Kaua‘i CRB Survey Request Form – CONSERVATION DOGS OF HAWAII

Name *

First

Last

Email *

Phone Number *

Preferred Contact Method *

Email
Voice Call
Text Message

When are the best weekdays/times to reach you?

Name of Business or Property (if applicable)

Street Address *

City *

Region *

Please describe the potential CRB breeding material on your property (material, size, accessibility, etc). *

** Please note that we will not be able to survey areas with steep terrain and cliffs that could be dangerous for the dog teams.

Have you found CRB larvae on your property? *

** Please note that our dog teams survey for larvae (grubs) in the ground, and not adult beetles in the trees.

If you answered Yes, have you confirmed that it is CRB and not OFB? *

** Please note that Oriental Flower Beetle (OFB) larvae are often mistaken for CRB. Visit this page to learn how to differentiate them: https://www.crbhawaii.org/about-crb

If you answered Yes to both questions, please describe in more detail (quantity, material, etc). If No, please describe the signs (if any) you are seeing that there may be CRB on your property. *

Please check off any animals that live on your property.

Dogs
Goats, sheep, cows, pigs
Cats
Ducks, geese, chickens

** Please note that any loose animals will need to be contained while we conduct our surveys.

Please check off any potential hazards on your property.

** We will ask you to pick up these items prior to our survey.

How did you hear about our program? *

Additional Comments or Questions