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2020 AgriStability Interim Payment Application Form

This HTML document is not an application form. Its purpose is to display the information as found on the form for viewing purposes only. If you wish to submit an application form, please use the PDF version.

2020 AgriStability Interim Payment Application (PDF Version, 215 KB)

If you cannot access the PDF version or require printed copies of this publication, please contact us at 1-866-367-8506.

By submitting this Interim Application, you agree to meet all participation requirements of the AgriStability program for the 2020 program year. This application allows you to estimate your income and production for the 2020 program year. The Administration can then issue a payment based on a percentage of your estimated program year benefits. If your final 2020 payment differs for any reason from the 2020 Interim Payment, any overpayments must be repaid by you, and any underpayments will be paid to you.

Participant identification

Name (individual or entity):

Participant Identification Number (PIN):

Other information

Farming operation

Partnership information (if applicable)

3c) Enter a Participant Identification Number (PIN) for each of your partners. Enter the first and last names for individual partners. Enter the corporation’s name for corporate partners. Your partnership’s total shares must equal 100%.

AgriStability PIN Individual's first name Individual's last name Corporation name % share

Confidential information and participant consent

The information on this form is collected under the authority of Section 4 of the Farm Income Protection Act (FIPA) and will be used for the purposes of administering your participation in the AgriStability program; determining your eligibility for benefits; verifying the information submitted; issuing tax receipts; administering benefits under other farm income and special assistance programs; and for the purposes of audit, analysis and evaluation of the AgriStability and other farm income and special assistance programs by the Administration, AAFC, the provincial/territorial governments or third parties engaged for that purpose.

The Privacy Act protects information you give on this form which is kept in personal information bank number AAFC PPU 183.

By submitting this application form, you:

Program year farming activity

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