Digital Sample Submission Form The Ohio State University-Fruit Pathology LaboratoryThe Ohio State University-Fruit Pathology LaboratoryUse this form to submit fruit disease digital diagnostic samples. Please complete one form per crop type. There is no charge for digital diagnostic samples. If assistance is needed with uploading an image please email Dr. Lewis Ivey (ivey.14@osu.edu). Scroll to the very bottom of the page to submit your form.Contact Information* - denotes required information.DateName (First and Last)*Affiliation* Commercial GrowerHomeownerThe Ohio State ExtensionCrop ConsultantPhone Number (XXX-XXX-XXXX)*Email AddressBest way to reach you* PhoneEmailTextOtherBest way to reach youPlease provide mailing address if mail is the best way to reach you.Digital Sample Information* - denotes required information.County from which the sample was taken* AdamsAllenAshlandAshtabulaAthensAuglaizeBelmontBrownButlerCarrollChampaignClarkClermontClintonColumbianaCoshcoctonCrawfordCuyahogaDarkeDefianceDelawareErieFairfieldFayetteFranklinFultonGalliaGeaugaGreeneGuernseyHamiltonHancockHardinHarrisonHighlandHockingHolmesHuronJacksonJeffersonKnoxLakeLawrenceLickingLoganLorainLucasMadisonMahoningMarionMedinaMeigsMercerMiamiMonroeMontgomeryMorganMorrowMuskingumNobleOttawaPauldingPerryPickawayPikePortagePreblePutnamRichlandRossSanduskySciotoSenecaShelbyStarkSummitTrumbullTuscarawasUnionVan WertVintonWarrenWashingtonWayneWilliamsWoodWyandotType of Sample* Commercial-hydroponicsCommercial-fieldCommercial-high tunnel or hoop houseBackyardCrop* AppleBlackberryBlueberryCherryCrabappleCurrantGooseberryGrapeHopPawpawPeach/nectarinePearPlumRaspberry-blackRaspberry-purpleRaspberry-redStrawberryTree nutOtherCropVariety/CultivarPlease specifyApproximate Plant Age*Month, day or yearsSize of planting*Number of plants, acreageDate problem was first observed*Percent (%) of plants affected*Please provide any additional information about the sample that can be used to assist us with the diagnosisPattern of symptoms in the planting, application of herbicides, insecticides or fungicides, irrigation etc.Are you sending a physical sample to the lab?* YesNoDigital Image UploadA maximum of 10 images can be uploaded on one sample form. When you have selected all the images that you wish to upload, click the Submit button ONCE. Please be patient, your image(s) may take a while to upload. When the image(s) have been transferred, a confirmation page will show.* - denotes required information.Number of Images Uploaded*Maximum of ten images.File Upload 1*Drop a file here or click to uploadChoose FileMaximum file size: 52.22MBFile UploadDrop a file here or click to uploadChoose FileMaximum file size: 52.22MBFile UploadDrop a file here or click to uploadChoose FileMaximum file size: 52.22MBFile UploadDrop a file here or click to uploadChoose FileMaximum file size: 52.22MBFile UploadDrop a file here or click to uploadChoose FileMaximum file size: 52.22MBFile UploadDrop a file here or click to uploadChoose FileMaximum file size: 52.22MBFile UploadDrop a file here or click to uploadChoose FileMaximum file size: 52.22MBFile UploadDrop a file here or click to uploadChoose FileMaximum file size: 52.22MBFile UploadDrop a file here or click to uploadChoose FileMaximum file size: 52.22MBFile UploadDrop a file here or click to uploadChoose FileMaximum file size: 52.22MBSubmitThis form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.Δ