Use this form for basic plant disease diagnostic services.

FORM D1178 (rev. 06/17) – Routine Diagnostic Service

This form consist of two pages. TPDDL policy and sampling instructions are included in page 2 of this form.

For more detailed information on how to sample and package your submission, check out one of these videos:

• What can be sent to the clinic?
• Packaging samples
• Oak Wilt Sampling
• Grass Sampling
• Other information

For assistance with filling out your form, you can contact your local AgriLife Extension county office (OFFICE LOCATOR)