CCC888eGov

Food Safety Certification for Specialty Crops Program (FSCSC)

CCC888eGov

OMB: 0560-0311

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Instructions For CCC-888

FOOD SAFETY CERTIFICATION FOR SPECIALTY CROPS (FSCSC)

Producers use this form to apply for FSCSC payments for the 2020, 2021, and 2022 program years.


Submit the original of the completed form in hard copy to any FSA county office by mail, electronically, or in person. You can find an FSA county office using the USDA Service Center Locator at http://offices.sc.egov.usda.gov/locator/app.


In addition to CCC-888, you must also submit the following to complete your application:


  • SF-3881, if not previously filed with FSA.

  • AD-2047, if not previously filed with FSA

  • Signature authority if an entity


All documentation and required forms may be submitted in person, electronically or by mail except AD-2047, which may be submitted in person or by phone through any FSA county office.


Producers must complete Items 1 through 13.

Item 14 is for FSA use only.

Items 1-13

Fld Name /
Item No.

Instruction

1

Recording State Name/Code

Enter the recording State name and code.

2

Recording County Name/Code

Enter the recording county name and code.


3

Program Year

Enter the program year for which you are applying for benefits.


The 2020 program year covers expenses paid between January 1, 2020, and December 31, 2020.


The 2021 program year covers expenses paid between January 1, 2021 and December 31, 2021.


The 2022 program year covers expenses paid between January 1, 2022 and December 31, 2022


Note: Separate CCC-888’s must be completed for each program year.

4

Application No.

This will be automatically populated, leave blank if a manual form.

5

Applicant Name

Enter the applicant’s name.


Note: The applicant’s name in Item 5 must match the person or entity listed on the applicant’s Food Safety certificate or plan.


6

Applicant’s Address

Enter the applicant’s address (including ZIP code).



7

Have you recently participated in FSA programs?

Check “YES” or “NO” to indicate whether the applicant has recently participated in FSA programs.


If “NO” is selected, you must also submit completed forms AD-2047 and SF-3881 to receive payment.

8

Applicant’s Phone Number

Enter the applicant’s phone number.

9

Email Address

Enter the applicant’s Email address.

10A

Category of Expenses

Check the appropriate box(es) to indicate the category of expenses for which you are applying.

10B

Expenses

Enter the associated costs for each selected category.


For costs that apply to more than one category, divide the amount by the number of all categories for which the cost was incurred.


10C

Number of Tests

Enter the number of tests for testing for the three categories.

10D

COC Adjustment of Expenses

For COC use only, leave blank

10E

Other Reimbursement for Expenses Received

Enter the amount received as reimbursement from other sources for each category. If zero leave blank.

10F

COC Adjustment of Other Reimbursement for Expenses Received

For COC use only, leave blank

11

Are you a small business?

Check “YES” or “NO” to indicate if you meet the definition of a small business.


A small business is an average annual monetary value of specialty crops the farm sold during the 3-year period preceding the program year of more than $250,000 but not more than $500,000.

12

Are you a very small business?

Check “YES” or “NO” to indicate if you meet the definition of a very small business


A very small business is an average annual monetary value of specialty crops the farm sold during the 3-year period preceding the program year of no more than $250,000.

13A

Applicant’s Signature

Applicant signature.


Print the form and manually enter your signature.

13B

Title/ Relationship of the Individual Signing in the Representative Capacity

If you are signing on behalf of an entity or another individual, enter your representative title/relationship to the entity or individual.


Note: If you are not signing in the representative capacity, this field should be left blank.

13C

Date

Enter the date the form is signed. (MM-DD-YYYY)

Part D is for CCC use only.


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