2022 Cenex® Premium Diesel

Ad Share Claim Form

If you would prefer to download the claim form to submit via email or mail, please click here.

Please fill out all fields unless marked optional

You must click the checkbox to acknowledge that you agree.

The CHS fiscal year runs from September 1 through August 31. Ad Share claims must include invoices dated on or before August 31, 2022. The deadline for submitting claims is September 30, 2022.

Marketing and advertising templates available on Cenex Shop automatically qualify for Ad Share reimbursement. All other marketing and advertising efforts being submitted for Ad Share reimbursement must be pre-approved prior to claim submission.

Item Being Claimed


Required Documentation

Claimed Amount

Print Advertising


Paid invoice and original tear sheets

Radio Advertising


Paid invoice and notarized affidavit of performance, including script

Cenex Premium Diesel Merchandise and Apparel

promotional items qualify for 75% reimbursement. Coverage on total claims to not exceed $1,000 per CHS fiscal year.

75% up to $1,000*

Cenex Shop order confirmation or invoice

Cenex Premium Diesel Fuel Brand Image Enhancements and Maintenance

(from approved vendors)


Photo of completed project and copies of paid invoices

View your Ad Share balance

*$1,000 maximum per fiscal year

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