The OSU Seed Laboratory provides reports and test information only to those listed on the original sample certificate. To grant access to additional parties, this form must be approved and signed by a party listed on the original sample certificate, e.g. warehouse or grower. To add tests or services to existing samples please use the Additional Tests Order.

Add ____________________________ (Company name) as a CC for the following samples. This provides web access to test information and all reports. Copies of future reports will automatically be sent. There is no charge for this service; however, if you wish existing reports to be reissued with the added name, charges may apply.

OSU Seed Lab Test Number	Lot Number	Crop Kind

Comments:

Authorization granted by:

______________

Name	Company	Date

Please sign and fax or mail this form to the OSU Seed Lab. Thank you!

OSU Seed Lab

3291 SW Campus Way	Fax:	541-737-2126

Corvallis, OR 97331-3801	Phone:	541-737-4464

OSU Seed Lab

Access Authorization

WI-211a.3 Access Authorization	Approved 6/21/15 by J. Keeling	Pg 1 of 1

Name of Training

Kim Armstrong

2015-06-23

Jodi Keeling

Seed Certification