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P&PDL Digital Diagnostics
Image Submission
for Educators or Specialists

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This form is for use by Indiana Extension Educators or Specialists only. The diagnostic response is ONLY sent to the Educator or Specialist (not the client).

Instructions: Fill in the form below with the requested information. A * next to a field denotes required information. Use "NA" if you have no information for the required field. The more information you supply regarding the submitted images and problem, the better we will be able to assist you in identification/diagnosis of the problem.

To upload image file(s), click the "Choose file" or "Browse" button(s) in the Digital Image section and use the open window to find where the image is located on your computer. Select the image you want to upload and then press the "Open" button. The image file name will then appear in the "Image to Upload" field.

If you made a mistake, you may click the "Clear" button to clear the form and start over.

When you have selected all the images that you wish to upload, click the "Submit" button. Please be patient, your image(s) may take a while to upload.

If you are also submitting a physical sample to the lab, please check "Yes" where requested on the submission form.

When the image(s) have been transferred, a summary page with the sample information will be displayed and a confirmation email message will be sent to the Submitter's email address.

Submitter Information

* - denotes required information. Type "NA" if not applicable or you have no information.

*Submitter name:
*Submitter occupation:
*Submitter county:
*Submitter email:

Client Information

*Client occupation:

Sample Information

*Information desired: Problem ID
Specimen ID
Control recommendation
Other (please specify in "Additional information" below)
*Location found:
In dwelling
Tree/Shrub
Turf/Lawn
Golf course
Flower bed
Vegetable garden
Field/Farm		 Greenhouse
Nursery
Orchard
Animal/Human
Aquatic
Stored grain/Food products
Other
*Plant or host: Enter "NA" if not applicable.
*Physical sample: Are you sending a physical sample to the lab? Yes No
Problem description and additional information:

Digital Images

NOTE: Only files ending in ".jpg" or ".jpeg" can be uploaded! (Your images will be renamed during the transfer to the Digital Diagnostics site.)
Disclaimer: Images submitted may be used for teaching, extension, training activities, and/or promotion of the Purdue Plant and Pest Diagnostic Lab.
Image to Upload #1:
Image to Upload #2:
Image to Upload #3:
Image to Upload #4:
Image to Upload #5:
Please be patient, your image(s) may take a while to upload. A confirmation page will be displayed when the upload has been completed.

     
Plant and Pest Diagnostic Laboratory, Purdue University, West Lafayette, Indiana