LDAF INDUSTRIAL HEMP PROGRAM SITE MODIFICATION REQUEST FORM

The Industrial Hemp Law (R.S. 3:1461 et seq.) and regulations require LDAF approval of all sites prior to growing, handling, processing, or storing industrial hemp material at that site.

INSTRUCTIONS FOR COMPLETING THIS FORM

• Enter your license information and the type of modification requested in Section I.
• Enter the information for the site you wish to add in the appropriate area of Section II.
• Enter the information for the site you wish to remove in Section III.
• Check off and/or enter information for attachments in Section IV.
• You will receive a written response to your request via email at the email address on record for your license.
• You may submit additional request forms as necessary for the addition or removal of multiple sites. The additional forms must provide all required information for each site.
• The Site ID is a unique identifier designated by the applicant/licensee and should be used to identify the specific site in all reports to LDAF.

 

 

1) Outdoor Field Production Site (Enter the information for the field production site you are requesting to be added in the table below.)

2) Greenhouse or Indoor Production Site (Enter information for the greenhouse or indoor growing structure you are requesting to be added in the table below.)

 

3) Handling, Storage, or Processing Site (Enter information for the handling, storage, or processing site you are adding in the table below.)

Enter the Site ID for the growing, handling, storage, or processing site being removed in the table below.

NOTE: Site IDs should appear exactly as they are submitted on your license application or Site Modification Request Forms.

 

NOTE: Instructions for creating maps are provided on the LDAF Industrial Hemp website at: https://www.ldaf.state.la.us/industrial-hemp/

I hereby verify and affirm that all information contained in this Site Modification Request is true and accurate. I also understand if LDAF later determines any of this information to be false or inaccurate, the request may be denied, and my license may be withheld or revoked.