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Emergency Relief Fund – Eligibility Form
Each eligible farm may receive
up to $500 in initial support
, depending on funds available. If your circumstances are especially urgent or your losses are greater, you may submit a
second application for additional support
, which will be considered if funds allow.
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Applicant Full Name
Your answer
Farm Name + Full Mailing Address
Your answer
Email Address
Your answer
Farm registration number. (If not registered, name your marketing channels (farmers market, website, CSA, wholesale, farm gate, etc.)
Your answer
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