The California Gypsy Moth Checklist form is a crucial document designed to help individuals moving from a gypsy moth quarantine area to a non-quarantine area. It outlines the legal requirements for inspecting outdoor household items for the presence of gypsy moths, a destructive pest that can harm a wide variety of trees and shrubs. By following this checklist, you can ensure a smooth transition while protecting your new neighborhood from potential infestations.
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The California Gypsy Moth Checklist form serves as a crucial tool for individuals moving from areas where the gypsy moth is prevalent to regions free from this invasive species. This form outlines the legal requirements for inspecting outdoor household items to prevent the spread of the gypsy moth, which can damage over 300 types of trees and shrubs. If you reside in a gypsy moth quarantine area, it is essential to inspect your belongings for any signs of infestation before relocating. The checklist provides a comprehensive guide for self-inspection, detailing various items that need to be examined, such as patio furniture, vehicles, and recreational equipment. It emphasizes the importance of removing any egg masses or larvae found during the inspection process. Additionally, the form advises keeping a copy of the completed checklist during your move, as it may be requested by officials from the U.S. Department of Agriculture or state agencies. For those who prefer professional assistance, hiring a certified applicator is also an option. Resources for further information and assistance are readily available, ensuring that residents can comply with these regulations effectively.
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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
during the summer)
5. Building Materials
Bricks
Roofing Materials
Welding Equipment
Cement Mixing Tubs
Sewer Pipes
Workbenches
Cinder Blocks
Tools and Toolboxes
Lumber
Water Pipes
6. Yard and Garden Items
Animal Houses (doghouses,
Fertilizer Spreaders
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
Driftwood
Signs and Posts
Fencing
Snow-blowers
7. Children’s Playthings
Other Outside Toys (like trucks or
Bicycles, tricycles
Swing sets
sand molds)
Playhouses
Tire Swings
Sandboxes
Wagons
Sleds, Toboggans
8. Other Items
Cars or Trucks
Farm Implements
Car Parts
Stored Tires (snow tires)
Car Ramps
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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