Emerald Ash Borer (EAB) Report Form

*Date of observation (approximate is fine)

*Location of observation (street address or intersection, town)

*Was observation on an ash tree what is an ash tree?)
yes no

*Description of observation (e.g. green beetle, D-shaped hole, crown dieback, etc.)

Do you have a specimen? yes
Do you have a picture? yes
(You will be asked to attach a photo to the email you will receive.)

*Your name

Address

*City

*State

*Zip

Phone

*Email