Homeowner Turfgrass Sample Submission Form Phone: (608) 845-2535 Fax: (608) 845-8162 Email: hockemeyer@wisc.edu Turfgrass Diagnostic Lab O.J. Noer Facility 2502 Highway M Verona, WI 53593-9537 If you prefer to use our paper form, you can download it here then print it and mail it to us.Are you submitting the sample through your county extension office? Yes No If no, please proceed directly to Client Information.County Extension InfoCounty:County Agent Name: First Last County Office Address: Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County Agent Phone:Client InfoClient Name:* First Last Client Address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Client Daytime Phone:*Client Email:* Invoice/ResultsSend invoice to: County Extension Office Client Send results to: County Extension Office Client and cc County Extension Office Problem DescriptionHow many years old is the lawn?Was the lawn established from: Seed Sod When did you first notice the problem?What are the size, shape, and color of the affected turf? (photos are very helpful - see photo section below for info on how to submit digital photos)*Is the lawn irrigated? Yes No If Yes, how is it irrigated? By garden hose In ground system PhotosPlease consider submitting digital photographs of the affected area to provide us a visual indication of the syptoms. Photos can be texted to (608) 445-5490 or emailed to hockemeyer@wisc.edu. Please indicate the name of the submitter when sending digital photos. PaymentPayment Methods: - Pay at Time of Submission - you can include a check or money order when you submit your sample(s). - Payment Following Diagnosis and Receipt of Invoice: o By check or money order o Pay online Make checks and money orders payable to Turfgrass Diagnostic Lab. Submission Fee: $20.00 How to Prepare Your Samples- Samples should be approximately 6" in diameter across with three inches of soil. - It's important that the sample include both affected and healthy turf, so collect at the outer margin of the affected area. - if you plan to ship the sample mail or parcel service, wrap it in aluminum foil (not in plastic). If you enclose paperwork, please put it in a plastic bag so the moisture from the sample won't harm the paper. If you have questions about the sample submission process, please contact lab manager Kurt Hockemeyer at hockemeyer@wisc.edu. Thank you for your business.Please enter the alphanumeric code in the box below.Questions?Please contact Kurt Hockemeyer at 608-845-2535 or hockemeyer@wisc.edu if you have any questions.EmailThis field is for validation purposes and should be left unchanged. Δ