OMB Control No. 0581-0337

PSD Form 6100 Expires 12/31/2026 Page 1 of 10 

U.S. DEPARTMENT OF AGRICULTURE

AGRICULTURAL MARKETING SERVICE

FAIR TRADE PRACTICES PROGRAM

PACKERS AND STOCKYARDS DIVISION

6100 LIVE POULTRY DEALER DISCLOSURE 

DOCUMENT FORM INSTRUCTIONS

This form is for use by any entity engaged in business as a Live Poultry Dealer and is required by 9 CFR

201.102 of the regulations under the Packers and Stockyards Act, 1921 (Act), as amended and 

supplemented, to provide broiler growers the required disclosure information. 

Submit the Live Poultry Dealer Disclosure Document, along with all required disclosure documents to each 

of the broiler growers under contract to you in the order, form, and content as instructed below and in § 

201.102. Copies of this form may be obtained from the regional office covering your area, or on our 

website: https://www.ams.usda.gov/resources/forms. 

Regional Offices of the Packers and Stockyards Division

Agricultural Marketing Service, Fair Trade Practices Program

Eastern Regional Office

75 Ted Turner Drive SW, Ste 230 

Atlanta, GA 30303-3308 

Telephone: (404) 562-5840 

FAX: (404) 562-5848 

Email: PSDAtlantaGA@usda.gov

Midwestern Regional Office

210 Walnut Street, Room 317 

Des Moines, IA 50309-2110 

Telephone: (515) 323-2579 

FAX: (515) 323-2590 

Email: PSDDesMoinesIA@usda.gov

Western Regional Office

3950 Lewiston St., Suite 200 

Aurora, CO 80011-1556 

Telephone: (303) 375-4240 

FAX: (303) 371-4609 

Email: PSDDenverCO@usda.gov

States Covered States Covered States Covered

AL, AR, CT, DC, DE, FL, GA, 

LA, MA, MD, ME, MS, NC,

NH, NJ, NY, PA, PR, RI, SC, 

TN, VA, VT, WV

IA, IL, IN, KY, MI, MN, MO, ND, 

NE, OH, SD, WI

AK, AZ, CA, CO, HI, ID, KS, 

MT, NM, NV, OK, OR, TX, 

UT, WA, WY

A. Prominent Disclosures (Cover Page(s)) Should Include Items A1-A13. 

The following information is required under 9 CFR 201.102(b)(1), (2), and (3). 

A1. Company Name 

A2. Business Type 

A3. Business Address

A4. Contact Name

A5. Telephone Number 

A6. Company Email Address

A7. Website Address

A8. Term of Contract (dates) 

A9. The following statement, as required under section § 201.102(b)(4): 

“The income from your poultry farm may be significantly affected by the number of flocks the 

poultry company places on your farm each year, the density or number of birds placed with each 

flock, and the target weight at which poultry is caught. The poultry company may have full 

discretion and control over these and other factors. Please carefully review the information in 

this document.” 

A10. Under the terms of this broiler growing arrangement, as required under § 201.102(b)(5): 

a. Minimum number of flocks placed on the grower’s farm each year; and

b. Minimum stocking density of each flock placed on the grower’s farm. 
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A11. The applicable of one of the following two statements, as required under § 201.102(b)(6):

 a. “This disclosure document summarizes certain provisions of your broiler growing 

arrangement and other information. You have the right to read this disclosure document and all 

accompanying documents carefully. At least 14 calendar days before the live poultry dealer 

executes the broiler growing arrangement (provided that growers may waive up to 7 calendar 

days of that time period), the poultry company is required to provide you with: (1) this disclosure 

document, and (2) a copy of the broiler growing arrangement.” OR

 b. “This disclosure document summarizes certain provisions of your broiler growing 

arrangement and other information. You have the right to read this disclosure document and all 

accompanying documents carefully. The live poultry dealer is required to provide this disclosure 

document to you simultaneously with (a) a copy of the broiler growing arrangement, (b) any new 

or modified housing specifications that would require you to make an original or additional 

capital investment, and (c) a letter of intent.” 

A12. Statement and Sentence (in bold) as required under § 201.102(b)(7) and (8):

“Even if the broiler growing arrangement contains a confidentiality provision, by law you still 

retain the right to discuss the terms of the broiler growing arrangement and the Live Poultry 

Dealer Disclosure Document with a Federal or State agency, your financial advisor or lender, 

your legal advisor, your accounting services representative, other growers for the same live 

poultry dealer, and your immediate family or business associates. A business associate is a 

person not employed by you, but with whom you have a valid business reason for consulting 

when entering into or operating under a broiler growing arrangement.” AND

“Note that USDA has not verified the information contained in this document. If this 

disclosure by the live poultry dealer contains any false or misleading statement or a 

material omission, a violation of Federal and/or State law may have occurred.” 

B. Required Disclosures Following Cover Pages - Items B1-B11:

B1. A summary of litigation over the prior 5 years between the live poultry dealer and any 

broiler grower; including the nature of the litigation, its location, the initiating party, a brief 

description of the controversy, and any resolution, as required under § 201.102(c)(1). 

B2. A summary of all bankruptcy filings in the prior 5 years by the live poultry dealer and any 

parent, subsidiary, or related entity of the live poultry dealer, as required under § 201.102(c)(2).

B3. A statement that describes the live poultry dealer’s policies and procedures regarding the 

potential sale of the broiler grower’s facility or assignment of the broiler growing arrangement to 

another party, including the circumstances under which the live poultry dealer will offer the 

successive buyer a broiler growing arrangement, as required under § 201.102(c)(3).

B4. A statement describing the live poultry dealer’s policies and procedures, as well as any 

appeal rights arising from the events described in § 201.102(c)(4)(i) through (c)(4)(vi). If no 

policy or procedure exists, the live poultry dealer will acknowledge “no policy exists” relating to 

the items in § 201.102(c)(4)(i) through (c)(4)(vi):

(i) Increased lay-out time.

(ii) Sick, diseased, and high early-mortality flocks.

(iii) Natural disasters, weather events, or other events adversely affecting the physical 

infrastructure of the local complex or the grower facility.

(iv) Other events potentially resulting in massive depopulation of flocks, affecting grower 

payments.

(v) Feed outages, including outage times.
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(vi) Grower complaints relating to feed quality, formulation, or suitability.

B5. A table showing the average annual broiler grower turnover rates for the previous calendar 

year and the average of the 5 previous calendar years at a company level and at a local complex 

level, as required in § 201.102(c)(5). Specific computation instructions and an example table for 

annual grower turnover rates appear in the Appendix to this form.

B6. Tables showing average annual gross payments to broiler growers at the local complex for 

each of the 5 previous years. The tables must express average payments in U.S. dollars per farm 

facility square foot. The tables must be organized by year, housing specification tier (lowest to 

highest), and quintile (lowest to highest), or by mean and standard deviation, as required under § 

201.102(d)(1). Specific computation instructions and an example table for average annual gross 

payments by quintile appear in the Appendix to this form. 

B7. If poultry housing specifications for broiler growers under contract with the complex are 

modified such that an additional capital investment may be required, or if the 5-year averages 

provided under § 201.102(d)(1) do not accurately represent projected grower gross annual 

payments under the terms of the applicable broiler growing arrangement for any reason, provide 

the following additional information, as required under § 201.102(d)(2):

 (a) Tables providing projections of average annual gross payments to broiler growers under 

contract with the complex with the same housing specifications for the term of the broiler 

growing arrangement at five quintile levels, or by mean and standard deviation, expressed as 

dollars per farm facility square foot. AND

 (b) An explanation of why the annual gross payment averages for the previous 5 years, as 

provided under § 201.102(d)(1), do not provide an accurate representation of projected future 

payments, including the basic assumptions underlying the projections provided under § 

201.102(d)(2)(i).

B8. A summary of information the live poultry dealer collects or maintains relating to grower 

variable costs inherent in broiler production, as required in § 201.102(d)(3).

B9. Current contact information for the State university extension service office or the county 

farm advisor’s office that can provide relevant information about broiler grower costs and broiler 

farm financial management in the broiler grower’s geographic area, as required under § 

201.102(d)(4).

B10. Certification, as required under 201.102(f)(2):

“I certify that, to the best of my knowledge, ____________________________ [company name] 

has established, maintains, and enforces the governance framework and that based on my

knowledge, the Live Poultry Dealer Disclosure Document does not contain any untrue statement 

of a material fact or omit to state a material fact which would render it misleading.”

B11. Broiler Grower’s Signature page that contains the following statement, as required in 

201.102(g)(1) and (2):

 “If the live poultry dealer does not deliver this disclosure document within the timeframe 

specified herein, or if this disclosure document contains any false or misleading statement or a 

material omission (including any discrepancy with other oral or written statements made in 

connection with the broiler growing arrangement), a violation of Federal and State law may have 

occurred. Violations of Federal and State laws may be determined to be unfair, unjustly 

discriminatory, or deceptive and unlawful under the Packers and Stockyards Act, as amended. 
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You may file a complaint at farmerfairness.gov or call 1-833-DIAL-PSD (1-833-342-5773) if 

you suspect a violation of the Packers and Stockyards Act or any other Federal law governing 

fair and competitive marketing, including contract growing, of livestock and poultry. Additional 

information on rights and responsibilities under the Packers and Stockyards Act may be found at 

www.ams.usda.gov.”
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Appendix to Form PSD-6100

Specific Computation Instructions and Examples for § 201.102(c) and (d) (Items B1 through 

B9)

Annual Grower Turnover Rates (201.102(c)(5))

1

To calculate grower turnover rates:

1. Define the time period for the calculation (previous-year or five-year average annual).

2. Calculate the average number of growers during the period at a company level and at a 

complex level by averaging the number of growers at the beginning and end of the period.

3. Determine the total number of grower separations during the period at a company level and 

at a local complex level.

4. Use the Grower Turnover Rate formula to calculate the grower turnover rate at a company 

level and at a local complex level.

5. Complete the Company and Complex Grower Turnover Rate table.

Grower Turnover Rate = 

number of grower separations in time period

average number of growers in time period X 100

Example Table:

Company and Complex Grower Turnover Rate 

Company Name

 Previous-Year Annual Grower Turnover Rate

 Five-Year Average Annual Grower Turnover Rate*

Complex Name**

 Previous-Year Annual Grower Turnover Rate

 Five-Year Average Annual Grower Turnover Rate

Complex Name**

 Previous-Year Annual Grower Turnover Rate

 Five-Year Average Annual Grower Turnover Rate*

* If a live poultry dealer has been in operation for fewer than 5 years, the live poultry dealer 

should report the average for the number of years it has been in operation.

** Live poultry dealers should lengthen or shorten the table as needed to include each local 

complex (if more than one) for a prospective or current broiler grower.

1 AMS has provided specific computation instructions so that all live poultry dealers calculate annual grower 

turnover rates using the same formula. This ensures consistency across all live poultry dealers in the calculation and 

disclosure to broiler growers. This consistency also ensures that broiler growers can accurately compare annual 

grower turnover rates across several live poultry dealers.
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Average Annual Gross Payments by Quintile (201.102(d)(1)(A))2

To calculate average annual gross payments and quintiles: 

1. Group growers according to the housing specification affiliated with their broiler growing 

arrangement.

a. Include all growers under contract for a complete calendar year and growers under flockto-flock broiler growing arrangements for the full year, and

b. Exclude growers whose housing specifications changed during the calendar year from the 

calculation for that year.

2. Sum all gross payments to each grower during the calendar year to determine each grower’s 

annual gross payments.

3. Divide each grower’s total annual gross payments by the square footage of floor space of the 

grower’s farm facility to reflect dollars per farm facility square foot of floor space.

4. Rank the annual gross payments per square foot in numerical order from lowest to highest.

5. Multiply the total number of growers by 0.2, and round to the nearest whole number to 

determine the largest ranking annual gross payment per square foot in the first quintile. All 

annual gross payments ($/ft2

) at this upper bound and below form the first quintile.

6. Multiply the total number of growers by 0.4, 0.6, and 0.8, respectively and round to the 

nearest whole number to determine the largest ranking annual gross payments per square foot 

for each of the remaining quintiles. The lower bounds for each quintile are simply the next 

largest annual gross payments per square foot above the upper bound of the previous quintile. 

All remaining annual gross payments per square foot greater than the upper bound of the 

fourth quintile form the fifth quintile. 

7. Group each annual gross payment per square foot into each quintile using the respective 

lower and upper bounds calculated above.

8. Calculate the average of the annual gross payments per square foot in each quintile.

9. Place the average of the annual gross payments per square foot for each quintile into tables 

based on the following example table.

2 AMS has provided specific computation instructions so that all live poultry dealers calculate average annual gross 

payments by quintile using the same computation instructions. AMS is aware that different computer applications 

(Excel, SAS, for example) use different algorithms to determine quintiles, which yield slightly different results. 

Providing live poultry dealers with specific instructions to use the same computation instructions ensures 

consistency across all live poultry dealers in the calculation and disclosure to broiler growers. This consistency also 

ensures that broiler growers can accurately compare average annual gross payments by quintile across several live 

poultry dealers.
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Example Table for a Local Complex:

Quintiles of Average Annual Gross Payment per square foot for Calendar Year ____.*

Complex and Housing Information Quintiles Average Annual Gross 

Payments **

Complex name (City, State, complex)

Short description of Housing 

specification 

1st quintile (lowest average annual 

gross payments) (lowest 20%)

$___ per farm facility 

square foot

2nd quintile (next 20%) $___ per farm facility 

square foot

3rd quintile (next 20%) $___ per farm facility 

square foot

4th quintile (next 20%) $___ per farm facility 

square foot

5th quintile (highest average annual 

gross payments) (highest 20%)

$___ per farm facility 

square foot

Short description of Housing 

specification

1st quintile (lowest average annual 

gross payments) (lowest 20%)

$___ per farm facility 

square foot

2nd quintile (next 20%) $___ per farm facility 

square foot

3rd quintile (next 20%) $___ per farm facility 

square foot

4th quintile (next 20%) $___ per farm facility 

square foot

5th quintile (highest average annual 

gross payments) (highest 20%)

$___ per farm facility 

square foot

Short description of Housing 

specification

Same information as above Same information as 

above

Complex name (City, State, complex)

Same information as above for 

each Housing specification

Same information as above Same information as 

above

Complex name (City, State, complex)

Same information as above for 

each Housing specification

Same information as above Same information as 

above

* Live poultry dealers should prepare this table for each of the five previous years.

**Live poultry dealers should lengthen or shorten the table as needed to include each housing 

specification at each complex.
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Mean and Standard Deviation of Annual Gross Payments per Square Foot 

(201.102(d)(1)(B))

To calculate the mean and standard deviation of annual gross payments per square foot3: 

1. Group growers according to the housing specification affiliated with their broiler growing 

arrangements.

a. Include all growers under contract for a complete calendar year and growers under flockto-flock broiler growing arrangements for the full year, and

b. Exclude growers whose housing specifications changed during the calendar year from the 

calculation for that year.

2. Sum all gross payments to each grower during the calendar year to determine each grower’s

annual gross payments.

3. To get annual gross payments for each grower on a U.S. dollars per farm facility square foot

basis ($/ft2), divide each grower’s total annual gross payments by the square footage of floor 

space of the grower’s farm facility to reflect dollars per farm facility square foot of floor 

space.

4. To calculate the mean of annual gross payments, sum the annual gross payments ($/ft2) for

each grower during the calendar year and then divide the sum by the number of growers.

5. To calculate the standard deviation from the mean, s, use the following formula and 

instructions:

s = �∑(XXii−XX�)2

nn−1

where 

• s = standard deviation;

• ∑ = the sum of over all individuals;

• Xi = annual gross payments ($/ft2

) to each individual grower;

• XX� = mean of annual gross payments ($/ft2) of all growers from number 4 above;

• n – 1 = number of growers minus 1.

6. Subtract the mean from the annual gross payment of each grower to get the deviation from 

the mean of each grower’s annual payment.

7. Square each deviation from the mean of each grower’s annual payment. 

8. Sum all the squared deviations.

9. Divide the sum of the squared deviations by the number of growers minus 1, n-1.

10. Take the square root of the quotient to get the standard deviation, s. 

11. Place the mean and standard deviation of the annual gross payments per square foot ($/ft2

)

into tables based on the following example table.

3 If there are nine or fewer growers at a local complex, live poultry dealers should report only the mean of annual 

gross payments per square foot and one standard deviation from the mean for each of the five previous years. 
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Example Table for a Local Complex:

Mean and Standard Deviation of Annual Gross Payment per square foot ($/ft2) for 

Calendar Year ____.*

Complex and Housing Information Mean Standard Deviation **

Complex name (City, State, complex)

Short description of Housing 

specification 

$___ per farm facility 

square foot

$___ per farm facility 

square foot

Short description of Housing 

specification

$___ per farm facility 

square foot

$___ per farm facility 

square foot

Short description of Housing 

specification

$___ per farm facility 

square foot

$___ per farm facility 

square foot

Complex name (City, State, complex)

Same information as above for 

each Housing specification

Same information as above Same information as above

* Live poultry dealers should prepare this table for each of the five previous years.

**Live poultry dealers should lengthen or shorten the table as needed to include each housing 

specification at each complex.
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The valid OMB Control Number for this information collection is 0581-0337. This information 

collection requirement adds targeted transparency to the market for grower services that 

strengthens the ability of growers to make better-informed contracting decisions.

Maintaining this information allows the USDA the legal authority to collect and access the

records during a review to assess compliance with 9 CFR § 201.102, conduct investigations, and 

administrative legal actions.

The average burden of this information collection is 279 hours per regulated entity in the first 

year and 95 hours per regulated entity in subsequent years for live poultry dealers to create, 

produce, distribute, and maintain the documents. The Packers and Stockyards Division requests 

that the public direct to the Division any comments concerning the accuracy of this burden 

estimate and any suggestions for reducing this burden using the contact information at the 

bottom of this form.

The responses to this information collection are required under 9 CFR § 201.102.

Regulation 201.96 (9 CFR § 201.96) prohibits unauthorized disclosure of business information 

by Packers and Stockyards Division employees. Section 10 of the FTC Act, which is 

incorporated into the Packers and Stockyards Act, also prohibits unauthorized disclosure of 

business information. Information collected by the USDA may be protected by Freedom of 

Information Act (FOIA), 5 U.S.C. 552, requests based on one or more FOIA exemptions. 

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.

In accordance with Federal law and U.S. Department of Agriculture (USDA) civil rights 

regulations and policies, this institution is prohibited from discriminating on the basis of race, 

color, national origin, sex, age, disability, and reprisal or retaliation for prior civil rights activity. 

(Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative 

means of communication for program information (e.g., Braille, large print, audiotape, American 

Sign Language) should contact the responsible State or local Agency that administers the 

program 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 is also 

available in languages other than English.

To file a complaint alleging discrimination, complete the USDA Program Discrimination 

Complaint Form, AD-3027, found online at 

http://www.ascr.usda.gov/complaint_filing_cust.html, or 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: (a) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for 

Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (b) fax: (202) 

690-7442; or (c) email: program.intake@usda.gov.