GOOD
FAITH DETERMINATION - HIGHLY ERODIBLE LAND ACTIVITY
Producers use this form to
request a good faith determination for a violation on highly erodible
land.
Submit the original of the
completed form in hard copy or facsimile to the appropriate FSA servicing
office. To submit this form by
facsimile you must have submitted an original signature on FSA-237, Facsimile
Signature Authorization and Certification.
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 6 and Item 7.
Items 1 - 6
|
Fld. Name/ Item
No. |
Instruction |
|
1A State
Name |
Enter the State name
where the farm is located. |
|
1B |
Enter the County name
where the farm is located. |
|
2-3 Producer's Information
|
Enter the producer�s
name, address including Zip code, and telephone number including area
code. |
|
4 Identification Number |
Enter the producer�s
social security number or tax ID number. |
|
5 Farm
Number |
Enter the farm number
on which the good faith determination is being
requested. |
|
6 Crop
Year |
Enter the crop year
for which the good faith determination request is being
made. |
Item 7 is for USDA use
only.
|
Fld. Name/ Item
No. |
Instruction |
|
8-9 Good Faith Request and
Producer�s Signature |
Enter reasons for this
request for good faith determination. Include circumstances surrounding
the activities on the highly erodible land, and evidence that the
activities were performed in good faith and not as a scheme or device to
avoid compliance. Include producer�s
signature and date of request. 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 10 -
27 are for USDA use only.