Cook's Pest Control | Account Transfer Request

Name

This field is for validation purposes and should be left unchanged.

Transfers cannot be completed if there is a balance due on the Account.
Do not create a new site prior to the transfer. The transfer process will automatically create a new site.
If requesting a service to be transferred to another district, you must get both District Manager’s approval BEFORE completing this form.

Your Name(Required)

First Last

Your Cook's Email Address(Required)

Does the account have a balance?(Required)

Yes

No

Is there an active termite program with a payment plan?(Required)

Yes

No

Are you requesting a service be transferred to another District?(Required)

Yes

No

Have both District Managers approved the transfer?(Required)

Yes

No

Please upload proof of DM approval.(Required)

Max. file size: 360 MB.

Account Number(Required)

Customer Name(Required)

First Last

Service Address(Required)

Street Address Address Line 2 City State ZIP Code

County(Required)

District Office(Required)

Program(s) to be Transferred(Required)

Account Number(Required)

Customer Name(Required)

First Last

Service Address(Required)

Street Address Address Line 2 City State ZIP Code

County(Required)

District Office(Required)

OPTIONAL - Comments or Notes

ServSuite Account Transfer Request