"Future Farmer Program Analytical Laboratory Testing Reimbursement" - Prince Edward Island, Canada

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Future Farmer Program
Analytical Laboratory Testing Reimbursement
Project/Client # (Office Use Only):
1.
Applicant Information
Full Name (including middle name):
Organization Name:
Mailing Address:
Organization’s Twitter Handle (if
applicable
Village/Town/City
Province
Postal Code
Telephone No.
Cellular No.
Fax No.
E-mail Address
1.1
Type of Business or Organization.
Choose one and complete the required information
 Individual Proprietorship (if you file to Canada Revenue Agency as an individual)
Social Insurance Number: ____________________________________
 Incorporated Company (if you file to Canada Revenue Agency as a corporation)
(This number can be found on your tax forms and is required under the authority of the Income Tax Act)
Revenue Canada Business Number: ____________________________
 Partnership (if you file to Canada Revenue Agency as a partnership.)
Please include Revenue Canada Business Number
Revenue Canada Business Number: ____________________________
 Registered Charitable Organization / Not-for-Profit
Please include the charity registration number
Registration number: ___________________________________
 Other
Please Identify: ___________________________________
Registration number: ___________________________________
June 2019
Future Farmer Program
Analytical Laboratory Testing Reimbursement
Project/Client # (Office Use Only):
1.
Applicant Information
Full Name (including middle name):
Organization Name:
Mailing Address:
Organization’s Twitter Handle (if
applicable
Village/Town/City
Province
Postal Code
Telephone No.
Cellular No.
Fax No.
E-mail Address
1.1
Type of Business or Organization.
Choose one and complete the required information
 Individual Proprietorship (if you file to Canada Revenue Agency as an individual)
Social Insurance Number: ____________________________________
 Incorporated Company (if you file to Canada Revenue Agency as a corporation)
(This number can be found on your tax forms and is required under the authority of the Income Tax Act)
Revenue Canada Business Number: ____________________________
 Partnership (if you file to Canada Revenue Agency as a partnership.)
Please include Revenue Canada Business Number
Revenue Canada Business Number: ____________________________
 Registered Charitable Organization / Not-for-Profit
Please include the charity registration number
Registration number: ___________________________________
 Other
Please Identify: ___________________________________
Registration number: ___________________________________
June 2019
2.
Analytical Laboratory Testing Information
Analytical laboratory test area for reimbursement:
Soil
Compost
Livestock feed
Seed germination
Manure
Tissue
Milk
Water testing
Total cost of testing: $____________________
(Note: Costs must be supported by receipts)
3.
Department Goals
Please choose one goal to which your project most aligns.
 Environmental Stewardship
Promote environmental stewardship
 Local Food
Support local food through initiatives that promote a better understanding of where food comes from.
 Food Sales, Security and Safety
Develop a food cluster that promotes food sales, security and safety.
 Innovation, Sales and Exports
Encourage innovation, sales, and export possibilities for agriculture.
 Public Trust
Enhance the public’s trust in PEI’s agri-food sector.
 Human Capital
Development of a human capital strategy for PEI’s primary industries and food manufacturing.
4.
Applicant’s Certificate
I certify that the above noted amounts, supported by the attached documents, are for Analytical Laboratory work
completed in accordance with the terms and conditions of the Future Farmer Program.
Signature
Date
June 2019
5.
Submitting the Application
Completed applications may be submitted to the attention of the Future Farmer Program Officer via regular mail or
email.
E-Mail Applications:
Once you have completed the application, you may e-mail a signed copy in PDF to
futurefarmer@gov.pe.ca.
Please include the program name in the subject line.
Regular Mail Applications:
Applications may be submitted via regular mail at:
PEI Department of Agriculture and Land
11 Kent Street
PO Box 2000
Charlottetown, PE
C1A 7N8
(902) 368-4880 (telephone)
(902) 368-4857 (facsimile)
Questions?
Please e-mail futurefarmer@gov.pe.ca
FOR OFFICE USE ONLY
Invoice Number:
Amount Payable
Account Number:
Date:
Authorization:
Note: Supporting documentation can be found in the office of the Future Farmer Program Manager
June 2019
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