Farm Waiver Form Submission

Please submit all farm waiver forms received and signed via the webform below.

Farm Business Name

Farm Operator (who signed the form)

Town of Farm Operation

Waiver Form

One file only.
256 MB limit.
Allowed types: gif, jpg, png, txt, rtf, odf, pdf, doc, docx, ppt, pptx.

Your Name (so we can contact you if there are any issues/questions)

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.