ParticipatingCo –operative/Importer Application Form

Fodder Import Support Measure 2018

Applicant Details (to be completed by applicant)

Co-op / ImporterName: ......

Address:……...………………………………………………………………………….

Phone Number: …………………...……… Mobile: ...... ……………………………....

Email: …………………………………………………………

Name of person(s) who will administer the measure:……………………………......

Declaration in relation to terms of approval under the Measure

I wish to apply to participate in the Fodder Import Support Measure 2018.

I agree to abide by the Terms and Conditions of the Measure. In particular I agree to the following.

  • I undertake to maintain full records relating to the import and sale of all fodder imported under the Measure. Such records will include transport documents, purchase records, goods-in dockets, sales invoices, record of payment and customers statements, and any other relevant documentation.
  • In respect of each purchase of imported fodder by a farmer, the ‘Sale Declaration Form’ will be signed and certified at the time of purchase by the farmer and the participating Co-op/importer. This form will be retained by the participating Co-op/importer as the basis for a claim for reimbursement to the Department.
  • I undertake to make all the above documentation available to the Department for inspection and verification purposes as required. This documentation must be retained for a period of 12 months after payment is made.
  • I undertake to collate the details of all the sales of imported fodder to farmers in the Sales Declaration Form and to submit a single form (to be provided by DAFM) electronically to the Department by way of a claim for reimbursement under the terms of the Measure.
  • I undertake to deduct fully the value of the contribution of the Department towards the transport costs of eligible fodder sold to farmers. This deduction must be fully and clearly reflected in the price paid by the farmer.
  • I confirm that this co-op/importer will recoup and repay the Department for any subsidy paid by the Department where (a) the State Aid maximum has been exceeded by an individual farmer, or (b) where it is found that the necessary supporting documentation is not fully recorded and maintained by this participating Co-op/importer.

Signature:………………………………………… Manager/Director/Company Secretary

Date: ………………………….

Please return form to or Fodder Import Measure, Dept of Agriculture, Food & the Marine, Government Offices Abbeyleix Road, Portlaoise, Co. Laois