Electronic Forms Index

California has adopted the Uniform Electronic Transactions Act (California Civil Code § 1633.1-1633.17), which establishes the legal validity of e-Signatures and contracts in a manner similar to the federal law, Electronic Signatures in Global and National Commerce Act.

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By Division/Program

Animal Health and Food Safety Services Division (AHFSS) Forms

Form Number	Form Name
ACP-73-001	Animal Care Program Complaint Form
ACP-73-002	Distributor Registration Application
ACP-73-003	Certification Application
ACP-73-004	Certifying Agent Accreditation Application
AHB-76-024-A	Application to Register Equine Event
AHB-76-025	Saleyard Assessment Report
AHB-76-027	Official Form For Declaration Of Drugs Administered
AHB-76-050	Application for License as Commercial Blood Bank for Animals
AHB-76-051	Application for Registration of of Commercial Blood Bank Products
AHB-76-068-A	Application For License To Feed Garbage To Swine
AHB-76-070-A	Application for Renewal of License to Feed Garbage to Swine
AHB-76-074	Pasture to Pasture Permit for a Beef Breeding Herd
AHB-76-074-A	One-time Event Permit
AHB-76-196-W	Location Number Request for Traceability Framework
AHB-76-199	Official Bovine Trichomonosis Test Report Form
AHB-76-199-A	Official Bovine Trichomonosis Test Report Continuation Form (for more than 1 page)
AHB-76-201	Approved Tagging Site Agreement
AHB-76-203	Report of Heifers Spayed after Arrival
AHB-76-206	Certificate of Independent Review and Completion of Trich Sample Collection and Evaluation Training
AHB-76-208	Working Horse Permit Application
AHB-76-210	Veterinarian Report of Official Ear Tags Distributed or Applied
AHB-76-211	Laboratory Certification Program Application
AHB-76-212	Hatchery Premises Enhanced Biosecurity Plan Template
AHB-76-213	Equine Medication Monitoring Program Order Form
AHB-76-214	Public Complaint Form
AHB-76-215	California Feed Mill Premises Biosecurity Plan Template
AHB-76-216	California Poultry Farm Premises Biosecurity Plan Template
AHB-76-217	California Broiler Farm Premises Enhanced Biosecurity Plan Template
AHB-76-218	California Poultry Slaughter Premises Enhanced Biosecurity Plan Template
AHB-76-219	California Animal Response Emergency System (Cares) Local Government Emergency Animal Shelter Assessment Form
AHB-76-220	California Dairy Farm Premises Enhanced Biosecurity Plan Template
AHB-76-221	Premises Specific Enhanced Biosecurity Plan
AHB-76-222	California Dairy Processor Premises Enhanced Biosecurity Plan Template
AHB-76-223	CDFA Highly Pathogenic Avian Influenza (HPAI) in Livestock Monitored Herd Agreement
AHB-76-224	Bull Slaughter Agreement
AHB-76-225	EID Equipment
AHB-76-226	EID Tag Request Producers
AHB-76-227	EID Tag Request Veterinarians
AHB-76-228	EID Tag Request Approved Tagging Sites
AHB-76-229	Request to Receive Animal Disease Text Alerts
LID-74-002	Application for Livestock Brand
LID-74-010-A	Application for Dairy Exemption Number
LID-74-036-Y	Bill of Sale or Consignment Slip
LID-74-037	Feedlot Registration Form
LID-74-089	Application for Annual Cattle Transportation Permit
LID-74-097	Application for Annual Out-of-State Permit
MDFS-72-222	Label Review Submission Form
MDFS-72-230	Examination Application for Registered Dairy Inspector Certification
MDFS-72-244b	Application for a semifrozen (Soft-Serve) Milk Products Plant License
MDFS-72-259	Application for Registration/Renewal of a Product Resembling a Milk Product
MDFS-72-266-A	Vitamin Permit Application
MDFS-72-271	Application for Certificate of Free Sale and Sanitary Origin
MPES-79-001-A	USDA Exempt Meat & Poultry Establishment Registration
MPES-79-002-A	Application to Operate a Custom Livestock Slaughterhouse
MPES-79-002-B	Application to Operate a Meat Processing Establishment
MPES-79-003-A	Application to Operate a Poultry Plant
MPES-79-004-A	Application to Operate a Pet Food Establishment
MPES-79-005-A	Dead Animal Hauler License Application
MPES-79-006-A	Application to Operate a Collection Center
MPES-79-007-A	Application to Operate a Rendering Plant
MPES-79-008-A	Livestock Meat Inspector License Application
MPES-79-009-A	Poultry Meat Inspector License Application
MPES-79-010-A	Processing Inspector License Application
MPES-79-012-A(1)	Personal Use - Inedible Kitchen Grease Transporter Registration Application
MPES-79-012-A(2)	Commercial Use - Inedible Kitchen Grease Transporter Registration Application
MPES-79-015	Driver / Vehicle Information For Renderer's
MPES-79-015-A	Registration Of Transporters Of Uncooked Parts or Products of Animals Not Intended for Use as Human Food
MPES-79-016-A	Inedible Permit Application
MPES-79-018	Application for Permit to Remove Inedible Material From Rendering Plant
MPES-79-020	Driver – Vehicle Information For Collection Centers
MPES-79-021-A	Application for Livestock Producer Registration
MPES-79-021-B	Application for Mobile Slaughter Operation
MPES-79-025	Request For Survey For State Meat and Poultry Inspection
MPES-79-025-A	Request For Survey For State Licensed Rendering Facility
MPES-79-038	Meat, Poultry and Egg Safety Branch - Schedule Of Operations
MPES-79-038A	Schedule of Operations Pet Food
MPES-79-039	Meat, Poultry and Egg Safety Branch - General Facility Notes
MPES-79-060	Daily Report Of Poultry, Rabbits, and Ratites Inspected
MPES-79-080	Label and Formulation Approval
MPES-79-121	Permit Request To Dispose Of Carcass(es) at a Landfill
MPES-79-124	IKG Manifest Instructions and Receiving Facility Information
MPES-79-125	Manifest - Inedible Kitchen Grease Transport Generator Information
MPES-517-004-A	Egg Handler and Producer Registration Form
MPES-517-004-B	Egg Handler and Producer Registration Renewal Form
MPES-517-016	Egg Mill Fee Exemption Statement
MPES-517-029-A	In-State Egg Mill Fee Assessment Report
MPES-517-029-B	Out-of-State Egg Mill Fee Assessment Report
MPES-517-030	Egg Mill Fee Advance Payment/Adjustment Statement
MPES-518-001	Shell Egg Food Safety (SEFS) Pre-Audit Questionnaire

Citrus Pest and Disease Prevention Division Forms

Form Number	Form Name
CDF-005	Citrus Pest & Disease Prevention Monthly Assessment Remittance
CDF-005E	Remesa de Evaluación
CDF-005P	Citrus Pest & Disease Prevention Prior Rate Monthly Assessment Remittance
CDF-005PE	Remesa de Evaluación de la Tarifa Anterior
CDF-011	New Handler Registration Form
CDF-014	HLB Fruit Seller Mitigation Form
CDF-015	Asian Citrus Psillid-Free Declaration Form
CDF-016	Cooperative Asian Citrus Psyllid and Huanglongbing Quarantine Program Compliance Agreement
CDF-017	Exhibit: Citrus – H Harvester/ Farm Labor Contractor
CDF-018	Huanglongbing Pest Risk Mitigation Form
CDF-019	Application for Registration of Trees
CDF-020	Program Agreement for Registration of Trees
CDF-021	Compliance Agreement for Clean Citrus Program
CDF-022	Cooperative ACP & HLP Agreement for Master Permit QC1411
CDF-023	Exhibit: SOS-PH Packinghouse / Processor
CDF-024	Exhibit: SOS-FS Fruit Seller and Transporter
CDF-025	Exhibit: SOS-G Grower / Grove Manager
CDF-026	Exhibit: SOS-T Transporter / Hauler
CDF-027	Cooperative Sweet Orange Scab Quarantine Program Compliance Agreement

Division of Measurement Standards (DMS) Forms

Form Number	Form Name
DMS-40-100	California Type Evaluation Program - Application for Evaluation of A Weighing or Measuring Device
DMS-41-016	Measurement Standards - Complaint Report
DMS-41-016-A/W	Petroleum Enforcement - Air/Water Complaint Form
DMS-41-020	Petroleum Enforcement - Developmental Engine Fuel Variance Quarterly Report Form
DMS-41-054	Petroleum Enforcement - Motor Oil Fee Return Form aka Motor Oil Fees Remittance Form
DMS-42-005	Weighmaster License Application
DMS-42-035	Weighmaster License Cancellation Form
DMS-42-040	Measurement Standards - Common Tare Notice
DMS-44-062	Service Agency Application - Weights and Measures
DMS-44-070	Service Agency Cancellation Form
DMS-45-100	Prospective Registered Service Agency Advisory Committee Member Questionnaire

Division of Marketing Services / Fairs & Expositions Forms

Form Number	Form Name
ASB-GC-001	2024 Crop Grape Crush & Purchase Inquiry
ASB-GC-002	2024 Assessment Report - Final
ASB-GC-003-EZ	Grape Crush Inquiry 2024 EZ
ASB-GC-003-MOG	Grape Crush Inquiry 2024 MOG
ASB-GC-003-Regular	Grape Crush Inquiry 2024
ASB-GC-004	2024 Crop Grape Crush Excel Certification Form
ASB-GC-005	2024 No Crush Purchase
ASB-GC-007	Pierce's Disease Assessment - Supplement
ASB-GC-008	Data Page - Supplement
ASB-GC-009	2024 Pierce's Disease Referendum Processor Form
MEB-28-003	Market Enforcement Branch - Application for License
MEB-28-004	Market Enforcement Branch - Application for Agent's License
MEB-28-005	Corporate Officer Designation
MEB-28-006	Commission Merchant/Broker Charges
MEB-28-012	Market Enforcement Branch - Verified Complaint
MEB-100	Committee Member Nomination Form
MFEB-STOP-001	2024 STOP Template
MKT01	Request for Conciliation
MPB-205-030	Milk Handler's Bond
MPB-205-031-A	Milk Handler's License Application - Renewing Processor
MPB-205-031-C	Milk Handler's License Application - New Processor
MPB-210-001	Producer Records Update Authorization
MPB-210-006	Production Base and Pool Quota Transfer Application
MPB-210-125	California Milk Advisory Board (CMAB) Assessment Report

Farmer Equity Program Forms

Form Number	Form Name
FEP-1.6	Beginning Farmer/Farmworker Training & Workforce Development Technical Review Application

Pierce's Disease Control Program (PDCD) Forms

Form Number	Form Name
PDCP-7.100	Origin Bulk Citrus Compliance Agreement
PDCP-7.101	Destination Bulk Citrus Compliance Agreement
PDCP-7.102	ATP Nursery Compliance Agreement
PDCP-7.103	Nursery Compliance Agreement
PDCP-7.104	Broker Nursery Compliance Agreement
PDCP-7.105	Distribution Center/Nursery Compliance Agreement
PDCP-7.106	Exhibit #X1 Program Management Practices for Aerial Spray Treatments
PDCP-7.107	Exhibit #X2 Program Management Practices for Ground/Foliar Spray and Soil Treatments
PDCP-7.108	Exhibit #X3 Program Management Practices for Hazardous Materials Spills

Plant Health and Pest Prevention Services Division (PHPPS) Forms

Form Number	Form Name
PHPPS-63-002	Curly Top Virus Control Program
PHPPS 64-003	Prospective Voting Member Appointment Questionnaire
PHPPS-64-004	Application for the Registration and Certification of Deciduous Fruit and Nut Trees
PHPPS-64-005	Application for Certification of Strawberry Plants
PHPPS-64-006	IAB Assessment Determination Worksheet
PHPPS-64-017	Application for the Certification of Avocado Nursery Stock
PHPPS-64-019	Application for the Registration of Avocado Trees and Increase Blocks
PHPPS-64-029	Application for License to Sell Nursery Stock
PHPPS-64-029	Solicitud Para Una Licencia Para Vender Material De Vivero
PHPPS-64-030	Application for Certification of Seed Garlic
PHPPS-64-031	Fee Exempt License to Sell Nursery Stock
PHPPS-64-031	Licencia Con Exencion De Tarifa Para Vender Material De Vivero
PHPPS-64-054	Nursery Stock Nematode Certification Application
PHPPS-64-055	Application for the Registration of Grapevines
PHPPS-64-057	Report Number 7 - Nursery Inspection Report
PHPPS-64-060	Application for the Registration and Certification of Pome Fruit Trees
PHPPS-64-085	Annual Nursery Stock Nematode Certification Agreement
PHPPS-64-086	Nursery Stock Nematode Certification Report/Billing Form
PHPPS-65-020	Pest and Damage Record
PHPPS-65-057	Application for Registration and/or Testing of Citrus Trees
PHPPS-66-026	Application and Permit to Move and Use Live Insect Pests or Insects or Noxious Weeds
PHPPS-66-045	Application and Permit to Move and Use Plant Quarantine Commodities
PHPPS-66-045-A	Application for a Permit to Import Seed Sweet Potatoes for Planting or Propagation
PHPPS-66-085	Application for Phytosanitary Field Inspection of Seed
PHPPS-68-004	Application for Authorization to Sell Seed
PHPPS-68-005	California Seed Advisory Board Prospective Member Appointment Questionnaire
PHPPS-69-001	IH Registration Application Packet Growers
PHPPS-69-002	IH Application Packet Breeders
PHPPS-69-003	IH Amendment App - Contact, Business, KP
PHPPS-69-004	IH Amendment App - Site, Cultivar, Plan
PHPPS-69-005	Industrial Hemp Application for Testing Approval
PHPPS-69-008	IH Sample Analysis Request Form
PHPPS-69-010	IH Destruction Plan
PHPPS-69-011	IH Destruction Report
PHPPS-69-012	IH Application for Established Agricultural Research Institutions
PHPPS-69-013	Industrial Hemp Advisory Board Prospective Member Appointment Questionnaire
PHPPS-BEAPP001	Application for Apiary Serial Number Brand for Bee Equipment
PHPPS-BEBOS001	Bill of Sale Apiary Equipment
PHPPS-BECOD001	Apiary Certificate of Destruction
PHPPS-BEE-01	Appeal
PHPPS-WMA-24-001	2025 Weed Management Area Grant Program RFP
PHPPS-WMA-24-002	2025 WMAGP Project Application Applicant Name
PHPPS-WMA-24-003	2025 WMAGP Budget
PHPPS-WMA-24-004	2025 WMAGP Reporting and Mapping Template

Inspection Services Division (PHPPS) Forms

Form Number	Form Name
IS-51-022	Application for Experimental Permit for Nonstandard Container/Pack
IS-51-022-R	Renewal Request for Experimental Permit
IS-51-023	Melon and Vegetable Adjoining State Movement Permit
IS-51-034	Controlled Atmosphere Registration Application for Apples
IS-51-047	Application/Certificate for Certified Farmers' Market
IS-51-049-M	Application for Certified Producer's Certificate
IS-51-049-MS	Supplemental Certified Producer's Certificate
IS-51-055-C	Standardization and California Citrus Program Remittance Form
IS-51-064	Certified Farmers' Market Remittance Form
IS-51-067	Tomato Handler Registration
IS-51-070	Community Supported Agriculture - Producer Registration and Remittance Form
IS-513-012	Commercial Feed Inspection Tonnage Tax Report and Payment
IS-513-015	Fertilizing Materials Mill Assessment Form
IS-513-020	Fertilizing Materials License Application
IS-513-023	Conventional Fertilizing Material Label Registration Application
IS-513-024	Conventional Fertilizing Material Registration Update Form
IS-513-026 (OIM-0049)	Organic Input Material Label Registration Application
IS-513-037	Notification Of Drug Treated Livestock
IS-513-040	Restricted Livestock Drug License Application
IS-513-117	Restricted Livestock Drug License Renewal Notice
IS-513-118	Fertilizing Materials License Renewal Notice
IS-513-120	Voluntary Disposal of Quarantined Material - Feed
IS-513-121	Voluntary Disposal of Quarantined Material - Fertilizer
IS-513-121b	Request to Authorize Disposal of Quarantined Material
IS-AVO-120	California Avocado Inspection Committee - Prospective Member Appointment Questionnaire
IS-AVO-121	Avocado Inspection Program Monthly Remittance Form
IS-CFM-120	Certified Farmers' Market Advisory Committee - Prospective Member Appointment Questionnaire
IS-Cit-120	California Citrus Committee Prospective Member Appointment Questionnaire
IS-Comp-101	Inspection Services -Complaint Form
IS-F2F-001	Personnel Time Report Template Option 1
IS-F2F-002	Personnel Time Report Template Option 2
IS-F2F-003	Travel Expense Claim Template
IS-F2F-004	Advance Payment Request Template
IS-F2F-005	Invoicing Template Track 1
IS-F2F-006	Invoicing Template Track 2
IS-F2F-007	Mileage Reimbursement Report Template
IS-F2F-008	Procurement Metrics Worksheet
IS-F2F-009	Invoice Template GusNIP
IS-F2F-010	Invoice Template Refrigeration
IS-F2F-011	Invoice Template GusCRR
IS-F2F-012	Budget Revision Request Template Track 1
IS-F2F-013	Budget Revision Request TemplateTrack 2
IS-F2F-014	SOW Revision Request Template Track 1
IS-F2F-015	SOW Revision Request Template Track 2
IS-F2F-016	Personnel Time Report Template Option 3
IS-F2F-018	Farm-to-School Incubator Grant Budget Worksheet
IS-F2F-019	Farm-to-School Incubator Grant Project Work Plan
IS-F2F-020	Farm-to-School Incubator Grant Letter of Intent Template
IS-F2F-021	Farm-to-School Incubator Grant Additional Data Organizational Worksheet
IS-F2F-022	Prospective Member Appointment Questionnaire
IS-F2F-023	Expense Summary Track 1
IS-F2F-024	Expense Summary Track 2
IS-F2F-025	Expense Summary Track 3
IS-F2F-026	Expense Summary Track 4
IS-F2F-027	Procurement Metrics Worksheet: Track 1
IS-F2F-028	Budget Revision Request Track 1
IS-F2F-029	Budget Revision Request Track 2
IS-F2F-030	Budget Revision Request Track 3
IS-F2F-031	Budget Revision Request Track 4
IS-F2F-032	Scope of Work Revision Request Track 1
IS-F2F-033	Scope of Work Revision Request Track 2
IS-F2F-034	Scope of Work Revision Request Track 3
IS-F2F-035	Scope of Work Revision Request Track 4
IS-F2F-036	Procurement Metrics Worksheet: Track 3
IS-F2F-037	Farm to School Sales Worksheet
IS-F2F-038	Equipment Inventory Record
IS-F2F-039	Land Purchase Reporting Template
IS-F2F-040	Farm to School Grant Term Extension Request
IS-F2F-041	Urban Agriculture Mileage Reimbursement Program
IS-F2F-042	Urban Agriculture Personnel Time Report- Option 1
IS-F2F-043	Urban Agriculture Personnel Time Report- Option 2
IS-F2F-044	Urban Agriculture Scope of Work: Track 1
IS-F2F-045	Urban Agriculture Scope of Work: Track 2
IS-F2F-046	Urban Agriculture Advance Payment Request
IS-F2F-047	Urban Agriculture Equipment Inventory Record
IS-F2F-048	Urban Subaward Budget Template
IS-F2F-049	Urban Agriculture Subaward Written Agreement
IS-F2F-050	Track 1 Planning Workplan Template
IS-F2F-051	Track 1 Planning Project Budget
IS-F2F-052	Track 1 Planning Letter of Support Template
IS-F2F-053	Track 2 Infrastructure and Operations Workplan Template
IS-F2F-054	Track 2 Infrastructure and Operations Project Budget
IS-F2F-055	Track 2 Infrastructure and Operations Letter of Support Form
IS-F2F-056	Track 2 Food Producer Network List
IS-F2F-057	Track 2 Food Producer Verification Form (English)
IS-F2F-058	Track 2 Food Producer Verification Form (Spanish)
IS-F2F-059	Track 1 Planning Application Questions
IS-F2F-060	Track 2 Infrastructure and Operations Application Questions
IS-F2F-061	Advance Payment Request: Track 1
IS-F2F-062	Advance Payment Request: Track 2
IS-F2F-063	Advance Payment Request: Track 3
IS-F2F-064	Advance Payment Request: Track 4
IS-F2F-065	Procurement Metrics Worksheet: Track 1
IS-F2F-066	Procurement Metrics Worksheet: Track 3
IS-F2F-067	Advance Payment Request Form - Track 1
IS-F2F-068	Advance Payment Request Form - Track 2
IS-F2F-069	Technical Reviewer Committee Agreement
IS-FIAB-001	Fertilizer Inspection Advisory Board Prospective Member Appointment Questionnaire
IS-FIAB-002	Feed Inspection Advisory Board Prospective Member Appointment Questionnaire
IS-FREP-001	Fertilizer Inspection Advisory Board Technical Advisory Subcommittee Prospective Member Application Packet
IS-FREP-002	Irrigation and Nitrogen Management Training Program, Application for Live or In-Person Continuing Education Units
IS-FREP-003	Irrigation and Nitrogen Management Training Program, Application for Self-Study Continuing Education Units
IS-OCal-001	Certifying Agent Accreditation Application
IS-OCal-002	Certifying Agent Accreditation Affirmation
IS-OCal-003	Certifying Agent Registration Application
IS-OCal-004	Certifying Agent Registration Affirmation
IS-OCAL-005	Incentive Registration Fee Remittance Form
IS-OCAL-006	Accreditation Application Fee Remittance Form
IS-OCal-007	Registration Renewal Fee Payment Remittance Form
IS-OCal-008	Accreditation and Registration Fee Remittance Form
IS-OIM-0002	Organic Input Material Agreement
IS-OIM-0010	Organic Input Material Method & Ingredient Declaration
IS-OIM-0011	IS-OIM-0011 OIM Registration Renewal Form – 2 page
IS-OIM-0011	IS-OIM-0011 OIM Registration Renewal Form – 3 page
IS-OIM-0011	IS-OIM-0011 OIM Registration Renewal Form – 4 page
IS-OIM-0011	IS-OIM-0011 OIM Registration Renewal Form – 5 page
IS-OIM-0013	IS-OIM-0013 OIM Formula Sheet – 1 page
IS-OIM-0013	IS-OIM-0013 OIM Formula Sheet – 2 page
IS-OIM-0013	IS-OIM-0013 OIM Formula Sheet – 3 page
IS-OIM-0013	IS-OIM-0013 OIM Formula Sheet – 4 page
IS-OIM-0030	Organic Input Material Fee Schedule
IS-OIM-0031	Organic Input Material Registration Update Form
IS-OIM-0035	Organic Input Material Registration Process
IS-ORG 100-CSS	Certification, Site, Commodity and Sales Form
IS-ORG 100-CA	Gross Sales & Operation Information Form
IS-ORG 100-RF	Organic Registration Form
IS-ORG 106	Federal Organic Certification & State Registration Cost Share Application
IS-ORG 120	Organic Products Advisory Committee - Prospective Member Appointment Questionnaire
IS-SPI-120	Shipping Point Inspection Advisory Committee - Prospective Member Appointment Questionnaire
IS-STZ-102	Standardization/CA Citrus Registration Form
IS-STZ-120	Inspection Services - Standardization Advisory Committee Prospective Member Appointment Questionnaire
PSP-001	Questionnaire for Produce Farms

Office of Civil Rights

Form Number	Form Name
SO-80	Accessibility Suggestion Form
SO-129	Violence/Threat/Bullying Incident Report
SO-201	Discrimination and Harassment Complaint Form
SO-215	Language Access Complaint Form
SO-242	Religious Accommodation Request Form

Office of Agricultural Resilience and Sustainability Forms

Form Number	Form Name
OEFI-001	DDRDP Proof of Expenditures and Matching Funds
OEFI-002	DDRDP Final Performance Report Template
OEFI-003	DDRDP Quarterly Progress Report Template
OEFI-004	AMMP Proof of Expenditures and Matching Funds
OEFI-005	OEFI Project Modification Request Form
OEFI-006	2019 CSA TA Quarterly Report Template
OEFI-007	OEFI Programs Advance Payment Request Form
OEFI-008	DDRDP Critical Project Review Report
OEFI-009	OEFI Programs Invoice Template
OEFI-010	Healthy Soils Demonstration Projects Progress Report
OEFI-011	Healthy Soils Demonstration Annual Report Template
OEFI-012	SWEEP Scope of Work Revision Form
OEFI-013	Healthy Soils (HSP) Incentives Invoice Template
OEFI-015	HSP Demonstration Project Final Report
OEFI-016	Time & Activity Report
OEFI-017	HSP Demonstration Projects Outreach Attendance Tracker
OEFI-018	HSP Demonstration Type A Project Data Report
OEFI-020	Grant Beneficiary Letter of Commitment and Landowner Permission Letter
OEFI-021	USDA-Farm Service Agency Release of Information Request

Office of Grants Administration Forms

Form Number	Form Name
OGA-1.1.2	Technical Review Committee Application
OGA-1.1.2-A	Technical Review Committee Application Appendix A
OGA-1.1.3	Grant Reviewer Conflict of Interest
OGA 1.1.4	Grant Recipient Questionnaire
OGA-1.2.1	Senior Farmers' Market Nutrition Program AAA Agreement
OGA-1.2.2	Check Control Log
OGA-1.2.4	Senior Participant Check Issuance Log
OGA-1.2.5	Check Booklet Receipt Form
OGA-1.2.6	Senior Farmers' Market Nutrition Program - Closeout Form
OGA-1.2.7	Complaint Form
OGA-1.2.8	Ineligible Participation Form
OGA-1.2.9	Lost or Stolen Check Form
OGA-1.2.10	Senior Farmers' Market Nutrition Program Proxy Form
OGA-1.2.11	Senior Farmers' Market Nutrition Program Service Provider Agreement
OGA-1.2.12	Senior Farmers’ Market Nutrition Program: Self-Certification
OGA-1.3.1	Prevention Fund Grant Application
OGA-1.4.1	Pet Lover's Spay and Neuter Grant Proposal Application
OGA-1.4.2	Pet Lover's Spay and Neuter Grant Program - TRC Score Sheet
OGA-1.5.3	Calagplate Review Criteria Form
OGA-1.6.1.1	Specialty Crop Block Grant Program - Outcome Measures
OGA-1.6.1.2	Specialty Crop Block Grant Program-Concept Proposal Budget
OGA-1.6.1.3	Specialty Crop Block Grant Program- Additional Assistance Program Application
OGA-1.6.2.1	Specialty Crop Block Grant Program- Project Objectives and Work Plan
OGA-1.6.2.2	Specialty Crop Block Grant Program - Budget Narrative
OGA-1.6.2.3	Specialty Crop Block Grant Program - Cost Sharing
OGA-1.6.3.1	Specialty Crop Block Grant Program- Scope of Work Template
OGA-1.6.3.2	Specialty Crop Block Grant Program - Project Overview Template
OGA-1.7.1	Specialty Crop Multi-State Program - Project Narrative
OGA-1.7.2	Specialty Crop Multi-State Program - Outcome Measures
OGA-1.7.3	Specialty Crop Multi-State Program - Budget Spreadsheet
OGA-1.7.4	Specialty Crop Multi-State Program - Budget Narrative
OGA-1.10.1	Contractor Status
OGA-2.1.1	Advance Payment Request
OGA-2.1.1A	Advance Payment Request Supplement
OGA-2.1.1B	Advance Payment Request Liquidation
OGA-2.1.2	Invoice
OGA-2.1.4	Line Item Shift Request
OGA-2.1.5	Expense Summary
OGA-2.1.6	Equipment Inventory Record
OGA-2.1.7	Expense Reimbursement
OGA-2.4.1	Pet Lover's Final Performance Report
OGA-2.5.1	CalAgPlate- Final Performance Report
OGA-2.6.1	Specialty Crop Block Grant Program - (2021 only) - Progress Report
OGA-2.6.2	Specialty Crop Block Grant Program (2022-Present) – Progress Report
OGA-2.6.3	Specialty Crop Block Grant Program (2020-2021) – Final Report
OGA-2.6.4	Specialty Crop Block Grant Program (2022-Present) – Final Report
OGA-2.6.5	Specialty Crop Block Grant Program Remaining Funds Reporting
OGA-2.7.1	Specialty Crop Multi-State Program (2019-2021) – Progress Report
OGA-2.7.2	Specialty Crop Multi-State Program (2019-2021) – Final Report
OGA-2.7.3	Specialty Crop Multi-State Program (2023-Present) – Progress Report
OGA-2.7.4	Specialty Crop Multi-State Program (2023-Present) – Final Report
OGA-2.9.1	Beginning Farmer and Farmworker Training and Workforce Development Grant Program – Progress Report
OGA-2.9.2	Beginning Farmer and Farmworker Training and Workforce Development Grant Program – Final Report
OGA-2.11.1	California Underserved and Small Producers Grant Program - Progress Report
OGA-2.11.1A	California Underserved and Small Producer Program - Progress Report Appendix A, Drought Relief Grants
OGA-2.11.2	California Underserved and Small Producers Grant Program- Final Report