IR-4 Ornamental Horticulture Project Request Form

This information is entered automatically into a request database and an email notification is also sent to Cristi Palmer. If you submit incorrect information or need to modify your request, please contact Cristi Palmer at (732) 932-9575 ext. 4629 or email palmer@aesop.rutgers.edu.

1. REQUESTER:
Name:
Affiliation:
Address:
Address Line 2:
City:
State:
Zip:
Phone Number:
Email:

2. SELECT PROJECT TYPE:
Update label based on attached information
(you will be allowed to upload files on the next page)
Conduct efficacy studies to add new disease, insect, or weed to the label
Conduct crop safety studies to add new crop to the label
Conduct plant growth regulator efficacy studies

3. ORNAMENTAL HORTICULTURE CROP(S):
Plant Group:
Common Name:
Scientific Name:
Plant Stage during Applications:
Use Site:
(i.e. greenhouse, nursery field, nursery container, interiorscape, etc.)

4. PRODUCT:
Trade Name:
Active Ingredient:
Rate Per Application:
(i.e. oz/100 gal, oz/acre)
Volume Per Application:
(i.e. gal/acre, pt/sq ft)
Number of Applications:
Application Interval:

5. RESEARCH TARGET/REGISTRATION OBJECTIVE:
Phytotoxicity on crop(s) listed above
Efficacy on this disease, insect, or weed:
   
(Crop Safety information is also collected during these studies)
Plant Growth Regulator effects on crops listed above


6. ECONOMIC IMPACT:
Please estimate the economic impact in your state if the management tool
described above is not available:

7. LABELLED PRODUCTS FOR THIS USE:


8. ADDITIONAL COMMENTS OR EXPLANATION OF NEED:




IMPORTANT: The more information we receive on these forms, the better we can address your needs!