RELIEF
FOR UNDUE ECONOMIC HARDSHIP REQUEST HIGHLY ERODIBLE
Producers use this form to
request an exemption for highly erodible land conservation provisions under USDA
programs because of undue economic hardship.
Submit the original of the
completed form in hard copy or facsimile to the appropriate FSA servicing
office.
Customers who have established electronic access
credentials with USDA may electronically transmit this form to the USDA
servicing office, provided that (1) the customer submitting the form is
the only person required to sign the transaction, or (2) the customer has an
approved Power of Attorney (Form FSA-211) on file with USDA to sign for other
customers for the program and type of transaction represented by this
form.
Features
for transmitting the form electronically are available to those customers with
access credentials only. If you
would like to establish online access credentials with USDA, follow the
instructions provided at the USDA eForms web
site.
Producers
must complete Items 1 through 8.
Items 1 - 8
Fld. Name/ Item
No. |
Instruction |
1 State and |
Enter the State and
County name (address not required). |
2A Landlord Information
|
Enter the landlord or
landowners name and address including Zip code. |
2B Telephone Number |
Enter the landlord or
landowners phone number including area code. |
3 Identification Number |
Enter the landlord or
landowners social security number or tax ID
number. |
4 Farm
Number |
Enter the farm number
on which the exemption request is being made. |
5A Tract
Number |
Enter the tract number
on which the highly erodible land is located. |
5B Field
Number |
Enter the field number
on which the highly erodible land is located. |
6 Crop
Year |
Enter the crop year
for which the exemption request is being made. |
7 Reason for
Request |
Enter the reason for
the request. Describe in
detail how the conservation system would impose an undue economic
hardship. Include any
supporting documentation. |
8 Producers Signature
and Date |
Enter the producers
signature and date. If you are mailing or faxing this form,
print the form and manually enter your signature. If this form is approved
for electronic transmission and you have established credentials with USDA
to submit forms electronically, use the buttons provided on the form for
transmitting the form to the USDA servicing
office. |
Items 9 - 22 are for FSA's use only.
File Type | text/html |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |