Highly Erodible Land and Wetland Conservation Certification (State, Local or Tribal Government)

Instructions For AD-1026D

RELIEF FOR UNDUE ECONOMIC HARDSHIP REQUEST HIGHLY ERODIBLE LAND CONSERVATION

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 County Name	Enter the State and County name (address not required).
2A Landlord Information	Enter the landlord or landowner’s name and address including Zip code.
2B Telephone  Number	Enter the landlord or landowner’s phone number including area code.
3 Identification Number	Enter the landlord or landowner’s 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 Producer’s Signature and Date	Enter the producer’s 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.