Industrial Hemp Program - First Report of Planting AES-28-14

LDAF Industrial Hemp Program

First Report of Planting
• This form is due for each field, greenhouse or indoor growing location for initial plantings of crops intended for commercial hemp production or “true seed” production. This form should not be used for crops whose intended purpose is for the production of vegetative propagules. Producers of vegetative propagules should use the “Quarterly Planting Report” form.
• Use separate forms for different growing location addresses.
• This form is due within 15 days following the first day of each planting.
• If you do not intend to plant at one of your approved locations, a “No Planting” report is due to LDAF. Simply provide the Location ID, check the “No Planting” box in Table 1, and submit the form to LDAF.
• If submitting electronically, email to: industrialhemp@ldaf.la.gov, or mail to: LDAF Industrial Hemp Program, 5825 Florida Blvd., Suite 3004, Baton Rouge, LA 70806.
Licensee or Designated Responsible Party Name*
License No*
Email*

Confirmation Emailexample@example.com
Phone*
Location Address (MUST match address listed on your Application or Site Modification Request form)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
NOTE: The Location ID MUST match the ID listed on your Application or Site Modification Request Form.

Additional lots can be entered into numbers 2-4 below.
1a. Location ID 1 (exactly as given on license application)*
EX: Field 1a/Greenhouse B
1b. Will planting occur?*

YESNO

1d. Date Planted

MonthDayYear
Date
1e. Expected Harvest Date

MonthDayYear
Date
2a. Location ID 2 (exactly as given on license application)
EX: Field 1a/Greenhouse B
2b. Will planting occur?

YESNO

2d. Date Planted

MonthDayYear
Date
2e. Expected Harvest Date

MonthDayYear
Date
3a. Location ID 3 (exactly as given on license application)
EX: Field 1a/Greenhouse B
3b. Will planting occur?

YESNO

3d. Date Planted

MonthDayYear
Date
3e. Expected Harvest Date

MonthDayYear
Date
4a. Location ID 4 (exactly as given on license application)
EX: Field 1a/Greenhouse B
4b. Will planting occur?

YESNO

4d. Date Planted

MonthDayYear
Date
4e. Expected Harvest Date

MonthDayYear
Date

	Farm 1234	Tract 461	Field 12	Sub-field (if applicable)
Table 1

	Farm 1234	Tract 461	Field 12	Sub-field (if applicable)
Table 1

	Farm 1234	Tract 461	Field 12	Sub-field (if applicable)
Table 1

	Farm 1234	Tract 461	Field 12	Sub-field (if applicable)
Table 1

LDAF Industrial Hemp Program

First Report of Planting
3) Attach additional planting sheets as necessary. If additional sheets are attached, indicate total number of sheets attached
4) Do you intend to plant additional hemp at this address this year?

YesNo
If “Yes,” explain
5) If you did not plant all of the approved field(s), attach an updated version of the map for this address. Include the following new information on the map and form.

• circle or outline only the area planted in each field;

• mark an “X” through the field, or portion of a field where hemp will NOT be planted;

• enter the Location ID for this “no-plant” field in Table 1, and

• check the corresponding “No Planting” column.
File Upload

Cancelof
I hereby verify and affirm that all of the information contained in this First Report of Planting form is true and accurate. I also understand that if LDAF later determines any of this information to be false or inaccurate, my license may be revoked.
Signature of Licensee/Designated Responsible Party

Clear
Printed Name of Licensee/Designated Responsible Party
Date

MonthDayYear
Date
Should be Empty:

LDAF Industrial Hemp Program

LDAF Industrial Hemp Program

I hereby verify and affirm that all of the information contained in this First Report of Planting form is true and accurate. I also understand that if LDAF later determines any of this information to be false or inaccurate, my license may be revoked.