Refer a Farmer/
Rancher in Need
CRISIS READY. AG STRONG.
A neighbor, lender, family member, or community member can submit a referral. The farmer or rancher does not have to ask for help themselves.
Standing with America’s farmers and ranchers when an unexpected medical crisis strikes.
Before You Refer
Who We’re Here to Help
Review the three requirements before submitting a referral on someone’s behalf.
Who We Help
Working Farmer or Rancher
Agri-Med provides gift assistance to eligible husbands, wives, and individual farmers or ranchers.
Income Requirement
50% of Income from Agriculture
At least 50% of income must come from farming or ranching — ensuring our resources reach those whose livelihood is rooted in the land.
Nominee may be required to provide proof of income.
Crisis Window
Crisis Within the Last 30 Days
The unexpected medical crisis must have occurred within the last 30 days.
Submit a Referral
Two Ways to Refer
Submit a referral online or download the application form to complete and mail in.
Submit Online
Complete the referral form online through our secure submission portal.
Download Form
Download the nominee application PDF to complete and mail in.