the PDF file name

  • Enter Date

Pest Control Request

Public Area Pest Control Request

  • Requester Instructions:

    Please complete all details on form take pictures to assist in advising of the affected area. Please ensure you add your email addresses and that of any team members to be advised of after treatment.
    Email completed request to the addresses shown on first part of form.

    ⚠️

    To ensure your area is treated promptly ensure form is fully completed.

Requester details:

  • 📆 Select date of request

  • 👤 Name of person raising request

  • 📞 Contact number of Requester

📧 Email address(es)

  • no label
  • 🔷 Group emails added for whole venues where possible select ➡️ 🔰 If your Venue does not have group email add emails below

  • Add email addresses for any recipient not included in group email

  • Email Address
  • Type in email address

Details:

  • Select type of pest or "Other" and type in

  • Type in pest name

Location Details:

  • Select outlet details

BOH and Kitchens

  • Select outlet / area or Other and type in

  • Type in outlet or details

FOH or Bars

  • Select area / bar or Other and type in

  • Type in outlet or details

Area of Activity

  • Enter details of area

  • 📸 Open switch for help annotating pictures<br><br>❗Please close after viewing

  • no label
  • 🔷 Please take pictures of affected area 🔹 Take a picture of general areas not specifically the pest

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.