OMB No. 0581-0178

CWB-17 (Exp. 3/31/2024) Destroy previous editions.

CALIFORNIA WALNUT BOARD

101 Parkshore Drive, Suite 250

Folsom, CA 95630

Ph (916) 932-7070; Fax (916) 932-7071

REQUEST FOR TRANSFER OF RESERVE CREDITS

This request for the transfer of reserve credits is submitted in compliance with the requirements of

Marketing Order No. 984, as amended (Order). In executing this form, the handler respectively certifies 

to the California Walnut Board and the U.S. Department of Agriculture as to the correctness and 

completeness of their statement. 

INSTRUCTIONS: 1. Complete the information below.

2. The form must be signed by both handlers and submitted in triplicate. 

3. Following approval, the California Walnut Board will send a copy to each 

handler.

In accordance with the provisions of section 984.456(b) of the Order, it is requested that 

___________ pounds (kernelweight) of reserve credits be transferred:

FROM: Handler __________________________________________________________

By ______________________________________________________________

Title _____________________________________________________________

Date _____________________________________________________________

TO: Handler __________________________________________________________

By ______________________________________________________________

Title _____________________________________________________________

Date _____________________________________________________________

CALIFORNIA WALNUT BOARD

The foregoing request is hereby approved, and the California Walnut Board records have been adjusted 

accordingly.

By ___________________________________________ Date ____________________________

Note: No transfer of reserve credit will be approved by the California Walnut Board for either the 

receiving or transferring handler unless a completed form has been received. (7 CFR 984.56, 7

CFR 984.456)

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of 

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In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, 

offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national 

origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived 

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Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign 

Language, etc.) should contact the responsible Agency or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the 

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discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at 

http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter addressed to USDA and provide in the letter all of the 

information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) 

mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; 

(2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov. USDA is an equal opportunity provider, employer, and lender.