Cass City Public Schools Business Office

4868 N Seeger Street

Cass City, MI 48726

Phone: 989-872-2200

Fax: 989-872-5015

Anti-Harassment Compliance Officers

The Board designates the following individuals to serve as "Anti-Harassment Compliance Officers" for the District. They are hereinafter referred to as the "Compliance Officers."

Pesticide Application

Dear Parent/ Guardian:
Complete this form ONLY if you are requesting advance notification of pesticide application by United States
Postal Service first-class mail.

Please be advised that you WILL receive notice via the methods identified in the annual advisory notice and
should only complete this form if you are also requesting notification by first-class mail.

If you are requesting prior notification of pesticide treatments conducted at this school or daycare center, other
than a bait or gel formulation, and you would like the notice to be delivered by United States Postal Service first class mail, postmarked at least 3 days prior to the planned treatment, please complete the information on the
following form

Request for Advance Notification by First Class Mail