Vermont Manure Transfer Agreement The following information, along with the required supplemental forms, will be reviewed by UVM Extension staff and must be approved prior to completing the transfer in order to be eligible to receive cost-share. What's your role in manure transfer? Sender Receiver Hauler Sender InformationName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Who wrote the NMP?* Self Employee Consultant Date of NMP development/update* MM slash DD slash YYYY Copy of current Nutrient Management Plan*Accepted file types: jpg, png, pdf, Max. file size: 2 GB. Manure analysis no older than 3 months for each source being transferred* Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 2 GB. Sender Signature*Receiver InformationName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Who wrote the NMP?* Self Employee Consultant Date of NMP development/update* MM slash DD slash YYYY Copy of current Nutrient Management Plan*Accepted file types: jpg, png, pdf, Max. file size: 2 GB. Receiving Field Inventory form from soil tests no older than 3 years* Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 2 GB. Receiver Signature*Manure InformationManure type* Dairy Beef Horse Sheep Goat Poultry Other Other type manure*Estimated date of application* MM slash DD slash YYYY Estimated acreage of application*Manure nutrient NManure nutrient PManure nutrient KAmount of manure*Specify tons or gallonsAnticipated date of application* MM slash DD slash YYYY Manure Hauler InformationCompany Name*Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Transporter Signature*