Basic Produce Safety Rule Exemption Renewal

Mississippi Department of Agriculture & Commerce · Produce Safety Division

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Applicant & Farm Information

Applicant Name

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Name of Farm

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Addresses

Farm (Physical) Address

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Mailing Address

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Farm Status

Farm still in business?

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Basic Exemption Requirement

Requirement that applies

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Total Food Sales (Previous 3 Years)

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Average Total Food Sales

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Submission

Submission ID

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