Dicamba Damage Survey

If you have experienced dicamba damage, please complete this survey. The South Dakota Department of Agriculture and Natural Resources will use this information to evaluate the impact of dicamba use in South Dakota.

Name:

Address:

Phone Number:

Email Address:

Please note you must include your email address if you would like to receive a copy of your completed survey.

Have you experienced damage from dicamba use?

When did you first observe the damage?

Open the calendar popup.

Application Date:

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If you know when the application of a dicamba product was made, please select the date.

In what zipcode did the damage occur?

In what county did the damage occur?

select

Choose which most accurately describes the extent of damage?

If you chose Other, please describe the extent of damage:

Estimate area of damage in acres:

Which dicamba product was used?

What was damaged?

Identify all plant species you believe have been damaged on your property:

If you have reported damage to the product registrant, please describe the response:

If you have reported damage to the applicator, please describe the response:

Is there any other information you want us to know?

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