Illinois Crop Improvement Association, Inc. | Forms

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OECD Tag Order Form

*Company

*Location

Name of person placing the order

*Email

Phone number of person placing order

*Year & location grown

OECD reference number

(issued by ICIA)

ICIA test # (if known)

Sheller/unclean
clean/graded

ICIA field #

Producer or conditioner #

*Variety

*Class

*Crop

Not Finally Certified (grey tag)

*Net weight or kernel count of each bag/container

*Total weight of
tag order

lbs.

*Date sealed
(month & year)

*Lot #

Basic seed:

Country of Production
F-
M-
Lot # (not pedigree)
F-
M-

*Treatment
(type and amount)

*Destination of seed

Number of tags

Sew on
Stick on (OECD Certified only)

*Required Fields

If you have questions, please contact:

ICIA
Tags & Records
Attn: Teresa Underwood
Phone 217-359-4053 ext 19
Fax 217-359-4075
e-mail: tunderwood@ilcrop.com

Revised May 27, 2003