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Plant and Insect Diagnostic Clinic Sample Submission Form

Plant and Insect Diagnostic Clinic Sample Submission Form 2025

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4.8 out of 5

257 votes

The document is a sample submission form for the Plant and Insect Diagnostic Clinic at Iowa State University. It outlines the process for submitting plant and insect samples for diagnosis, including fees, required information, and billing details. The form emphasizes the importance of providing complete information to avoid delays in processing and includes guidelines for additional testing options. It also contains non-discrimination policy information.

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Click ‘Get Form’ to open it in our editor.
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.
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.
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.
Use the space provided to describe the problem in detail. Include any relevant history such as planting date and watering practices.
Review all entered information for accuracy before submitting your form along with your sample to the specified address.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (257 Votes)
2017	4.3 Satisfied (34 Votes)

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