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Farmer Fund Relief Application (Farm Owners)
Fill out this application form for The Farmer Fund to request financial assistance for natural disaster relief or medical relief aid.
If you have questions, please email Meg Darnell at
meg@georgiaorganics.org
PLEASE NOTE: This application is for FARM OWNERS (farm employees should use
this form
)
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Farm Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Farm Address
*
Your answer
Mailing Address (if different than farm address)
Your answer
County
*
Your answer
What are your primary farm products?
*
vegetables
livestock
fruit/nuts
flowers
row crops (commodities)
Other:
Required
What are your primary sales outlets?
*
Farmers Markets/Direct to Consumer
CSA
Restaurants
Wholesale
Other:
Required
How many acres do you have in production?
*
Your answer
What was your farm's gross income last year (2023)?
*
Your answer
Which of the following business/tax ID's does the farm currently have? Click the links below to find out more about these #s)
FSA/USDA Farm #
UEI #
*
EIN #
FSA/USDA Farm #
UEI #
None of these
Other:
Required
How long has your farm been in operation?
*
Your answer
What best describes you?
*
I farm part-time
I farm full-time
I'm retired and farm part-time
I'm retired and farm full-time
Other:
Required
What best describes your farming/ranching methods?
*
I am USDA Certified Organic
I am Certified Naturally Grown (CNG)
I grow organically but am not USDA Certified Grown
I grow mostly organically but use some conventional practices
I grow mainly conventionally
Other:
Required
Which organizations are you a member of or affiliated with? (Check all that apply.)
*
Georgia Organics
Food Well Alliance
Common Market Georgia
Community Farmers Market
Truly Living Well
Conservation Fund
Global Growers
I am not a member of any of these organizations
Other:
Required
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