KDA Forms Library

Office for Agricultural Marketing and Product Promotion

Agriculture Education, Farm Safety & Farmland Preservation

Farm Name Registration Form  pdf (31 kb)

 Farm Name Withdrawal Form  pdf (31 kb)    

Division of Show and Fair Promotion, State Sponsored Show Forms
KY District Beef Show Nomination Form  pdf (37kb)

Youth Livestock Consent Forms pdf (252kb)

2011 Market Goat Validation Form 2011 Market Swine Validation Form  
KY District Dairy Show Entry Form  pdf (39kb)

Kentucky Kow-A-Rama Official Entry Form  pdf (66kb)

 2011 Market Heifer Validation Form Certificate of Identification for Grade Animals pdf (92kb)
2011 Market Lamb Validation Form

2011 Market Steer Validation Form

Replacement KUIP Tag Form  

Division of Show and Fair Promotion, County Fair Forms
Financial Report and Record of Entries FORM A   pdf (41kb) Statement of Cost of Awards in Approved Classes FORM B  pdf (23kb) Approved Classes FORM C   pdf (24kb) Fair Tabulation Sheet  pdf (20kb)
Application to Qualify for County Fair Grant pdf (32kb)

Agricultural Fair Open Class Dairy and Beef   pdf (25kb)

Grant Project Application  pdf (32kb) Grant Scoring Evaluation Form  pdf (44kb)
Agricultural Fairs Program Livestock Sales Form pdf (27kb)

Agricultural Fair Open Class Sheep Show   pdf (21kb)

   
Poultry Show Form pdf (22kb) Agricultural Fair Open Class Market and Dairy Goat Show  pdf (21kb) Agricultural Fair Open Class Swine Show  pdf (21kb) Request for State Aid for the Building Program   (23kb)
Fair Events Form pdf (23kb) Initial Request for State Aid to Local Ag Fairs pdf (26kb) Financial Report for the Building Program  pdf (23kb)  

Agricultural Marketing and Agribusiness Recruitment

KDA Exporter Questionnaire pdf (115kb) KDA Livestock Export Questionnaire pdf (99kb) KY Proud Application Word (211kb) KY Proud Application pdf (197kb)
Restaurant Rewards Application pdf (49kb)      
 

Office of Consumer and Environmental Protection

Division of Environmental Services

2011 Pesticide Equipment Registration Form

Trainee Registration Form

New Product Registration Application pdf (6Mb)

 2012 Renewal Insurance Verification Form  pdf
Employee Registration Form Structural LPCO & Branch Manager  Applicationtru

New Product Registration Instructions  pdf

Dealer Branch Registration Form
Fertilizer or Pesticide Bulk Storage Facilities Registration Form Instructions for Completing the Renewal  Registration

 

Wood Destroying Organism Form

Notice of Supplemental Distribution Registration Form Open Records Request Form

Division of Food Distribution

Child Nutrition Commodity and Charitable Institutions Program
Electronic Food Complaint Form (KY-FD-21) pdf (76kb) Central Office Review Form (KY-FD-32-CO)  doc (80 kb) Temperature Recording Chart (KY-FD-8)  pdf (9kb) Permanent Agreement (KY-FD-12-S) pdf (62kb)
Change in Food Service Director During the Contract Year (KY-FD-41) pdf (46kb) Emergency Feeding Report for Commodities (KY-FD-50) pdf (72kb)

Electronic Designated Personnel for Food Alert/Emergency Feeding (KY-FD-22) pdf (31kb)

Electronic DOD Request pdf (32kb)

Change in Administrator During Contact Year (KY-FD-41A) pdf (33kb) Notice of Delivery of Donated Foods to School (KY-FD-3) doc (130kb) Emergency Feeding Report for Purchase Foods(KY-FD-51) pdf (64kb) Pest Management Notification Form  pdf (169kb)
Compliance Review Form (KY-FD-54) pdf (143kb) Notice of Delivery of Donated Foods to One Drop Sites (KY-FD-3ODSI) doc (63kb) Electronic Supplement to the Agreement (KY-FD-12B) pdf (75kb)  
 

Commodity Supplemental Food Program

USDA 153 Report (FNS-153)xls (56kb)

Eligibility Notification Letter doc (30kb)

CSFP Monthly Report Form doc (36kb)

CSFP Food Package pdf (10kb)
Agreement Between the Local Agency and Local Certification/Distribution Agency doc (46kb)

Notification of Renewal doc (33kb)

Review Form of Local Agency doc (233kb)

Agreement Between the State Agency and the Local Agency doc (128kb)

Local Agency Application doc (50kb)

Verification of Certification doc (29kb)

Review Form of Local Distributing Agencies doc (49kb)

Racial/Ethnic Group Participants (FNS-191)   pdf (66kb)

Commodity Supplemental Food Program Waiting List doc (55kb)

Termination Letter doc (53kb)

 Request for Reimbursement xls (33kb)

CSFP Suboutlet List xls (18kb)

CSFP Participant Application/Certification Form pdf (66kb) Supplement Food Issuance Record   pdf (13kb)

Food Complaint Form  doc (30kb)

  

CSFP Participant Agreement pdf (26kb)

 Commodity Food Loss Report doc (60kb) Income Eligibility Guidelines htm  
 

The Emergency Feeding Assistance Program

Transfer Request (KY-FD-7-FB) doc (51kb) TEFAP Monthly Inventory (KY-FD-27-FB) xls (23kb) Monitoring Form for Food Bank (KY-FD-32-FB) doc (242kb) Household Distribution Rate of USDA Commodities (KY-FD-54-FB) pdf (25kb)
Temperature Chart (KY-FD- 8-FB) pdf (15kb) TEFAP Monthly Reimbursement (KY-FD-29-FB)  doc (35kb) Monitoring Form for Soup Kitchen (KY-FD-32.1-FB) doc (232kb) Emergency Feeding Assistance Program Agreement doc (58kb)
Commodity Food Loss (KY-FD-25-FB) doc (60kb) Client Register (KY-FD-30-FB) pdf (17kb) Monitoring Form for Food Pantry (KY-FD-32.2-FB) doc (247kb) Emergency Feeding Handbook pdf (526kb)
Phsyical inventory Sheet (KY-FD-34-FB xls (21kb)      

Distributors
Report of Shipment Received Over, Short and/or Damaged (FNS-57) pdf (147kb) Notice of Delivery of Donated Foods to RCCI's & CI (KY-FD-3CI) pdf (93kb) Monthly Inventory Records of Commercial Distributors (KY-FD-55) xls (21kb) Review of Commerical Warehouses (KY-FD-35) pdf (114kb)
Notice of Delivery of Donated Foods to School (KY-FD-3) pdf (189kb)      

Processors

Delivery Notification (KY-FD-62) doc (69kb)

Destination Verification Form doc (30kb)

Kentucky 2010-2011 State Participation Agreement doc (93kb)

Destination Data Form (FNS-7) doc (64kb)

Senior Farmer's Market Nutrition Program

Market Application pdf (15kb) Market Monitoring Review Form (41kb)    

Division of Regulation and Inspection

Service Agency Program

Service Agency Application pdf (88kb)

Service Individual Application pdf (23kb)

Placed-In-Service Reports (Measuring Devices) pdf (101kb)

Placed-In-Service Report (Weighing Devices) pdf (153kb)

Motor Fuel Quality Program

Motor Fuel Application pdf (22kb)      

Agricultural Limestone Program

Limestone Application pdf (22kb)      

Egg Marketing Program

Retail Egg Handler Application pdf (67kb) Wholesale Egg Handler License Fee Schedule  pdf (16kb) Wholesale Egg Handler Application pdf (28kb) Egg Assessment Fee Report for Shell Eggs/Egg Products pdf (63kb)
Request for Assessment Fee Filing Fee Status pdf (110kb)

Amusement Ride Program

2012 Amusement Rides Application Form pdf (218kb)

 Mobile Rides and Attractions Itinerary Permanent Rides Itinerary Incident Report On-line Form
       

Grain Regulation Branch

Grain License Fee Schedule pdf (51kb)

Grain Dealer/Warehouse Application pdf (41kb) Grain Dealer/Warehouseman Bond pdf (6kb) Irrevocable Letter of Credit pdf (24kb)
Certificate of Deposit pdf (3kb) Daily Position Report   pdf (6kb)    

Teens and Tobacco Program

Teens and Tobacco Compliance Statement (33kb)      

Tobacco Warehouse Program

Tobacco Warehouse Application (23kb) Tobacco Warehouse Bond Form (5kb) Tobacco Warehouse Bonded Weighpersons Form (4kb)  

Office of State Veterinarian

Premises Registration

Premises Application Form pdf (79.3kb)

Scrapie Tag Order Form pdf (80.8 kb)    

Cattle
Brand Application pdf (195kb) Johne's Management Agreement Plan (MAP) pdf (71.2kb)    

Livestock Markets

Application for a Permit to Engage in the Dealing of Livestock pdf (171kb) Application for a Livestock Market to Handle Slaughter Swine only pdf (154kb) Application for Approved Horse Sale pdf (148kb) Application for an Equine Market Veterinarian pdf (197kb)
Application for a Market Veterinarian pdf (56.3kb)      

Stockyards
Application for Stockyard License pdf (152kb) Application for KY Stockyard Approval pdf (164kb)    

Rendering Plants  / Composting Application

Rendering Plant Application pdf (151kb) Rendering Plant Inspection pdf (170kb) Animal Composting Application pdf (63.9kb) Render Pre-Inspection pdf (130.kb)
Rotary Composting Checklist-      

Equine
Equine Interstate Event Permit pdf (171kb)      

Open Records Request
Open Records Request Form