REPRODUCE LOCALLY. Include form number and date on all reproductions. OMB No. 0581-0178

SC-156 (Rev. 05/2017) Destroy previous editions.

U.S. DEPARTMENT OF AGRICULTURE

AGRICULTURAL MARKETING SERVICE

SPECIALTY CROPS PROGRAM

OFFICIAL PRODUCER BALLOT

Marketing Order No. 955: Vidalia Onions Grown In Georgia

This Ballot will be held in strict confidence. Be sure Parts II, III, and IV of your Ballot are 

completed. Unsigned Ballots, or Ballots that cannot be validated because Parts II, III, or IV are 

incomplete, will not be counted.

PART I - REFERENDUM INSTRUCTIONS

A. REFERENDUM PERIOD: __________, 20___ through __________, 20___ is the Referendum 

period during which producers may vote on this marketing order. For this marketing order to 

continue, it must be supported by at least two-thirds of the producers voting or at least two-thirds 

of the volume of Vidalia onion production represented by those voting in the Referendum.

B. ELIGIBILITY REQUIREMENTS: Any person who produced Vidalia onions for market 

during the period of January 1, 20___ through December 31, 20___, and who is now a producer, 

is eligible to vote. Such persons may vote on the continuance of the marketing order using the 

attached Ballot.

1. A producer (or grower) is defined as: (a) any person who produces Vidalia onions in the 

designated production area; (b) a renter or tenant of acreage producing Vidalia onions for 

market; or (c) a landlord who received from a renter or tenant Vidalia onions as rent for 

the land on which such Vidalia onions were grown. A cash landlord, lienholder, or person 

having only a financial interest in the crop is not an eligible voter.

2. A business unit, partnership, family enterprise, corporation, association, estate, or firm 

may vote. Each such entity is entitled to one vote.

3. Proxy voting is not authorized.

C. INSTRUCTIONS FOR VOTING: Provide the voter information requested in Part II. In Part 

III, mark the block for or against the marketing order. Certify your vote by signing the appropriate 

section of Part IV. If you do not complete Parts II, III, and IV, your Ballot cannot be validated, 

and your vote will not be counted. Remove the pages containing Parts II, III, and IV, and return

them in the envelope provided.

BALLOTS POSTMARKED AFTER ____________________, 20___

WILL NOT BE COUNTED IN THE REFERENDUM.

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 20 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.
REPRODUCE LOCALLY. Include form number and date on all reproductions. OMB No. 0581-0178

SC-156 (Rev. 05/2017) Destroy previous editions.

PART II - VOTER INFORMATION

This information will be held in strict confidence.

A. Your name: ___________________________________________________________________________

B. What is the specific location of your Vidalia onion acreage represented in this Ballot?

_____________________________________________________________________________________

Address, City, State, and Zip code 

C. Do you reside on the above property which produces the Vidalia onions? □ Yes □ No

If no, please provide your residential address and telephone number: _______________________________

_____________________________________________________________________________________

Address, City, State, and Zip code 

____________________________________

Telephone

D. If you are not voting as an individual producer, please check the appropriate box indicating your voting status 

and write the name and address of the business unit you represent.

□ Partnership □ Corporation □ Other (Specify) __________________________________________

Business Name: ________________________________________________________________________

Business Address: ______________________________________________________________________

E. What is the number of 40 pound bags of Vidalia onions, or equivalent, you produced for market during the 

period of January 1, ____ through December 31, ____? _________ bags.

F. What is the number of acres of Vidalia onions you harvested during the period of January 1, ____ through 

December 31, _____? _______________ acres.

G. Which packinghouse(s) handled your Vidalia onions during the representative period?

Name: __________________________________ Name: _____________________________________

Address: ________________________________ Address: ___________________________________

________________________________________ __________________________________________

PART III - REFERENDUM QUESTION

Do you favor continuance of Marketing Order No. 955, regulating the handling of Vidalia onions grown in 

Georgia? □ YES □ NO

PART IV - VOTER CERTIFICATION

All information provided in this Ballot will be subject to on-site verification by officials of the Office of Inspector 

General, U.S. Department of Agriculture. The information on this Ballot is required to determine voter eligibility 

and vote of Vidalia onion producers. Falsification of information on this government document may result in a fine, 

imprisonment, or both (18 U.S.C. 1001).

A. Your signature, if signing as an individual.

I am the producer named in Part II of this Ballot, and I certify that I am not a cash landlord, lienholder, or person 

having only a financial interest in the crop, and that the information provided on this Ballot and any attachment 

hereto is accurate and correct to the best of my knowledge.

______________________________________________________ _______________________

Signature Date

B. If signing as the representative of a producing entity other than an individual, designate your title and sign 

below.

I am the representative named in Part II D of this Ballot: A partner casting the Ballot for a partnership; or an officer 

or employee casting the Ballot for a cooperative association, corporation, school, institution, or similar business unit; 

or the administrator, executor, or trustee casting the Ballot for a producing estate; and, by signing this Ballot, I agree 

to provide evidence thereof at the request of an authorized agent of the Secretary of Agriculture. 

___________________________________________________________ _____________________

Signature and title Date
REPRODUCE LOCALLY. Include form number and date on all reproductions. OMB No. 0581-0178

SC-156 (Rev. 05/2017) Destroy previous editions.

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.