Pennsylvania Department of Agriculture

Pennsylvania Department of Agriculture

Request for Seed testing

Verification Information
Name: / Date Submitted:
Address: / -Email Seed Testing Reports
Email Address: / -Mail Seed Testing Reports
(two dollar extra report fee)
Phone Number: / -Fax Seed Testing Reports
(two dollar extra report fee)
Sample Information
Seed Kind: * / Lot Number: / List seed treatment:
Additional information:
*For mixture list all seed kinds and percentages (use back of page if necessary)
Testing Information
PA Noxious Weed / Interstate Noxious Weed / Purity / Germination
Cold / Sand / Glyphosate / TZ
Ryegrass Fluorescence / Canada Noxious Weed / Identification / Seed Count
Other:
Billing/Invoice Information
Name:
Address: / Use address above

Please direct any questions concerning this request for testing to the Seed Laboratory 717-787-4894.