Environmental Quality Incentives Program (EQIP) - Items for a Complete
To be eligible for program funds, applicants must be established in Service
Center Information System (SCIMS), have the following certifications completed
and filed at the USDA service center: Form AD-1026, "Highly Erodible Land
Conservation and Wetland Conservation Certification;" Form CCC-926, "Average
Adjusted Gross Income Statement;" and Form CCC-901, "Member's Information (for
legal entity and joint operations only), and meet EQIP program eligibility
A Complete Application Must Include:
Form NRCS-CPA-1200 Application -
Signed and dated by all program participants or authorized persons.
The designated conservationist will review applications for completeness and
consistency with individual or business information maintained in SCIMS.
Applications will be serviced and funded on the basis of the signup and
evaluation cutoff dates, the ranking criteria, the availability of program
funds, and other requirements, as specified for the program.
Form AD-1026: Highly Erodible Land Conservation - Wetland
Form CCC-931: Average Adjusted Gross Income (AGI) Certification.
Form SF-1199A: Direct Deposit Sign-Up Form.
Form CA-LTP-5: Producer Certification of Irrigation History - if
Form CCC-901: Entity Member Information - if applicable.
Form FSA-211: Power of Attorney – if applicable (Entity applicants
must submit this form).
Landowner Agreement to Install Structural Practices: if applicable.
Signature authority: Self-certification of signature authority as
indicated on Form CCC-901 or documents such as articles of incorporation,
charter, bylaws, partnership agreements, trust agreements, wills and similar
legal evidence – if applicable (Entities must submit this form).
DUNS Number: All entities/organizations are required to obtain a DUNS
number when submitting a conservation program application.
Proof of Identity: Authorized persons may be required to show valid
state driver’s license, passport or other personal identification as well as
Social Security or EIN numbers, address and other information.
Confidential and private information: Many of the program application
forms or documentation requires the applicant to provide sensitive, contact,
financial or other confidential information. Disclosure of this data is
voluntary, but failure to provide the required information in a timely manner
may result in the deferral of an application or denial of a benefit payment. By
law and policy, confidential, private and sensitive information is protected by
USDA and employees and agency partners are subject to penalty and disciplinary
action for inappropriate or mismanagement of private data.