Get Sample Submission Form - Plant Diagnostic Clinic - Colorado State ...

Filling out the Sample Submission Form for the Plant Diagnostic Clinic at Colorado State University is an important step for obtaining accurate plant and insect diagnoses. This guide provides you with clear, step-by-step instructions to complete the form online, ensuring you provide all necessary information for effective evaluation.

Follow the steps to successfully complete your submission form.

1. Press the ‘Get Form’ button to access the Sample Submission Form and open it in your online editor.
2. Fill in the 'Date Received by Clinic' field according to when you complete the submission.
3. Enter the 'CSU Sequence #' if provided to help track your submission.
4. Choose the 'ID Level Required' by checking the appropriate box for the service you need, such as Insect ID, General Disease, or other diagnostics.
5. Input the 'Date Collected' of your plant or insect sample.
6. Provide your name in the 'Submitter' field to identify who is making the request.
7. Fill in the 'County' where the sample was collected.
8. Complete the 'Client' section with accurate billing information, including your name, billing address, city, zip code, phone number, fax number, and email address, as applicable.
9. Document the 'Host Name' by including both the common and scientific name of the plant or insect being submitted.
10. Specify the 'Variety' of the plant, if known.
11. Select the 'Location' where the sample was collected by checking one of the given options or specifying another location.
12. Identify the 'Plant Part Affected' clearly to assist the clinic in diagnosis.
13. Describe the 'Symptoms' observed in the sample using clear and detailed language.
14. Provide any 'Additional Information' regarding plant history, chemical usage, fertilization, and watering practices to aid in diagnosis. You can use the back of the sheet if necessary.
15. Once you have filled in all sections of the form, review your entries for accuracy. After confirming the information is complete, you can save your changes, download the form, print it for your records, or share it as needed.

Complete your Sample Submission Form online today to ensure a timely diagnostic process.