T OWN OF BROOKLINE DEPARTMENT OF PUBLIC HEALTH 11

• Clean the dwelling, removing clutter as much as possible.

Date(s) Performed: Verified By (Initial/Date):

• Clean ALL of your clothes, whether clean or dirty, washed in HOT water and dried on HIGH heat for at least 20 minutes, which will kill bed bugs and eggs. If plastic bags are used they should be sealed back up and discarded in an outdoor location away from the home.

Date(s) Performed: Verified By (Initial/Date):

• All dirty clothing taken off after changing or showering etc. should be placed in a sealed bag and labeled “Dirty.” So any infested clothes do not further spread infestation. If in a hurry, dirty clothes can be left in a bath tub or shower because bed bugs cannot climb tub walls.

Date(s) Performed: Verified By (Initial/Date):

• After laundry is washed and dried, place clean laundry in new sealed plastic bags to ensure the clothing does not become re-infested. Clothes should remain in sealed bags until treatment is complete, which usually takes a few weeks and requires more than one treatment from a pest control operator. Average number of treatments is 3-4.

(Advise management if assistance is needed for bags).

Date(s) Performed: Verified By (Initial/Date):

• Furniture should be moved away from walls, so that walls, as well as carpet or floor behind furniture can be accessed by vacuum.

Date(s) Performed: Verified By (Initial/Date):

• Walls, shelves, drawers, cupboards, floors and closets in every room, excluding the kitchen, must be emptied for inspection and treatment by pest control operator. Removal of pictures, clocks, curtains, throw rugs etc. may be necessary, and should be done after inspection of item and proper vacuuming/washing, if needed. Clean, non-infested items can be stored in tub or shower stall on treatment day.

Date(s) Performed: Verified By (Initial/Date):

• Magazines, books, papers and toys should be inspected for bed bugs, especially in the infested room. These items can be vacuumed or washed and then placed in sealed plastic bags to prevent further infestation until treatment is complete. If disposing of an infested item, bag the item to prevent further spread of bed bugs.

Date(s) Performed: Verified By (Initial/Date):

• Vacuum the following:

• Carpets

• Rugs

• Linens

• Curtains

• Shades

• Pillows

• Under appliances

• Power outlets

• Bed frames

• Sofas or chairs

• Under any electronics such as telephones, televisions or clocks

• Perimeter around the room where the floor meets the wall

• Mattresses and box springs, especially around the seams

• Any other furniture or surface where bed bugs could fit and lay eggs

Date(s) Performed: Verified By (Initial/Date):

• Dispose of used vacuum bag immediately by placing the vacuum bag in a sealed plastic bag. Also, check bristles of vacuum, if there are bed bugs in bristles, clean them off in a sealed plastic bag. Dispose of these bags outside of apartment/house in garbage.

Date(s) Performed: Verified By (Initial/Date):

• Do not dispose of any bedding, mattresses or furniture until properly treated. Once treated the furniture or mattresses must be wrapped in plastic bags and taped before being thrown out. Plan with landlord or management for proper disposal. Bags can often be supplied by property management.

Date(s) Performed: Verified By (Initial/Date):

• If you choose to keep an old mattress or box spring, buy a plastic cover for each. The covers should remain on for at least 6 months to ensure bed bugs inside are dead. Tape any zippers or openings to the cover to ensure zero entrance/exit points.

Note: Exterminator may recommend when a mattress of box spring is too infested to be kept.

Date(s) Performed: Verified By (Initial/Date):

If the pest control operator feels the unit is unable to be treated due to lack of preparation, service will be rescheduled.

Step 3: Exterminator approval

• Allow for multiple treatments of your house/apartment by pest control operator to ensure extermination treatment is complete.

Exterminator return date(s):

• Keep this sheet! Repeat Step 2 above in between each visit from the exterminator and write new dates in which task was performed. Keep clothing in marked “clean” and “dirty” bags; keep home clear of clutter, bag mattresses/furniture when advised by pest control operator.

Treatment is not complete until the following is signed by your licensed pest control operator:

Treatment complete: Number of treatments conducted: Date:

If you have any questions, please feel free to call the Brookline Department of Health at 617-730-2300