Applicants outside of the states listed here cannot apply for a Farm and Food Workers Relief (FFWR) payment through Pasa Sustainable Agriculture, but can still be eligible to apply through other organizations.

Visit to see the list of organizations selected to distribute relief payments in your region.
Work Information

Enter the name of the farm owner or place of agricultural/meatpacking employment

Relief payments are not available to farm owners or farm operators through the FFWR Program, except for those with proof of employment as farmworkers or meatpackers on farms they do not also own or operate.

Examples: chicken, mushrooms, carrots, etc.

Please describe at least two activities that your performed regularly at this job

Personal Information

Contact Information

Address Information

Identification Document Upload

Employment Document Upload
Employment Documentation must prove employment between January 27, 2020 and May 11, 2023 to be eligible for the program

You may only use H2A/H2B visa as either Proof of Identity OR Employment Documentation, but not both.
Payment Information

Mailing Address

ACH Bank Information
Routing number on left bottom of check with account number to the right of it

Enter the name of the person who controls this bank account

Routing Numbers are always 9 digits (include leading 0's)

Account Number and Confirm Account Number do not match.

Applicant's Declaration

Information of person filing this form