REQUISITION FORM-PLANT CLINIC

Client: (WRITE CLEARLY)	Copy recipient:
Company name:

Contact person:	Name:
Address:	Address:
Postal code/municipality:	Postal code/municipality:
Tel/fax:

E-mail:	Tel/fax:

E-mail:
Invoice address:
Sampling site / Farm and holding number:	Sampling date:
Sampler:
Plant name (Norwegian/Latin)

Variety/cultivar

SYMPTOMS/DAMAGES:

Additional information / remarks:
Wilab/labvantage nr.:	Recived:	Registerd:

Sender’s signature with date::……………………………………………………………………………………

The Act relating to food production and food safety, etc. (the Food Act) (§ 6) states that suspicion of plant pests that may have significant societal consequences shall be reported to the Norwegian Food Safety Authority. Societal consequences include both environmental and economic impacts. As a reference laboratory for the Norwegian Food Safety Authority, NIBIO is obliged to report all positive findings of quarantine pests.

Sens samples to:
NIBIO Bioteknologi og plantehelse,	Tel: 452 11 439 / Fax: 64 94 61 10
Planteklinikken, Høgskolevegen 7, 1433 Ås	planteklinikken@nibio.no

Hanne Skomedal

2026-01-05

Carl-Henrik Lensjø Alvin

Jordforsk