Plant and Insect Diagnostic Clinic Sample Submission Form Preview on Page 1

Plant and Insect Diagnostic Clinic Sample Submission Form 2026

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  1. Click ‘Get Form’ to open it in our editor.
  2. Begin by filling out the 'Billing Contact Information' section. Enter your name, address, city, state, zip code, phone number, and email. Ensure all fields marked with an asterisk (*) are completed.
  3. Select the services you require by checking the appropriate boxes for plant problem diagnosis or insect identification. If you wish to authorize additional testing fees, indicate this as well.
  4. In the 'Sample Information' section, provide details about your sample including type (plant, mushroom, insect) and general origin/location. Be specific to ensure accurate diagnosis.
  5. Use the space provided to describe the problem in detail. Include any relevant history such as planting date and watering practices.
  6. Review all entered information for accuracy before submitting your form along with your sample to the specified address.

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Related links

PIDC Submission Forms - Yard and Garden

All samples that we receive in the ISU Plant Insect Diagnostic Clinic must be accompanied by a completed sample submission form.Read more

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