Purdue Plant Diagnostic Lab — Turfgrass Submission Form

Fill out by hand and mail with your sample, or fill in on-screen and print.

Submitter Information

First name

Last name

Business / organization

Address

City

State

Zip

County

Phone

Cultivar Variety

Date Established

Species (tick all that apply)

Bentgrass Bluegrass Tall Fescue Zoysia Bermuda Rye Other

If other, please specify

Location (tick all that apply)

Putting Green Surround Fairway Tees Athletic Field Park/Cemetery Sod Farm Commercial Other

If other, please specify

Sun Exposure (tick all that apply)

Full Sun Partial Sun Full Shade Unknown

Irrigation amount / frequency

Soil pH

Soil Drainage

Date Noticed

Symptoms in previous years (tick one)

Yes No Unknown

% of turf affected (tick one)

<25% 25-50% 50-75% >75%

Problem Discription

Fertilizer

Herbicides

Fungicides

Insecticides

Plant growth regulators

Aerification

Mail this form along with your physical sample to the Purdue Plant Diagnostic Lab.

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