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Instructions For AD-1153 (Former NRCS-LTP-001, CCC-1250)

APPLICATION FOR LONG-TERM CONTRACTED ASSISTANCE THROUGH THE _____ PROGRAM

Interested individuals use this form to apply for the Emergency Watershed Program-Floodplain Easement component (EWP-FP), the Watershed Protection and Flood Prevention Program (WPFPP), the Wetlands Reserve Program (WRP), or the Wildlife Habitat Incentives Program (WHIP).

Submit the original of the completed form in hard copy or facsimile to the appropriate USDA servicing office. Customers who have established electronic access credentials with USDA may electronically transmit this form to the USDA servicing office. 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, complete form AD-2016 or visit your local servicing office. AD-2016 is available from USDA’s eForms service and must be notarized before mailing or faxing the form to USDA. It will not be accepted electronically.

The interested party must complete Items A, C, D, 1-5, and items 6a-6b and 8a-8c.

Items B, 6, 7-7d, and 9-9a are to be completed by NRCS.

Items A, C, D

Fld Name / Item No. Instruction
A.

The ___ Program		 Enter the acronym of the name of the program from which benefits are being requested. Choose from Emergency Watershed Program-Floodplain Easement component (EWP-FP), the Watershed Protection and Flood Prevention Program (WPFPP), the Wetlands Reserve Program (WRP), or the Wildlife Habitat Incentives Program (WHIP).
C.

State		 Enter the full name of the state that will process the application. This is generally the state in which the land is physically located.
D.

County		 Enter the county where the land is physically located. Note: the land may not always reside completely in one county. In situations where the land crosses county boundaries, enter the predominant county or the county that administers the applicant’s farm records, if known.
1.

Name(s)

Address(es)

2, if applicable.		 Enter the full name and address of the program participant(s) include city, state and zip code. Individuals need only record their names. Persons acting on behalf of entities such as a corporations or estates must indicate both the filers name and the name of the entity. Example Mary Smith of Smith Corporation or Mark Tillman of Tillman Estate. If there is more than one program applicant record all the names and entities affiliated with the contract on item 2, if applicable.
1a.

Telephone

2a, if applicable		 Enter the full daytime telephone number, including area code for the program applicant(s). If there is more than one applicant, enter their phone number in item 2a.
3.

Description and location of farm, ranch, or other unit		 Enter a description of the farm, ranch, or other land unit. Since most NRCS programs require an on-site evaluation to determine eligibility for a program, this description must be clear enough for NRCS personnel to be able to locate the property.
4.

Identify land ownership		 If the land is owned by the applicant(s) check the YES box. If the land is NOT owned by the applicant, check the NO box. If the NO box is checked, provide an explanation and details by indicating whether a landlord, a corporation, trust, or other entity owns the property, and identify the owner.
5.

Description of area(s) needing treatment		 Provide a description of the area needing treatment. If known, identify the type and severity of the problem(s) on the area needing treatment, and treatment needed to correct the problem.

Examples:
  1. Want to restore native grassland habitat on 40 acres that has been heavily pastured for many years. Need to reseed acreage and control woody vegetation.
  2. Interest in restoring wetland and creating wildlife habitat on cropland. Need assistance from NRCS.
  3. Need to stop extreme streambank erosion. We don’t know how to fix the problem.
6a.

Land Owner(s) Signature(s) and date

Landowner Signatures and date Cont.

6b, if applicable		 This is a signature and date field for the Landowners(s) or representative. If you are mailing, faxing or delivering this form in person to the appropriate NRCS servicing office, print the form and manually enter your signature after entering the date the document is signed. By signing the application, the applicant(s): certifies that he or she or they understand the application does not obligate the applicant(s), NRCS or CCC to a contract or agreement, and the applicant(s) has complete control of the property identified on the agreement for the proposed contract period.

This form has been approved for electronic transmission. If you have established credentials with USDA to submit forms electronically, use the buttons provided for transmitting the form.

Enter the date the document is signed using the format of two digits for the day and month followed by four digits for the year separated by dashes. Example: mm-ddyyyy. If there is more than one applicant signing the document, enter the signature and date in items 6b, if applicable.
8a, 8b, 8c

WRP, application		 If application is for WRP, check the appropriate box:

The application is for WRP 10 year restoration agreement.

The application is for WRP 30 year easement.

The application is for WRP permanent easement.

Items 9-9a are to be completed by NRCS.