Emergency Relief Program- ERP Phase 1 and Phase 2

Instructions For FSA-522
CROP INSURANCE AND/OR NAP COVERAGE AGREEMENT
This form will be used by any producer that is applying for the Emergency Relief
Program Phase 2. This form will capture all a producer’s crops that suffered a
revenue loss due to a qualifying disaster event. By completing this form, the
producer agrees to purchase crop insurance or NAP coverage for the next two
available crop years. If they do not meet this linkage requirement, they will be
required to pay back their ERP Phase 2 payment.
Submit the original of the completed form in hard copy or facsimile to your
recording county FSA office.

Producers must complete Items 1 through 8
Identify the instructions that are provided in the following continuous table by entering the
statement below with the appropriate item numbers:

Items 1-8
Fld Name /
Item No.
1
Producer
Name
2
FSA-521
Application
Number
3
Recording
State
4
Recording
County

Fld Name /
Item No.

Instruction
Enter Applicant Name
Enter corresponding FSA-521 Application number

Enter the State
Enter the County

Instruction
Part A: Crops/Commodities that Suffered a Revenue Loss Due to a
Qualifying Disaster Event

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Fld Name /
Item No.

5
Crop/Comm
odity Name
6
Crop Type
7
Intended
Use

8A
Producer
Signature

Instruction
For items 5-7 below, list the crop/commodity name, crop type, and
intended use of the crop(s) that suffered revenue losses in whole or in part
from qualifying disaster event(s) for the disaster year(s) for which you
applied for ERP Phase 2 (2020 and/or 2021). Producers can see examples of
crop/commodity names, crop types, and intended uses by looking at
acreage reports (FSA-578) or [insert link on public facing site with a list of
possible crops to choose from as noted in a modified version 2-CP exhibit
10].

Enter Crop Name.
Example: Corn
Enter Crop Type.
Example: Yellow

Enter Intended Use.
Example: Grain
Part B: Linkage Agreement
Producer must read and agree to the terms of this agreement.
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.
Representative Signature, if applicable

8B
Title/Relatio
nship of the
Individual
Signing in
the
Representati
ve Capacity
8C
MM-DD-YYYY
Date Signed

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