Subject: Instructions for AD-1026
From: "Saved by Windows Internet Explorer 8"
Date: Thu, 19 Jun 2014 07:56:37 -0400

Instructions For Forms AD-1026 Appendix and AD-1026

Highly Erodible Land Conservation (HELC) and Wetland Conservation (WC)
Certification

Producers must read
AD-1026 Appendix for terms and conditions before completing
AD-1026.

Producers shall use
this form to certify compliance with the highly erodible land and wetland
conservation provisions as a condition of eligibility for certain USDA
programs.  It is not necessary to complete this form if a
previously filed AD-1026 is on file in the FSA serving office and there have not
been any changes in your farming operation or changes to the previously listed
affiliates.

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 11, then sign and date in Item 12 as
applicable.  Item 13 is for FSA use
only.

Item No. & Field
Name

Instruction

1

Producer's Name

Enter the full name of the individual or business
entity applying for USDA program benefits.

2

Producer's Tax Identification
Number

Enter the last 4 digits of the producer’s social
security number or the last 4 digits of the entity tax identification
number.

Item No. & Field
Name

Instruction

3

Current Crop Year

Enter the crop year for which benefits are being
requested. In most cases it will be the current crop year.  However, if the producer is
applying for program benefits for a past year, enter the specific year
applicable to the application.

4

Farming

Interests

Enter an “X” in the “YES” or “NO” box.

If “YES” is marked, continue to Item 5.

If “NO” is marked, and the producer is not a farm loan
applicant, proceed to Item 12 for certification signature and date.

If “NO” is marked and the producer is a farm loan
applicant, proceed to Item 5.

5

For farm loan applicants only

Enter an “X” in the “YES” or “NO” box.

This question includes fish production, trees,
vineyards, shrubs, building construction or other activities.

Item 5 may be left blank for if not a farm loan
applicant.

6

Landlord or Tenant Compliance

Enter an
“X” in the “YES” or “NO” box.

Mark “YES” in this block if an agricultural commodity
is being produced:

1
on highly erodible fields without applying an
approved conservation system or plan or

2
on wetlands converted after December 23, 1985.

Also mark “YES” if wetlands have been converted after

November 28, 1990.

Item No.& Field
Name

Instruction

7

Landlords refusal to comply with HELC requirements

Enter an “X” in the “YES” or “NO” box.

Mark “YES” if a landlord of the producer refuses to
apply a required conservation system or plan on a highly erodible field on
a farm on which the producer is a tenant.

8

List of

Affiliated Persons with farming interests

List all affiliated persons with farming
interests.  Page 2 of the form

AD-1026 lists the affiliated persons for each of the
types of producer entities.
Affiliated persons with farming interests are also required to
complete an AD-1026.

If there are no affiliated persons to list, enter
“none” in the space provided.

9

Production of Agricultural Commodities

Enter an “X” in the “YES” or “NO” box.

Mark “YES” if there are any fields which the producer
intend to plant

(or planted), an agricultural commodity which has not
received a highly erodible land determination from NRCS.

If “YES” is checked, FSA will request a HEL
determination from NRCS for the specific
field(s).

Item No.& Field
Name

Instruction

10

Drainage Evaluation Questions

Enter an “X” in the “YES” or “NO” box for each of the
Items A, B and C.

These questions refer to drainage activity.  If “YES” to Items 10A or 10B is
checked, FSA will request a Wetland evaluation from NRCS for the specific
area listed in Item 11.

A “YES” response to Item 10C (maintenance) does not
require a certified wetland determination. NRCS will be notified of the
producer’s intentions to maintain an existing drainage system.

11

Location of Drainage System

This Item must be completed only if a “YES” was marked
in Item 5 or 10.  List the
Farm number, tract number and field number.  Briefly describe the activity and
current land use.  List the
location county.

12

Producer’s Signature and Date

Read the Continuous AD-1026 certification statement
above Item 12 and sign and date the certification.

Do not sign the AD-1026 if the farming operation is not
in compliance with all highly erodible land and wetland conservation
provisions.

Include producer’s signature, title/relationship (if
applicable), 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.

Item 13 - FSA USE ONLY