EOEEA-AGR

Step 1 of 7 - Agricultural Operation Information

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Applicant Information:

Applicant ID

Applicant Name(Required)

First Last

Operation Name(Required)

Farm, dba, etc.

Legal Structure(Required)

Sole Proprietor

C Corporation

S Corporation

Partnership

Trust/Estate

LLC

Non-Profit

Other

Email(Required)

Website

Phone

Mobile Phone(Required)

Mailing Address(Required)

Mailing Address Address Line 2 City State ZIP Code

County

I am a farmer as identified in Massachusetts General Laws Chapter 128. Sec. 1A(Required)

Yes

Date the business was established:

YYYY

MDAR Programs

Do you grow produce?(Required)

Yes

Are you registered with MDAR's Produce Safety & Market Access Program?

You must be registered or agree to register in order to receive funds through this program. If you are not registered, you will receive instructions on how to register.

Yes

I don't know

Are you a dairy farmer?(Required)

Yes

Are you registered with MDAR's Dairy Program?

You must be registered or agree to register in order to receive funds through this program. If you are not registered, you will receive instructions on how to register.

Yes

I don't know

Are you an aquaculturalist?(Required)

Yes

Do you hold a Division of Marine Fisheries Shellfish Propagation permit?

You must be hold a permit in order to receive funds through this program.

Yes

I don't know

Does your property have an Agricultural Preservation Restriction (APR)?(Required)

An APR is deed restriction that permanently protects agricultural land by preventing it from being used for non-agricultural purposes, while allowing it to be farmed and sold for agricultural use.

Yes

I don't know

What year was the APR recorded?

Please enter a number from 1900 to 2026.

What is the name on the APR?

Does your property have a current covenant on it from the Farm Viability Enhancement Program (FVEP)?(Required)

Yes

Marketing

What are your operation's annual sales over the past three (3) years?

Average annual sales of agricultural products for the eligible operation.

$0 - $24,999

$25,000 - $99,999

$100,000 - $249,999

$250,000 - $499,999

$500,000 +

How are your products marketed?

Select all that apply.

Wholesale

Direct Market

Institutional

Other

Describe

Approximately what percentage of your operation's annual operating revenue is generated from on-farm agricultural production?

e.g. sales of crops, livestock, or aquaculture products, rather than third party products, event activities, etc.

0 - 25%

25% - 50%

50% - 75%

75% - 100%

Is the operation a Healthy Incentives Program (HIP) vendor?

Yes

Does the operation provide produce to the Massachusetts food banks?

Yes

Property

Is any of the land where losses occurred leased?(Required)

Yes

Do you have the lease in writing?(Required)

Yes

What year does the lease end?

Please enter a number less than or equal to 2126.

Who is the owner of the property?

Lease Agreement

Upload a copy of the lease agreement or written documentation that shows use of property for period of claimed loss.

Drop files here or

Max. file size: 50 MB.

Could the same loss be claimed by another operation or landowner?(Required)

Yes

If yes, name of the operation and/or landowner

Operation or Landowner Address

Street Address City State ZIP Code

Loss Site List

List each site where a loss occurred. You will use these Site ID numbers later in the application to identify where the loss occurred.

How many sites are you claiming losses for?(Required)

Site 1: Name/Description(Required)

Site 1: Address, Street, Town(Required)

Site 1: Total acres of eligible crops managed(Required)

Site 1: Owned/Leased

Owned

Leased

Site 2: Name/Description(Required)

Site 2: Address, Street, Town(Required)

Site 2: Total acres of eligible crops managed(Required)

Site 2: Owned/Leased

Owned

Leased

Site 3: Name/Description(Required)

Site 3: Address, Street, Town(Required)

Site 3: Total acres of eligible crops managed(Required)

Site 3: Owned/Leased

Owned

Leased

Site 4: Name/Description(Required)

Site 4: Address, Street, Town(Required)

Site 4: Total acres of eligible crops managed(Required)

Site 4: Owned/Leased

Owned

Leased

Site 5: Name/Description(Required)

Site 5: Address, Street, Town(Required)

Site 5: Total acres of eligible crops managed(Required)

Site 5: Owned/Leased

Owned

Leased

Loss Reporting

Which type(s) of losses are you claiming?(Required)

Select all that apply. Complete each section for the losses.

Crop Loss

Future Economic Loss

Infrastructure Loss

Timber Loss

Bare Ground Practices

What were the total sales of all eligible crops for the entire operation in the year prior to the reported loss?(Required)

What were the anticipated (pre-loss) total sales of all eligible crops for the entire operation in the year of the reported loss?(Required)

What were the actual (post-loss) total sales of all eligible crops for the entire operation in the year of the reported loss?(Required)

Crop Losses

Commodity Type	Vegetable Crop List	Fruit (Tree Fruit) List	Weather Event	Actions

There are no Crops lost.

Maximum number of crops lost reached.

Future Economic Losses

Commodity Type	Weather event	Actions

There are no Future Economic Losses.

Maximum number of future economic losses reached.

Infrastructure Losses

Infrastructure Type	Weather Event	Actions

There are no Infrastructure losses.

Maximum number of infrastructure losses reached.

Timber Losses

Type of loss	Weather event	Date of weather event (must be between 1/1/2023 and 12/31/24).	Actions

There are no Timber Losses.

Maximum number of timber losses reached.

Bare Ground Practices Losses

Type of Loss	Weather Event	Date of weather event (must be between 1/1/2023 and 12/31/24).	Actions

There are no Bare Ground Practices Losses.

Maximum number of bare ground practices losses reached.

Prior Payments (Duplication of Benefits)

Have you received insurance or disaster payments through crop insurance, FSA, MDAR, or other programs for any of the losses claimed?(Required)

Yes

Prior Payments(Required)

Click the "+" at the end of the line to add additional payments recieved.

Program/Insurance Provider

Loss Type Covered (e.g. Crop, Infrastructure, etc.)

Amount Received ($)

Date Received

Upload proof of payment here.

Note that MDAR will be verifying each application's prior payments with agencies that managed past federal and state programs.

Drop files here or

Max. file size: 50 MB.

Additional Information

Additional Loss Information

Provide any additional information regarding the agricultural operation, the applicant’s losses, potential long-term impacts, etc. that you think are relevant to this application.

Additional Justification

If additional justification is needed for the estimated losses reported, please include it here. This may include information about additional years beyond those for which data is requested; information explaining any anomalies in weather, markets, or other variables that may have impacted crop yields in the reported years; or any other data or qualitative information to support the estimated losses reported.

Funds Use

Describe how funds received from this program will be used.

Document Descriptions

Describe the documents you are uploading to verify losses.

Upload your documentation files here.

Please review the RFR for a list of acceptable documentation. Please have all of your file names begin with either your farm name or the last name of the applicant. For example, a file called "spreadsheet.xls" submitted by John Smith should be called "Smith-spreadsheet.xls". When a green check appears to the right of your uploaded filename, it has been added successfully.

Drop files here or

Max. file size: 50 MB.

Attestation(Required)

I have read and understand the conditions for participation set forth in the RFR and agree to and acknowledge that failure to comply with any may result in the failure to receive reimbursement under this Program.