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Get USDA FSA-426-A 2008

UEST 1B. TELEPHONE NO. (Area Code) 2. CROP YEAR 3. DATE (MM-DD-YYYY) ITEMS 4 THROUGH 14 TO BE COMPLETED BY REQUESTER 4. APPROVED INSURANCE PROVIDER (AIP) NAME 5. TELEPHONE NO. (Area Code) 6. REQUESTER Company’s Request 7. 8. 9. 10. PRODUCER’S NAME ID NUMBER (Last 4 Digits of SSN or Tax ID No.) CROP NAME POLICY NUMBER 12A. INFORMATION WILL BE: MAILED RMA Request 11. INFORMATION REQUESTED () Check appropriate box(es) that are applicable to producer.) A. B. C. E. F. G. D. CC.

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