Resistant Profile Form Submitter Client Information Sample 2026

1. Click ‘Get Form’ to open the Resistant Profile Form in the editor.
2. Begin by filling in the 'Submitter/Client Information' section. Enter your name, select your grower category (Commercial, Homeowner, Golf Course, UGA Research, Extension, UGA PDC, or Other), and provide your address and phone number.
3. Next, complete the 'Sample Information' section. Specify the pathogen for resistance profile along with the type of sample sent (e.g., Dead Flowers, Dead Leaves). Fill in the origin of the sample and relevant dates for when it was taken and submitted.
4. In the 'Fungicides Applied' section, list any fungicides used along with their rates and application dates. Ensure all fields are filled accurately to assist in determining disease potential.
5. Choose how you would like to receive results by selecting from options such as E-mail, Fax, Standard mail, or Phone.
6. Complete the 'Payment Information' section by indicating your payment method and where to send the invoice.
7. Finally, review your entries for accuracy before signing and dating at the bottom of the form. Remember that a signature is required for sample processing.

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