In today's comprehensive overview, attention turns to a critical yet often-underappreciated piece of documentation: the FSA-426 form. Provided by the U.S. Department of Agriculture's Farm Service Agency, this form stands as an essential tool for individuals navigating the complex interconnections between agricultural policies and insurance requirements. Designed to streamline the exchange of vital information between producers and insurance providers, the FSA-426 facilitates a range of requests, from the acquisition of producer print maps to the certification of adherence to insurance policies. Its structure is straightforward yet requires meticulous attention to detail, asking for information such as contact details, identification numbers, and specifics of the information being requested. The form also emphasizes the importance of compliance, not only to the immediate stakeholders but as part of a larger commitment to operational integrity in the agricultural sector. It comes with provisions for both electronic and traditional paper processing, acknowledging the diverse needs of its users. Furthermore, it embodies the USDA's dedication to non-discrimination, offering alternative communication methods and a clear pathway for grievances, thereby ensuring all users receive equal access and consideration. This introduction to the FSA-426 illuminates its role within the broader agricultural framework, highlighting its operational significance and enforcing its value as a critical tool for compliance and operational efficiency.
| Question | Answer |
|---|---|
| Form Name | FSA 426 Form |
| Form Length | 1 pages |
| Fillable? | Yes |
| Fillable fields | 79 |
| Avg. time to fill out | 16 min 7 sec |
| Other names | id requester fsa, fsa 426a, fsa form 426, fsa 426 a |
THIS FORM IS AVAILABLE ELECTRONICALLY.
U.S. DEPARTMENT OF AGRICULTURE |
|
Farm Service Agency |
MPCI/FCIC INFORMATION REQUEST WORKSHEET
1.COUNTY OFFICE NAME, ADDRESS, AND TELEPHONE NO. (Include area code)
()
2. PROGRAM YEAR
3. DATE
ITEMS 4 THROUGH 11 TO BE COMPLETED BY REQUESTER
4A. REQUESTER=S NAME
4B. TELEPHONE NUMBER 4C. ID NUMBER
()
4D. ID TYPE
5.
PRODUCER=S NAME
6.
ID NUMBER
7.
ID TYPE
8. INFORMATION REQUESTED
(/ ) Check appropriate box(es) that are applicable to producer.)
A. |
B. |
Map Photocopies |
|
|
|
9A. INFORMATION WILL BE:
MAILED
PICKED UP
9B. ADDRESS, IF MAILED
10.REMARKS
11.CERTIFICATION
I certify that the producer(s) listed above has a current policy with the insurance company I represent. This information will be used by the insurance company I represent for the express purpose of fulfilling its loss adjustment and compliance obligations.
A. REQUESTER=S SIGNATURE
B. TITLE
C. DATE
12. TO BE COMPLETED BY FSA ONLY
A. DATE RECEIVED
B. DATE FURNISHED
C. WORKLOAD DATA
D. INITIALS
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202)