Cutworm -- Web Submission

*NOTE: All fields (other than Email and LLD/GPS) are required and must be filled in before submitting the form


Date When Collected: 
mm/dd/yyyy  
Crop: 

If `Other` or unsure, provide details:


Suspected Cutworm Species: 

(To help identify: text descriptions / photos)  

If `Other` or unsure, provide details:


Area Affected (acres): 
Spray Required? 


Previous Season's Crop: 

If `Other` or unsure, provide details:




Data Collected By...
First Name: 
Last Name: 
Company: 
Telephone: 
(optional) Email: 


Location...
LLD (Legal Land Description): 
Format: Quarter-Section-Township-Range-Meridian
 (e.g. SE-25-52-16-W4)


LLD is preferred ; if unknown you may instead provide GPS co-ordinates:

Format: Lat, Lon ( 49..60, -110..-120)
(e.g. Edmonton is 53.545,113.500 )
 GPS:


   (please only click one time; the internet may be slow in responding)