OMB No. 0581-0178

CWB 8 (Exp. 3/31/2024) Destroy previous editions.

California Walnut Board

101 Parkshore Drive, Suite 250

Folsom, CA 95630-4726

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

REPORT OF INTERHANDLER TRANSFERS OF WALNUTS

This report of walnuts transferred between handlers is submitted in compliance with the requirements of the Federal 

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

Walnut Board (Board) and to the U.S. Department of Agriculture as to the correctness and completeness of their 

statement.

Instructions: 1. Report date of transfer and if DFA certified. 

2. Report inshell and shelled interhandler transfers (in pounds).

3. Sender sends two copies of the form to the receiving handler.

4. Mail a signed original to the Board following each transfer or receipt of walnuts, within 10 

working days.

INTER-HANDLER TRANSFERS (in pounds) 

Date of Transfer DFA Certified Inshell/Shelled Net Weight

 Yes / No

Yes / No

Yes / No

Yes / No

Yes / No

Yes / No

TOTAL

To be completed by Transferring Handler To be completed by Receiving Handler

The above walnuts were received

_______________________________ ___________________________, 20_________

(Name of Handler) 

By_____________________________ _________________________________________

(Name of Handler)

By________________________________________ 

 

The making of any false statements or representations in any matter within the jurisdiction of any agency of 

the United States, knowing it to be false, is a violation of title 18, section 1001, of the United States Code, 

which provides for a penalty of a fine for individuals and for organizations or imprisonment, or both.

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 0581-0178. The time required 

to complete this information collection is estimated to average 10 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.