Center Line, MI · Macomb County
Rodent Control Waiver Form
Property owners or occupants use this form to authorize Center Line employees or contractors to enter their property for rodent control.
What this form is
This form records a property owner or occupant’s voluntary permission for Center Line employees, agents, representatives, or contractors to enter a property for rodent control, including inspection and rodenticide application. It also includes acknowledgments about service information and releases related to rodent control. The form asks for the signer’s name, property address, date, phone number, and signatures from the owner or occupant and a witness.
Who needs it
A property owner or occupant who wants to authorize Center Line representatives or contractors to enter their property for rodent control should complete this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This form is signed and dated without a notary; the property owner or occupant and a witness sign it.
How to submit this form
- 1
Download the Form
Download the Rodent Control Waiver Form from the city’s document page.
- 2
Complete the Form
Print the owner or occupant name, property address, date, and phone number, then sign as the property owner or occupant.
- 3
Add the Witness Signature
Have a witness sign the form. No attachments are listed on the form.
- 4
Submit to the City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Rodent Control Waiver Form authorize?
- It authorizes Center Line employees, agents, representatives, or contractors to enter the signer’s property for rodent control, including inspection and rodenticide application.
- Who signs the Rodent Control Waiver Form?
- The property owner or occupant provides their name, property address, date, phone number, and signature. The form also has a space for a witness’s signature.
- Do I need a notary for the Rodent Control Waiver Form?
- No. The form has signature lines for the property owner or occupant and a witness, but no notary block or notarization requirement.
- How do I submit the Rodent Control Waiver Form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Rodent Control Waiver Form doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.