ca.gov

California Department of Food and Agriculture

Certified Farmers market program

1220 N Street, Sacramento, CA 95814  •  (916) 900-5030  •  cfm@cdfa.ca.gov

Produce


Step 1 - Producer Information
Issuing County
CERTIFIED PRODUCER
Name:
Email Address: * Please note: An email address is required to
modify or renew your certificate after submission.
DBA:
Address:
City:
 
ZIP:
Phone (res.): (ex. 916-555-5555)
 
Phone (bus.): (ex. 916-555-5555)

Only those products listed below, and grown at the following production site(s) by the certified producer may be sold at a certified farmers' market.

PRODUCTION SITES
Production Site 1:
Production Site 2:
Production Site 3:
Production Site 4:
Production Site 5:
Production Site 6:

COMMODITIES
After completing this form, continue to Step 2 to add your commodities.

STORAGE LOCATIONS / MONTHS IN STORAGE
Storage Location A:
Months:
Storage Location B:
Months:

AUTHORIZED COUNTY(IES) - Transporting products into another county for the purpose of selling at a certified farmers' market within that county is permitted only in the authorized counties listed on this certificate.

Name(s) of the Producer(s) that the Certificate Holder May Sell FOR: Certificate Number Date Declared Name(s) of the Producer(s) Authorized to SELL the Certificate Holder's Product: Certificate Number Date Declared