State of Oregon
Department of Agriculture
FOOD SAFETY DIVISION
635 Capitol Street NE Salem, OR 97301-2532
AGREEMENT FOR DISPOSITION OF PRODUCTS
WHEREAS, the State Department of Agriculture of the State of Oregon has determined that $
of
(dollar value)
(type of food)
are subject to the seizure, detention and embargo powers set forth in ORS 561.605 to 561.630 because said products are
(Description of Cause)
and WHEREAS, the parties hereto desire and agree to the disposition of the above described products by
(Description of Disposition)
rather than by the procedures set forth in the above described statutes.
NOW, THEREFORE, the parties hereto agree as follows:
(1) The above described products shall be disposed of as herein described on or before the
day of
, 20
(2) The undersigned owner or person in possession of such products hereby waives any and all
procedural requirements of the above cited statutes relative to notices, hearings, directives and orders
and any and all claims against the State Department of Agriculture of the State of Oregon which
may arise or be occasioned by the disposition of such products herein agreed upon;
(3) The above provisions are made and entered into by the parties hereto in consideration of each other.
Dated this
day of
,20
STATE DEPARTMENT OF AGRICULTURE
Bus. Name
Address
By
By
(Signature)
(Signature)
(Title)
(Title)
1445