New Application - Dairy Web

Farm Name * If none, enter First & Last Name

Address *

Address Con't

City *

State *

Zip *

County *

Township *

Contact Name *

Phone (no dashes) *

Hauler Licensed

Other Hauler

Marketing Organization or Milk Handler

License Type

A: Grade A bulk milk producer (cows) A person located in this state who sells or offers for sale Grade A cow milk and has the milk transported to the receiving, transfer or processing facility in a bulk milk truck.

B: Grade A can milk producer (cows) A person located in this state who sells or offers for sale Grade A cow milk and has the milk transported to the receiving, transfer or processing facility in milk cans.

C: Grade A bulk milk producer (goats) A person located in this state who sells or offers for sale Grade A goat milk and has the milk transported to the receiving, transfer or processing facility in a bulk milk truck.

D: Grade A can milk producer (goats) A person located in this state who sells or offers for sale Grade A goat milk and has the milk transported to the receiving, transfer or processing facility in milk cans.

E: Grade A bulk milk producer (sheep) A person located in this state who sells or offers for sale Grade A sheep milk and has the milk transported to the receiving, transfer or processing facility in a bulk milk truck.

F: Grade A can milking (sheep) A person located in this state who sells or offers for sale Grade A sheep milk and has the milk transported to the receiving, transfer or processing facility in milk cans.

G: Manufacture bulk milking (cows) A person located in this state who sells or offers for sale manufacture cow milk and has the milk transported to the receiving, transfer or processing facility in a bulk milk truck.

H: Manufacture can milk producer (cows) A person located in this state who sells or offers for sale manufacture cow milk and has the milk transported to the receiving, transfer or processing facility in milk cans.

I: Manufacture bulk milk producer (goats) A person located in this state who sells or offers for sale manufacture goat milk and has the milk transported to the receiving, transfer or processing facility in a bulk milk truck.

J: Manufacture can milk producer (goats) A person located in this state who sells or offers for sale manufacture goat milk and has the milk transported to the receiving, transfer or processing facility in milk cans.

K: Manufacture bulk milk producer (sheep) A person located in this state who sells or offers for sale manufacture sheep milk and has the milk transported to the receiving, transfer or processing facility in a bulk milk truck.

L: Manufacture can milk producer (sheep) A person located in this state who sells or offers for sale manufacture sheep milk and has the milk transported to the receiving, transfer or processing facility in milk cans.

M: Grade A Bulk Milk Producer (other) A person located in this state who sells or offers for sale Grade A other hooved animals milk and has the milk transported to the receiving, transfer or processing facility in a bulk milk truck.

N: Grade A Can Milk Producer (other) A person located in this state who sells or offers for sale Grade A other hooved animals milk and has the milk transported to the receiving, transfer or processing facility in milk cans.

O: Manufacture Bulk Milk Producer (other) A person located in this state who sells or offers for sale manufacture other hooved animals milk and has the milk transported to the receiving, transfer or processing facility in a bulk milk truck.

P: Manufacture Can Milk Producer (other) A person located in this state who sells or offers for sale manufacture other hooved animals milk and has the milk transported to the receiving, transfer or processing facility in milk cans.

Dairy Application

Step 2 - Milk Producer (Farm)

Applicant Information

Farm Information

License Type

Producer Number