To submit this form, ensure you have completed all sections accurately. You may send it via email to your local Department of Agriculture, or fax it to their official number. A physical copy can also be mailed to the nearest USDA APHIS office at the address provided in your state guidelines.

Review the form guidelines and adhere to the legal requirements outlined, especially around the dates of moving, which are critical for inspections related to spongy moth. The OMB control number remains valid until August 31, 2026.

The purpose of this form is to facilitate the inspection of outdoor household items for spongy moth eggs before moving. It helps to ensure that individuals comply with local regulations designed to protect non-quarantine areas from invasive species. By following this checklist, users can prevent the spread of the spongy moth and safeguard their new communities.

• 1. Originating Property Address: The address where the items are currently stored.
• 2. Date: The date when the inspection is conducted.
• 3. Recreational or Camping Items: A list of recreational items needing inspection.
• 4. Household Items: Household items that must be checked for spongy moth.
• 5. Building Materials: Materials that may be infested and need checking.
• 6. Yard and Garden Items: Items in the yard or garden that require inspection.
• 7. Children's Playthings: Outdoor toys and play items that need checking.
• 8. Other Items: Any other outdoor items not previously listed.
• 9. Signature and Date: The inspector’s signature affirming inspection completion.
• 10. Printed Name: The printed name of the individual signing the checklist.
• 11. Phone Number: Contact number for any follow-up questions.
• 12. Company Name: If applicable, the name of the company conducting the inspection.

Failing to submit this form may result in legal penalties and the potential spread of the spongy moth to non-quarantine areas. It is essential to abide by these regulations to protect the environment and local agriculture.

• Legal Penalties: Individuals may face fines for not adhering to inspection laws.
• Environmental Impact: Moving items without inspection can lead to infestations.
• Reputation Damage: Businesses can suffer damage to their reputation if found non-compliant.

• 1. Moving residences: Homeowners relocating need to inspect their items.
• 2. Selling properties: Real estate agents must use the checklist for compliance.
• 3. Transporting landscaping materials: Companies need this form for compliance during transport.