OMB No. 0581-0215 

Federal Marketing Order 983 - Administrative Committee for Pistachios 

Inter-Handler Transfer Report 

Handlers transferring pistachios to another handler within the production area shall complete this form for submission to the 

Administrative Committee for Pistachios (ACP). The ACP uses this report to track compliance with FMO §983.150 (aflatoxin 

regulations) and prevent duplication of reported shipments. Inter-handler transfers are also reported by transferring and 

receiving handlers on line 5 of ACP-7 (Monthly Inventory/Shipment Report). 

Instructions: Transferring Handler Submit to: 

Complete this form and sign as transferring handler. Forward the Administrative Committee for Pistachios 

original and a copy to the receiving handler. Submit a copy to the ACP 4938 East Yale Avenue, Suite 102 

within 30 days of the transfer. Fresno, California 93727 

Instructions: Receiving Handler Phone: (559) 255-6480 Fax: (559) 255-6485 

Sign the original form provided by the transferring handler. Submit the Email: admin@acpistachios.org 

signed original ACP-5 to the ACP within 30 days of the transfer. 

Handlers are responsible for keeping copies of the completed forms for their records. 

Transferring Handler: record up to three transfers to the named receiving handler. 

Date of Transfer Lot Description Lot ID/Marks Weight (Pounds) Inspected 

(circle) 

Yes No 

Date of Transfer Lot Description Lot ID/Marks Weight (Pounds) Inspected 

(circle) 

Yes No 

Date of Transfer Lot Description Lot ID/Marks Weight (Pounds) Inspected 

(circle) 

Yes No 

Transferring Handler Name Handler Representative First and Last Name Title 

Transferring Handler Signature Signature Date 

Receiving Handler Name Handler Representative First and Last Name Title 

Receiving Handler Signature Signature Date 

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 

information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0581- 0215. The time required 

to complete this information collection is estimated to average 12 minutes per response, including the time for reviewing instructions, searching existing data 

sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. 

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 from a 

public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA 

(not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident. 

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 Federal 

Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English. To file a program 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. 

ACP-5 (Exp. 6/30/2024 Destroy previous editions.)