U.S. DEPARTMENT OF AGRICULTURE

AGRICULTURAL MARKETING SERVICE

FEDERAL GRAIN INSPECTION SERVICE

APPLICATION FOR INSPECTION AND

WEIGHING SERVICES

FORM APPROVED OMB NO. 0581-0309. According to the Paperwork Reduction Act of 

1995, no persons are required to respond to a collection of information unless it displays a valid 

OMB control number. The time required to complete this information collection is estimated to 

average 5 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.

Pursuant to Section 7 and 7a of the United States Grain Standards Act as amended (7 U.S.C. 79 and 79a) and the regulations thereunder (7 CFR 800 et.

seq.) and/or Section 203(h) of the Agricultural Marketing Act of 1946, as amended (7 U.S.C. 1622) and the regulations and standards thereunder

(7 CFR Parts 57 and 868), we apply for services described below

1. Type of Services (check all that apply)

Original Inspection Reinspection Appeal Inspection

Official Weighing Review of Weighing Board Appeal Inspection

 Supervision of Weighing Retest

2. Where are the services to be

performed (check one)

United States

Canada

3. Kind of Official Inspection Service Requested (check all that apply)

Official Sample Lot

Sampling

Stowage Examination

Condition 

Submitted Sample

 Official Weighing 

Grade and Factor 

Factors Only 

Checkweigh

Checkload

Checkcount

Supervision of Weighing 

4. Type of Grain/Commodity 5. Location of Grain/Commodity 6. Contract Number (if applicable)

7. Carrier or Other Identification 8. Quantity (specify in pounds, bushels, etc.) 9. Contract Grade (Factor or Specifications)

10. Number and Kind of Containers 11. Container Markings 12. Appeal Request File Sample

New Sample

13. Name, Address and Telephone Number of Applicant (Firm Name) 14. Name and Address of Interested Party (agent, consignee)

13a. Applicant FGIS Account Number:

15. Remarks

In submitting this application, we expressly agree that the fees and charges for the inspection and weighing services shall be assessable to and payable by us in

accordance with the fees and charges described in the regulations (7 CFR 800 et. seq.) under the United States Grain StandardsAct and/or described in the regulations

(7 CFR 868) under theAgricultural MarketingAct of 1946. I declare that the foregoing statements are true to the best of my knowledge, information and belief.

16. Date (mm/dd/yy) 17. Name of Firm 18. Signature of Person Making Application

Warning: Attempts to influence any official personnel with respect to the performance of his/her duties under the U.S. Grain Standards Act may upon 

conviction thereof, be subject to imprisonment for not more than 5 years and/or a fine of not more than $20,000. 18 U.S.C. 1001 provides for a fine of 

not more than $10,000 or imprisonment for not more than 5 years, or both, for false or fraudulent statements made to an agency of the United States. 

The offering of any gratuity, as described in 7 CFR 800.187, will be deemed an attempt to influence official inspection personnel.

For Use by FGIS

19. Application Received By 20. Date (mm/dd/yy) 21. Field Office 22. Fees

23. Certificate No. or Nos. 24. Remarks

FORM FGIS-907 (03/24) Previous editions are obsolete. Expires 03-25

Official Commercial

Other Criteria (list in remarks)
25. Car Initials and

Number or other

Identification

26. Quantity

(Cargos) or Marked

Capacity Per Carlot

or Part Carlot

27. Kind of

Grain and

Reason For

Appeal 1

or Review

28. Requested

Sample Basis

(Check)

29. Date 2

 of

Original

Service

30. Check if

Original

Certificate

For The

Service is

Attached

31. Remarks

Official

File New

1

 List factor(s) and/or other criteria in question. For requests filed in advance, show the scope of the inspection in question.

2

 Show only date of inspection being appealed or weighing service being reviewed.

The conduct of all services and the licensing of (inspecting/grading/sampling) personnel under the regulations governing such

services shall be accomplished without discrimination as to race, color, religion, sex, national origin, age or handicap.

FORM FGIS-907 Reverse
Instructions for Completing FGIS 907

Action by Applicant. Complete items 1 through 18. Return the original to the appropriate FGIS field 

office and retain a copy for your records.

1. Check the box for the services needed. More than one box may be checked if a combination of

services is requested.

2. Check the appropriate box to indicate whether the service is to be performed in the United States

or Canada.

3. Check the box indicating the kind and scope of service being requested. For checkweigh,

checkload, checkcount services use the remarks section for the specific service requested.

Also, for condition of container examinations use the remarks section for this specific service.

4. Enter the type of grain or commodity for the service being requested.

5. Enter the location of the grain or commodity for the service being requested.

6. Enter the contract number if applicable.

7. Enter the carrier or identification for the service being requested.

8. Enter the quantity in pounds, bushels etc., for the grain or commodity to be inspected.

9. For inspections during loading, enter the contract grade along with any special grade or other

contract requirements. This information is not applicable to carriers that are to be inspected at

rest.

10. Enter the number and kind of containers.

11. Enter the container markings, use the words: “Standard”, “Commercial”, or “Special” for the type

of markings. For “Special” enter the complete container markings in the remarks section. If there

are no markings enter “None”. For bulk rice, enter “Bulk”.

12. Check the box indicating the type of sample required:

13. Enter the name and address of the applicant; i.e., the party that will be billed for the service.

13a. Enter the applicant’s FGIS Account number.

14. If applicable enter the name and address of the agent or person of interest if any.

15. Enter additional information if necessary.

16. Enter the date the application was prepared.

17. Enter the name of the firm that is requesting the service.

18. Enter the name and signature of the person completing the application.
Action by field office. Review Form FGIS 907. If incomplete, either return the form to the applicant for 

completion or insert and initial the missing information. Complete items 19 through 24:

19. Enter the name of the person who received the application.

20. Enter the date the application was received.

21. Enter the name of the field office where the application was filed.

22. Enter the amount of fees that are to be assessed.

23. Enter the inspection certificate(s) numbers including the lettered prefix.

24. Enter any additional pertinent information.

Action by Applicant. For appeal, Board appeal or review services complete items 25 through 31.

25. Use the lot, carrier, or other identification shown on the certificate for the service in question.

Identify a barge by name, number and any letterhead prefixes and suffixes; a railcar by its

initials and number; a truck or trailer by license number and name or abbreviation of State

(include time of sampling when necessary); and a vessel its name preceded by its means of

propulsion (M/T, M/V, S/S, etc.)

26. Enter the quantity in terms of bushels, pounds, weight loaded or unloaded, or to be loaded or

unloaded for cargos. For a lot of sacked grain, also enter the type, number, and weight of sacks;

e.g., 6000, 100-lb cotton sacks. For a truckload or trailerload, show truckload, trailerload, parttruckload or part-trailerload as the case may be. For a railcar, enter the marked capacity of the

carrier or “over 130 000 lb” or under 130 000 lb” as the case may be.

27. Enter the grain and reason for the appeal, Board appeal, or review; e.g., the grade determining

factors or other criteria. For requests filed in advance, show the kind of grain and contract grade.

28. Enter the sample basis desired for the appeal inspection. All Board appeal inspections will be

performed on the basis of the official file sample.

29. Enter the date of the original service. For applications filed in advance of loading, enter the

expected date and time of loading if possible.

30. Indicate whether the original certificate for the inspection being appealed is attached. If the

certificate is not attached, explain in item 31.

31. Enter any additional pertinent information.

CONTACT INFORMATION:

Contact the field office responsible for the geographic area in which the service will be provided.

Details for these locations can be found on the FGIS website. The signed form should also be mailed to 

this location. For further information on the Application for Inspection and Weighing Services contact:

Field Management Division

Policies, Procedures, and Market Analysis Branch

FGISPoliciesProceduresMarketAnalysisBranch@ams.usda.gov