Get Sample Submission Form.pdf - Scholarsarchive At Oregon State ... - Ir Library Oregonstate

Filling out the Sample Submission Form accurately is crucial for a timely response to your request. This guide provides a structured overview and detailed instructions for each section of the form to ensure users can complete it successfully.

Follow the steps to fill out the Sample Submission Form online.

1. Press the ‘Get Form’ button to obtain the Sample Submission Form PDF, ensuring you have it open for editing.
2. Select whether the sample is 'Commercial' or 'Noncommercial' by checking the appropriate box at the beginning of the form.
3. Input your name and phone number in the designated fields to ensure proper identification.
4. In the 'Referred by (county agent)' section, provide the name and phone number of the county agent, along with the address where the report should be mailed.
5. Choose the source of the sample from the list provided, selecting one appropriate option such as 'indoor dwelling' or 'yard/landscape' and fill in any additional details as necessary.
6. Indicate the amount of damage or occurrence by selecting one of the options: 'less than 10%', '10-50%', or 'greater than 50%'.
7. Describe the nature of your request by checking one or more options that apply, such as 'curiosity', 'medical/health', 'nuisance only', etc.
8. Provide further comments or notes if needed in the designated 'Other comments' section.
9. Complete the 'Additional Site/Crop Information' section with the relevant details regarding the host plant or animal, field size, and pattern of damage.
10. Once all fields are filled, ensure that all three copies of the form are completed clearly using a sharp pencil or ballpoint pen.
11. Submit the completed form along with your sample according to the mailing instructions, ensuring no live insects are included.

Start filling out your Sample Submission Form today to ensure a prompt response to your request.