Follow the steps to fill out the MD Claim For Payment (Fast Track) online.

1. Press the ‘Get Form’ button to access the MD Claim For Payment (Fast Track) form and open it in the editor.
2. In Section 1, enter your participant legal name, farm or business name, mailing address, city, state, ZIP code, and county. Indicate whether you are a registered manure broker, and fill in your agreement number as specified in the approval letter.
3. Move to Section 2 and, using Worksheet B, calculate the sum of the tons of manure transported to each farm and enter the one-way driving distance. The maximum payment allowed per ton for transport costs is $18.00. Fill in the relevant fields with the total transport cost, cost for poultry litter nutrient analysis, and the total cost-share amount, ensuring it does not exceed 110% of the agreement amount.
4. In Section 3, read the certification statement, verify the information you've provided, and sign and date the form to authenticate your claim for payment.
5. In Section 4, complete the agreement amount field and leave space for the MDA's signature and payment amount.
6. Attach the required documentation including completed Worksheets A and B, weight tickets, and any invoices for transportation costs or poultry litter tests. Ensure each attachment is properly signed where necessary.
7. Once all sections are completed and documentation is attached, save your changes. You can then download, print, or share the filled form as needed.

Complete your MD Claim For Payment (Fast Track) online to ensure timely processing and payment.