Emerald Ash Borer Reporting Form
Sign in to Google to save your progress. Learn more
Contact Information
First Name *
Last Name *
Phone Number
Email *
Location of Sighting
Street Address *
(If there is no street address, describe as best you can the location [a park, a business name, etc.]. Please use any landmarks you observed at the site to help indicate the exact location. Note street intersection if appropriate.)
City/Town *
Zip Code
Sighting Details
Describe the insect seen, if one was observed
(Color, size, shape, etc.)
Describe any ash tree damage seen, if any [NOTE: Emerald ash borer only attacks ash trees, genus Fraxinus, or fringe trees, genus Chionanthus.]
(Holes in tree [indicate size and shape], S-shaped tunnels in bark, dieback of upper canopy of tree, etc.)
Additional Questions
How did you hear about the emerald ash borer? *
Anything Else?
(If you have any other questions or issues not addressed in this form, let us know here)
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.