Farmer Technical Assistance Request

Name*

First Last

Farm Name:*

County you farm in:*

Number of years your farm has been in business*

What is the acreage size of your farm or land you farm?*

Address of Farm*

Street Address Address Line 2 City ZIP Code

Email*

Phone*

What category would you classify your assistance needs to fall in:

Please describe the specific technical assistance are you looking for?*

Please be as specific as possible with type of assistance needed. For Pest Specific assistance you will fill in a separate field below and be asked to include images if available.

Are you having a pest (insect, disease or invasive weed) issue on your farm?*

If this is a pest assistance request (insect, disease or invasive weed), please list the Pest Problem/Issue you are experiencing:

Please describe in detail the pest issue in which you are requesting assistance for. You will have the ability to also upload pictures at the end of this form.

How long have you been experiencing this pest issue?

What crop(s) are being affected?

Is there anything else you think we should know or additional info you would like to share?

File

If you are in need of identifying a pest related issue, please provide photos that clearly show the pest or problem you are experiencing. This will aid our Regional Small Farms Team in reviewing and preparing a response to your request for assistance.

Drop files here or

Max. file size: 80 MB.

Farmer Technical Assistance Request

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