Herbicide Damage Report

Please note the Nebraska Forest Service is not a regulatory agency. We work cooperatively with the Nebraska Department of Agriculture to document and/or assess reported damages to trees. This form helps us capture the frequency of herbicide-related damage across Nebraska. If you wish to file a formal complaint, please review NDA's procedure.

Date Damage Observed Required

Month

Day

Year

Approximate address of damage Required

County Required

Describe damages (plants affected and symptoms such as leaf curling, cupping, stunting, discoloration, browning, thin canopy, dead branches) Required

Other Information (if known, include information about recently applied chemicals, recent weather conditions (temperature, wind direction, fog), nearby agricultural activities

Your e-mail address Required

Your phone number

What best describes you? (select all that apply) Required

Submit images or videos of damage

Choose a file

Files must be less than 250 MB.
Allowed file types: gif jpg jpeg png avi mov zip mp4.

Leave this field blank