Chuck Cooke - Agent - Premiercropins

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Chuck Cooke – Agent

Chuck Cooke – Agent

Location: Ohio

Phone: 937-533-3345

Email: ccooke@premiercropins.com

USDA

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 www.usda.gov/oascr/filing-program-discriminationcomplaint-usda-
customer 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.

Premier Crop Insurance is an equal opportunity provider.

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