Loss in the Garden Form

First Name *

Last Name *

Submit as a company

Company Name

Email *

What location are you currently gardening at?

What is your plot number?

Would you like a response? We aim to respond to all communication within 2-3 business days.

Yes

No

CROPS

Was this loss of crops in your garden? If not please leave blank and skip to the next section.

Are you reporting loss or damage to your plot?

Loss

Damage

What do you think the cause was?

Bunnies / Rodents

Bugs

Drought / Flood

Disease

Member of the Public

Not Sure

Was the whole plant removed/damaged or were just parts of it harvested? (i.e a couple beans, or the entire bean plant)

Whole plant removed/damaged

Only parts of it harvested

What was lost or damaged? (specific types of crops)

What percentage of your garden was harvested/damaged?

Please note - 40% loss is not unusual in a home or community garden. We recommend planting extra to accommodate for this!

What poundage was harvested/damaged? (rough estimate is okay)

Can you place a rough dollar value on what was damaged/lost?

When roughly do you think this happened? Please include date and time.

Any other details?

Attach any photos or documents here.

Urban Bounty can sometimes provide plant starts, extra produce, and seeds as a donation to gardeners who have lost produce. We always have seeds, but starts and produce depends on availability and season. We will reach out for more details if you are interested!

Yes - Produce

Yes - Seeds

Yes - Plants

No Thank You

GARDEN EQUIPMENT

Was this loss of garden tools or equipment? If not please leave blank and complete the form.

Are you reporting loss or damage to your plot?

Loss

Damage

What was lost or damaged?

Can you place a rough dollar value on what was damaged/lost?

When roughly do you think this happened?

Any other details?