Hemp Harvest Report Sample Request Form
Fill out a separate request for each strain or product to be sampled; this will assist both UDAF inspectors and the UDAF lab to coordinate and track samples.

Allow 5 days for an inspector to coordinate a sampling time.

Starting July 1st, 2020, Official Sample Tests will be billed at $65 per test and $65 per hour to sample.

R68-24-5(3) Thirty (30) days prior to harvest the licensee shall submit a Harvest Report

Industrial Hemp Cultivation R68-24: https://rules.utah.gov/publicat/code/r068/r068-024.htm
Email *
Contact Name *
To be present at sampling
Contact Phone Number *
Sampling Date Request *
Hemp License Name *
Hemp License Number: *
Format: 8001-XXXXX
Look-up a Utah Industrial Hemp license: ag.utah.gov -> Online Services -> License Look-up -> Industrial Hemp -> 8001 Growers, 8002 Processors
Sampling Location: Address or GPS Coordinates *
Strain Name (or Grower Lot ID) *
Harvest Quantity (approximate number of plants) *
Is this Hemp Lot under Contract?
Clear selection
Storage Location: Address or GPS Coordinates *
Tests Requested *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of State of Utah. Report Abuse