FSMA - Farm Inventory

Texas Department of Agriculture

Commissioner Sid Miller
Food Safety Modernization Act (FSMA) - Produce Safety Rule

Farm Inventory
Farm Name *
Full Name *

First Name Last Name
E-mail Address *
Website Address
Best Phone Number *

Area Code Phone Number
Cell Phone Number

Area Code Phone Number
Must provide the physical street address of the business; use EMS address for Rural Routes.

Farm Physical Address *

Mailing Address *

Food Safety Contact Information
Check one

This is the same person as listed above. We do not currently have a person listed in this position. My Farm has a Food Safety point person.
Full Name

First Name Last Name
Best Phone Number

Area Code Phone Number
Cell Phone Number *

Area Code Phone Number
E-mail Address
Farm Inventory Information
Number of water sources used:
Protected well
Surface water
City/Rural water districts
Does your farming operation use soil amendments of animal origin? (ex. Manure)

Yes No
Does your Farm (check all that apply) *

grow produce harvest produce pack produce hold produce
Annual Sales (in the past 3 years) - check one *

Exempt (Less than $25K) Very Small ($25K - $250K) Small ($250K - $500K) Large (Over $500K)
Is your produce for personal/on-farm consumption

Yes No
List Crops that you produce. You may select multiple items
Should be Empty:

Food Safety Modernization Act (FSMA) - Produce Safety Rule