CWD Submission Form

CWD SUBMISSION FORM

Submitter Last Name

Submitter First Name

Address

City

State

Zip

Phone

By submission of this sample, you acknowledge that test results will be released to you, the submitter, and shared with the Iowa Department of Natural Resources to assist in Chronic Wasting Disease monitoring efforts. All samples become the property of the Iowa DNR and will not be returned to submitter.

For location of harvest: Please refer to the Iowa DNR's Public Hunting Atlas online, pan over map for GPS coordinates (lower left) or turn on the Section Lines layer to retrieve TRS information.

SAMPLES

Species

White Tailed Deer

Elk

Other

Specimen

Lymph Node

Head

#	Location (choose 1) (Click here for Public Hunting Atlas)
	GPS Coords		Township, Range, Section			Nearest Intersection or City
	Lat	Long	T	R	S	Nearest Intersection or City
1

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If you are experiencing difficulty or need additional help, please contact the ISU VDL at 515-294-1950.

When submitting elk for CWD testing, please include obex (caudal brainstem) as well as lymph node.

When submitting heads, please deliver directly to the ISU VDL at 1937 Christensen Drive Ames, Iowa 50011.