FSA TECHNICAL ASSISTANCE REQUEST FORM

Contact Information

First Name:*

Last Name:*

Phone Number:*

Phone

Email:

Historically Underserved Groups*

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Organization Information

Organization Name:*

Organization Type:*

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Are you a member of one of our collaborator organizations?*

Check all that apply.

Latino Farmers and Ranchers International

Farmer's Outreach Solutions

Farmer Veteran Coalition

None of the Above

Property Location

City:*

County:

State:*

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Do you have a farm number at your FSA office?*

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Do you lease or own your property?

Lease

Own

Not applicable

Project Details

Project Details:*

Please provide details on the technical assistance you are requesting, including specific questions. The more details you can provide, the quicker we can assist you.

I understand that the FSA Disaster Relief Outreach, Education, and Technical Assistance program does not offer or provide contractor services or financial capital. It does not offer financial assistance, nor does your voluntary use of the program guarantee the success of a loan application.*

Send me a copy of my responses