Name * Email * Phone number Location of field with suspected insecticide failure Please provide GPS coordinates and/or address below, if available. GPS Coordinates Longitude Latitude Address Address Line 1 Address Line 2 City State Zip Code County * Insecticide used, including formulation and rate * Application date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20212022202320242025 Field history description (e.g., timing of initial colonization, aphid density pre/post spray, etc.) * May we contact you to follow up with other questions and possibly make a field visit to collect aphids? * Yes No
