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Download DA Form 2086-R, also known as Mosquito Egg Collection. This is part of the United States Army’s pest surveillance program. This is a short form that will remain with any collected specimens through testing. This particular form address the collection of mosquito eggs.

How To Fill-In

Step 1 – Complete all of the required information in blocks 1 through 8 as follows:

  • 1. Installation (provide the name and location of the installation where collections will occur)
  • 2. Collector (full name)
  • 3. Date Placed (provide the date that the installation was placed yyyy/mm/dd format)
  • 4. Collection Date ( provide the date that the eggs were collected yyyy/mm/dd format)
  • 5.  Site Number (enter the number of the site from which collection(s) are being made)
  • 6. Site (describe the site or provide the name of the site collections are being made)
  • 7. Trap Condition ( check one for each specimen collected and list in one of the columns ie: a.Good, b.Dry, c.Overflow)
  • 8. Remarks (enter any remarks or observations regarding each specimen respectively)

Step 2 – Once the specimens have been collected and the Mosquito Egg Collection form has been completed, place each form with each specimen where each one should remain through testing.