California Gypsy Moth Checklist PDF Details

Moving can be an overwhelming process, especially when it involves ensuring the safety of your new community from potential environmental threats like the gypsy moth, a leaf eater known to damage over 300 types of trees and shrubs. For those living in or moving from a gypsy moth quarantine area to one that is not quarantined, the California Gypsy Moth Checklist becomes a crucial part of the moving process. The law requires the inspection of outdoor household items for any stage of the gypsy moth life cycle, a task that can be done by the homeowner or a certified applicator. Completing this self-inspection is straightforward and significantly contributes to preventing the spread of this invasive species. With resources available online, including detailed guidelines and images to help identify the moth at different stages, residents can ensure they comply with legal requirements efficiently. The checklist not only aids individuals in conducting thorough inspections but also serves as an official document during the move, satisfying the regulations of non-infested states. Moreover, maintaining this checklist with your moving documents may be beneficial for future reference, highlighting its importance in safeguarding both natural and residential environments from the threats posed by the gypsy moth.

QuestionAnswer
Form NameCalifornia Gypsy Moth Checklist
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesgypsy moth moving form, gypsy moth checklist, gypsy moth inspection form california, gypsy moth checklist california

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IT’S THE LAW: BEFORE MOVING, CHECK FOR THE GYPSY MOTH

What Does the Law Require?

If you are moving from a gypsy moth quarantine area to a non-quarantine area, you must inspect your outdoor house- hold items for the gypsy moth and remove all life stages of this destructive insect before you move. You may face penalties if you are required to inspect but fail to do so. Fortunately, this inspection is easy to do, and you will protect your new neighborhood from a voracious leaf eater that can attack over 300 kinds of trees and shrubs.

How Do I Know if I Live in a Gypsy Moth

Quarantine Area?

Visit www.YourMoveGypsyMothFree.com and click on the U.S. map to find out if you live in a quarantine area. If you do, you will need to inspect your household goods for gypsy moth if you’re moving to a non-quarantine area. If you do not live in a quarantine area, this law does not apply to you.

I Live in a Quarantine Area and Am Moving to a Non-Quarantine Area. How Do I Meet This Legal Requirement?

1)Use the self-inspection checklist on the back of this flyer r hire a qualified certified applicator to inspect your outdoor

household articles. If you are moving between April and August, you should complete the inspection on moving

day, if possible. If you cannot complete the inspection on moving day, you must protect the items from the possibility of infestation by sealing them under a tarp, keeping them indoors, or in a closed moving truck.

For self-inspection, follow these steps:

Carefully inspect all surfaces and crevices of your outdoor household articles such as patio furniture, lawn equipment, toys, grills, trailers, and vehicles for gypsy moth egg masses.

Remove and destroy any egg masses you find. Scrape them off with a putty knife, stiff brush, or similar hand tool. Dispose of egg masses and other life stages in a container of hot, soapy water, or place them in a plastic bag, seal it, and set it in the sun.

Check each item off on your checklist as you go, and complete the requested information.

If a qualified, certified applicator performs the inspection, be sure you get a copy of the completed, signed checklist.

2)During your move, keep a copy of the completed checklist in the vehicle moving the goods in case a U.S. Department of Agriculture (USDA) or State official requests it at any point during your trip. If you are not driving, provide a copy to the driver. This completed checklist is an official certificate that will satisfy the requirements of all

non-infested States.

3)Once your move is completed, you may want to keep the checklist filed with your moving materials in case you need it in the future.

Where Do I Go For Help?

See the back of this flyer for photos of all gypsy moth life stages.

Learn more at www.YourMoveGypsyMothFree.com.

Contact your State Department of Agriculture or nearest USDA Animal and Plant Health Inspection Service (APHIS) office (www.aphis.usda.gov/planthealth/sphd).

USDA is an equal opportunity provider, employer, and lender.

This publication supersedes Program Aid No. 2065, “Your Next Move Gypsy Moth-Free,” which was published in October 2010.

Issued October 2013

Revised September 2018

Animal and Plant Health Inspection Service Program Aid No. 2147

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0579-0104. The time required to complete this information collection is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

OMB APPROVED

0579-0104

EXP. DATE 09/30/2021

UNITED STATES DEPARTMENT OF AGRICULTURE ANIMAL AND PLANT HEALTH INSPECTION SERVICE PLANT PROTECTION AND QUARANTINE

GYPSY MOTH CHECKLIST AND

RECORD OF YOUR SELF-INSPECTION

Important: Make sure this checklist goes with your outdoor household items when you move

1. Originating Property Address

 

 

2. Date

 

 

 

 

3. Recreational or Camping Items

 

 

 

Backpacks

Ice Chests

Tarps

Basketball Backboards

Motorcycles

Tents

Bicycles

Motor Homes

Waders or Boots

Boats

Recreational Vehicles

Other: _____________________

Boat Trailers

Snowmobiles

None

Campers

Sports Equipment

 

 

 

 

 

 

4. Household Items

 

 

 

Air Conditioners

Ladders

Tanks for Propane and Oil

Barrels

Outdoor Doormats

Television Antennas

Cardboard and Wooden Boxes

Outdoor Thermometers

Trash Cans

Clothesline Poles

Refrigerators

Washing Machines

Clothespin Bags

Sheets of Plastic

Water Hoses

Empty Plant Containers

Shutters

Weather Vanes

Firewood*

Storage Sheds

Window Awnings

House Plants (taken outside

Storm/screen Doors and Windows

Other: _____________________

during the summer)

 

None

 

 

5. Building Materials

 

 

 

Bricks

Roofing Materials

Welding Equipment

Cement Mixing Tubs

Sewer Pipes

Workbenches

Cinder Blocks

Tools and Toolboxes

Other: _____________________

Lumber

Water Pipes

None

 

 

 

 

6. Yard and Garden Items

 

 

 

Animal Houses (doghouses,

Fertilizer Spreaders

Storage Sheds

rabbit hutches, etc.)

 

 

 

Barbecue Grills

Flagpoles

Swimming Pools

Birdbaths

Garden Tillers

Tractors and Trailers

Bird Feeders

Garden Tools

Trees, Shrubs, and Plants

Bird Houses

Lawnmowers

Trellises

Bug lights

Mailboxes

Wheelbarrows

Carts

Picnic Tables

Yard Decorations

Cold Frames

Porch or Patio Furniture

Other: _____________________

Driftwood

Signs and Posts

None

Fencing

Snow-blowers

 

 

 

 

 

 

7. Children’s Playthings

 

Other Outside Toys (like trucks or

Bicycles, tricycles

Swing sets

sand molds)

Playhouses

Tire Swings

Other: _____________________

Sandboxes

Wagons

None

Sleds, Toboggans

 

 

 

 

 

 

 

8. Other Items

 

 

 

Cars or Trucks

Farm Implements

None

Car Parts

Stored Tires (snow tires)

 

 

Car Ramps

Other: _____________________

 

 

 

 

 

 

Gypsy moth egg masses on a lawn mower (USDA/APHIS, Susan Lane)

Gypsy moth egg mass on a padlock (USDA/APHIS, Susan Lane)

Gypsy moth caterpillar (larva)

(Daniel Herms, The Ohio State University, Bugwood.org)

Gypsy moth pupae

(Pennsylvania Department of Conservation

and Natural Resources, Forestry Archive,

Bugwood.org)

Female (top) and male adult gypsy moths (USDA APHIS PPQ Archive, USDA/APHIS/PPQ, Bugwood.org)

Inspect anything that was stored outside

By signing my name in block 9 below, I agree that I am legally signing this document and affirming that I have inspected all outdoor household articles, whether included on this checklist or not, for all life stages of gypsy moth in accordance with the procedures on this form, as required by Title 7, Code of Federal Regulations, Part 301.45-4(a).

9.Signature and Date

11.Printed Name

10. Phone Number

12.Company Name (if applicable)

* To avoid spreading other tree pests, move only USDA- or State-certified, treated, and labeled firewood.

PPQ Form 377

SEP 2018

Note: The electronic signature function on this form works only if the user opens the file in Internet Explorer or Adobe Acrobat.

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Provide the demanded data in the field Animal Houses doghouses rabbit, Birdbaths, Bird Feeders, Bird Houses, Bug lights, Carts, Cold Frames, Driftwood, Fencing, Childrens Playthings, Bicycles tricycles, Playhouses, Sandboxes, Sleds Toboggans, and Other Items.

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