INTEGRATED PEST MANAGEMENT NOTICE 2023-2024
Please complete this form ONLY if you want to be notified prior to a pesticide application.

Secondary Schools and Administrative Centers: Maryland Law requires that school-based staff, parents/guardians of middle or high school students, and staff at administrative centers who wish to be notified prior to pesticide applications in the building or on the grounds must request that they be placed on the school’s pesticide notification list. To do so, please fill out the enrollment form attached to this notice and return it to your school or administrative center.

Pesticides and bait stations, by product name and common name, which may be used in buildings or on grounds during the school year include, but are not limited to:


Product Name                                                                               Common Name
4 The Birds II                                                                                   Polybutene
Advion cockroach bait arena                                                        Indoxacarb
Advion cockroach gel bait                                                             Indoxacarb
Altosid                                                                                              Methoprene
Avert cockroach bait station                                                         Abamectin
Avert dry flowable roach bait                                                        Abamectin
Contrac                                                                                            Bromodiolone
Cynoff EC                                                                                        Cypermethrin
Cy-Kick CS                                                                                       Cyfluthrin
Deltadust                                                                                         Deltamethrin
Demon WP                                                                                      Cypermethrin
Drione insecticide                                                                           Pyrethrins
Dylox 6.2 grams                                                                              Trichlorfon
First Strike                                                                                       Difethialone
Gentrol IGR concentrate                                                                Hydroprene
Gentrol point source roach control                                              Hydropene
Golden malrin fly bait                                                                    Methomyl thioacetimidate
Maxforce roach killer bait gel                                                       Hydramethylnon
Niban granular bait                                                                        Orthoboric acid
Nibor D                                                                                         Disodium octaborate tetrahydrate
Premise 75                                                                                      Imidacloprid
Premise foam insecticide                                                             Imidacloprid
PT wasp freeze II                                                                           Prallethrin
PT565 plus XLO                                                                             Pyrethrins
Ratsorb                                                                                           Camphoraceous
Rozol tracking powder                                                                  Chlorophacinone
Talon G                                                                                            Brodifacoum
Talstar Professional multi-insecticide                                        Bifenthrin
Termidor SC termiticide                                                                Fipronil
Terro PCO ant bait                                                                         Sodium borate
Timbor                                                                                            Disodium octaborate tetrahydrate

Mr. John Conaway, environmental design assistant, Environmental Services/Indoor Air Quality, Division of Sustainability and Compliance, maintains copies of Safety Data Sheets and product labels for all pesticides and bait stations used in school buildings or on grounds. If you would like to review this information, please contact Mr. Conaway  at 240-740-2331 or via e-mail at John_D_Conaway@mcpsmd.org.

Public comments regarding IPM program may be addressed at Board of Education meetings.
Sign in to Google to save your progress. Learn more
Email *
Parent/Guardian First Name *
Parent/Guardian Last  Name *
Street Address *
City *
State *
Zip *
Contact Number *
Student First Name *
Student Last Name *
Student Grade *
Student ID *
Does the student or staff member have any known medical conditions that may be aggravated by the use of a pesticide? *
Is this information listed on your student’s health card? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Montgomery County Public Schools. Report Abuse