OMB No. 0581-0178

RAC-510 (Exp. 3/31/2024) Destroy previous versions.

RAISIN ADMINISTRATIVE COMMITTEE Deliver or mail to:

2445 Capitol Street, Suite 200 Raisin Administrative Committee

Fresno, California 93721 and

Phone: (559) 225-0520 USDA Specialty Crops Inspection Division

NON-CALIFORNIA RAISINS

1. Producer’s name

2. Mailing address

3. Email address

4. Location and address of production unit, including Section, Township, and Range

5. Acreage of production unit acres

County of production unit

6. Raisin net fruit weight pounds

Variety

7. Documents required and attached

a. For USA raisins produced outside of California:

Commission processing order

Bill of lading or equivalent, with State of California stamp and date obtained at border crossing

Weight tags

b. For raisins produced outside of USA:

U.S. Customs entry form

I hereby agree to comply with all the regulations established for non-California raisins and certify that the 

raisins produced from grapes on the production unit identified herein are true and correct.

The making of any false statement 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 or imprisonment of not more than five years, or both.

Handler _____________________________________ Date ____________________________

Signature ____________________________________ Title ____________________________

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 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. 
OMB No. 0581-0178

RAC-510 (Exp. 3/31/2024) Destroy previous versions.

INSTRUCTIONS FOR COMPLETING FORM RAC-510

This report is supplemental to the RAC-500 and the information herein is required pursuant to 

section 989.157 of Federal Marketing Order No. 989, as amended.

1. Insert the name of producer, tenderer or equity holder as applicable (Individual, Partnership 

or Corporation name).

2. Show mailing address and phone number.

3. Show the location and address of the production unit, including the Section, Township and 

Range.

4. Show acreage of production unit, and County where produced.

5. Show raisin net fruit weight in pounds and varietal type.

6. All documents listed below are REQUIRED to be attached to this form and submitted to the 

Raisin Administrative Committee and the USDA Processed Products Inspection Service.

a. For USA raisins produced outside of California:

The Commission Processing Order from the State where produced, the bill of lading 

or equivalent with the State of California stamp and date obtained at the border 

crossing, and weight tag(s).

b. For raisins produced outside the U.S.A.:

The U.S. Customs import entry form.

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.