DISCLOSURE OF INFORMATION ON BED BUGS
THIS AGREEMENT made and entered into between ________________________________,
“Landlord" and ________________________________, ________________________________,
________________________________, and ________________________________, Tenant(s)”.
Tenant(s) is renting from Landlord the Property located at: __________________________
_____________________________________________________________________________________
BED BUG APPEARANCE. Bed bugs have six legs. Adult bed bugs have flat bodies about 1/4
of an inch in length. Their color can vary from red and brown to copper colored. Young bed
bugs are very small. Their bodies are about 1/16 of an inch in length. They have almost no
color. When a bed bug feeds, its body swells, may lengthen, and becomes bright red,
sometimes making it appear to be a different insect. Bed bugs do not fly. They can either
crawl or be carried from place to place on objects, people, or animals. Bed bugs can be hard
to find and identify because they are tiny and try to stay hidden.
LIFE CYCLE AND REPRODUCTION. An average bed bug lives for about 10 months. Female
bed bugs lay one to five eggs per day. Bed bugs grow to full adulthood in about 21 days. Bed
bugs can survive for months without feeding.
BED BUG BITES. Because bed bugs usually feed at night, most people are bitten in their
sleep and do not realize they were bitten. A person’s reaction to insect bites is an immune
response and so varies from person to person. Sometimes the red welts caused by the bites
will not be noticed until many days after a person was bitten, if at all. Common signs and
symptoms of a possible bed bug infestation:
1) Small red to reddish brown fecal spots on mattresses, box springs, bed frames,
mattresses, linens, upholstery, or walls.
2) Molted bed bug skins, white, sticky eggs, or empty eggshells.
3) Very heavily infested areas may have a characteristically sweet odor.
4) Red, itchy bite marks, especially on the legs, arms, and other body parts exposed while
sleeping. However, some people do not show bed bug lesions on their bodies even
though bed bugs may have fed on them.
For more information, see the Internet Web sites of the United States Environmental
Protection Agency and the National Pest Management Association.
CERTIFICATION OF ACCURACY. The following parties have reviewed the information above
and certify, to the best of their knowledge, that the information they have provided is true
and accurate.
________________________________ ________________________________
Landlord Date Landlord Date
________________________________ ________________________________
Tenant Date Tenant Date
________________________________ ________________________________
Agent Date Agent Date