2018 Farmers Agreement Form - Alabama

This printable "Farmers Agreement Form" is a document issued by the Alabama Department of Agriculture and Industries specifically for Alabama residents.

Download a PDF of the latest edition of the form down below or find it through the department's forms library.

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F
M
ARMERS
ARKET
N
P
UTRITION
ROGRAM
F
A
ARMERS
GREEMENT
(Valid January 1, 2018 through December 31, 2018)
____________________
Farmer’s Name (Please print)
County of Residence
Stamp # (FMNP ID #)
I understand and hereby agree to abide by the Rules and Procedures as printed on the reverse
side of this form and in the Farmers Market Nutrition Program Training Manual or amendments to
rules that may be promulgated at markets and/or mailed to me. In compliance with USDA’s
regulations, I acknowledge that I have received training by submitting this completed form
and a current year’s growers permit each year to the Farmers Market Authority. I understand
and agree that it is my responsibility to submit these forms.
______________________________
Farmer’s Signature
Today’s Date
Race:
Mailing Address
American Indian or Alaska Native
Asian
Black or African American
Mailing Address City/State/Zip Code
Native Hawaiian or Other Pacific Islander
White or Caucasian
Farm Name
Ethnicity:
Hispanic
Non-Hispanic
Farm Address/City/State/Zip Code
Telephone Number (including area code)
________________________________________________
E-mail Address
Markets You Currently Attend:
FMNP Authorized Market Name
FMNP Authorized Market Name
FMNP Authorized Market Name
FMNP Authorized Market Name
FMNP Authorized Market Name
FMNP Authorized Market Name
Please notify the Farmers Market Authority at 1-877-774-9519 or 334-240-7247 if any of the above information changes.
F
M
ARMERS
ARKET
N
P
UTRITION
ROGRAM
F
A
ARMERS
GREEMENT
(Valid January 1, 2018 through December 31, 2018)
____________________
Farmer’s Name (Please print)
County of Residence
Stamp # (FMNP ID #)
I understand and hereby agree to abide by the Rules and Procedures as printed on the reverse
side of this form and in the Farmers Market Nutrition Program Training Manual or amendments to
rules that may be promulgated at markets and/or mailed to me. In compliance with USDA’s
regulations, I acknowledge that I have received training by submitting this completed form
and a current year’s growers permit each year to the Farmers Market Authority. I understand
and agree that it is my responsibility to submit these forms.
______________________________
Farmer’s Signature
Today’s Date
Race:
Mailing Address
American Indian or Alaska Native
Asian
Black or African American
Mailing Address City/State/Zip Code
Native Hawaiian or Other Pacific Islander
White or Caucasian
Farm Name
Ethnicity:
Hispanic
Non-Hispanic
Farm Address/City/State/Zip Code
Telephone Number (including area code)
________________________________________________
E-mail Address
Markets You Currently Attend:
FMNP Authorized Market Name
FMNP Authorized Market Name
FMNP Authorized Market Name
FMNP Authorized Market Name
FMNP Authorized Market Name
FMNP Authorized Market Name
Please notify the Farmers Market Authority at 1-877-774-9519 or 334-240-7247 if any of the above information changes.
All farmers will be inactive each year until FMA receives a new farmer’s agreement and grower’s permit. Any checks
submitted by a farmer that is inactive will be returned to your bank and you will not be allowed to redeposit those
checks.
Before making any deposits, call FMA at this toll free number 1-877-774-9519 to verify
that you are eligible to accept FMNP checks.
You must stamp the front of each check with the FMNP certification stamp that is issued by the Alabama Farmers
Market Authority (FMA).
 If you failed to stamp the front of the check or if the number is not legible, the check(s) will be returned to
your bank. If you are active, you will have the opportunity to stamp the checks and redeposit them. Be sure to
keep your stamp filled with ink and apply a generous amount of pressure when stamping the checks to avoid
returned checks.
 Only a bona fide producer of fresh fruits, vegetables, herbs and honey can be certified for the FMNPs.
 The producer may send a family member, employee or designated agent registered with the market
manager to sell his goods. (If you have ever been disqualified from the FMNP’s, you cannot be a
designated agent.)
 First time participants must receive interactive (face-to-face or web-based) training on program rules.
It is the farmer’s responsibility to make sure that FMA has received the farmers
agreement and growers permit prior to accepting FMNP checks.
 Assure that checks are redeemed for programmatic eligible foods;
 Clearly mark each check with a farmer identifier;
 Make regular deposits as you accept FMNP checks and do not wait until the end of the program to make one
large deposit;
 Provide training to any employees on program rules and procedures;
 Accept FMNP checks only at sites authorized by the Farmers Market Authority. (If you have questions
regarding authorized sites, contact the FMA.)
 Farmers may accept WFMNP checks only for locally grown fresh fruits, vegetables and herbs which they
grow themselves. Honey is not an eligible item in the WFMNP!
 Farmers may accept SFMNP checks only for locally grown fresh fruits, vegetables, herbs and honey which
they grow themselves.
 Farmers may purchase produce and accept FMNP checks for the purchased product only if:
1) the market rules permit,
2) the farmer submits a completed “Request to Purchase Form” to the Farmers Market Authority (FMA) to
purchase products with justification for the need to purchase products, and
3) permission is granted from the FMA.
FMNP checks CANNOT be redeemed for nuts, jelly, jam, eggs, baked goods, plants, flowers, or other non-food
items, or items not produced on local farms.
 Checks are good only for fresh, locally-grown, unprocessed fruits, vegetables, herbs (herbs must be cut,
cannot be potted) and honey (honey - SFMNP only). Produce may be cleaned, trimmed and packaged but not
otherwise processed, heated, or cooked.
 Checks cannot be exchanged for cash, cannot be used to buy produce from another farmer or given away.
PERMANENT DISQUALIFICATION: Upon the second disqualification in a three (3) year period beginning
Jan 1, 2008, the disqualification will be permanent.

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