OMB No. 0581-0177

CIAB Form 6 (Exp. 1/31/2024) Destroy previous versions.

CHERRY INDUSTRY ADMINISTRATIVE BOARD

GROWER DIVERSION APPLICATION

Crop Year 20 

To divert cherries in your orchard for Crop Year 20__, this form must be filed at the CIAB office 

no later than April 15, 20 . Along with this application, new and/or updated orchard maps for 

the diverted blocks must also be submitted.

Name of Grower: Grower #:

Address: 

City: State Zip

Phone number: ( ) 

This section must be completed. (Indicate all appropriate responses.)

A. I have carefully reviewed the orchard maps sent to me by CIAB after January 

20__ and there are NO changes to any of those blocks represented by those printouts. 

I certify those printouts are a true and accurate representation of my current orchard 

blocks. 

B. Attached are __________ _ revised orchard maps. The rest are the same

C. Attached are _ new orchard maps. (Number of maps)

I agree by participating in this diversion program that I will abide by the rules and regulations 

hereby established by the Board for diversion.

AUTHORIZATION FOR LIMITED SHARING OF INFORMATION

By marking this box I authorize the CIAB and the various state statistical services, including the 

Michigan, New York, Oregon, Pennsylvania, Utah and Wisconsin Agricultural Statistic Services, 

to share information regarding the layout, location and composition of my tart cherry orchards. I 

recognize that this sharing of information will streamline the reporting of this information to both the 

CIAB and the statistical services. This authorization shall continue for the next 5 years unless it is 

revoked by me in writing.

Signature: Dated:

Return by April 15, 20_____ to:

Cherry Industry Administrative Board

12800 Escanaba Drive, Suite A

P.O. Box 388

DeWitt, MI 48820-0388

Phone: (517) 669-1070 Toll Free: (888) 639-2422

Fax: (517) 669-1260

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a 

collection of information unless it displays a valid OMB control number. The valid OMB control number for this Information collection is 

0581-0177. The time required to complete this information collection is estimated to average 10 minutes per response, including the time for 

reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection 

of information.
OMB No. 0581-0177

CIAB Form 6 (Exp. 1/31/2024) Destroy previous versions.

CHERRY INDUSTRY ADMINISTRATIVE BOARD

TART CHERRY ORCHARD MAP

GROWER NAME: CIAB #: PHONE:

ADDRESS: CITY: STATE: ZIP:

BLOCK NAME: COUNTY:

Township: __________Section #: __________ T: _____ R: _____ S: _____(Example: T2N, R1W, S12)

GPS Info, Optional and if Available

Lat. Long.

Row 1, Tree 1 ___Ε ___’ ___” / ___Ε ___’ ___”

Point 2 ___Ε ___’ ___” / ___Ε ___’ ___”

Point 3 ___Ε ___’ ___” / ___Ε ___’ ___”

Point 4 ___Ε ___’ ___” / ___Ε ___’ ___”

Point 5 ___Ε ___’ ___” / ___Ε ___’ ___”

Point 6 ___Ε ___’ ___” / ___Ε ___’ ___”

Point 7 ___Ε ___’ ___” / ___Ε ___’ ___”

Point 8 ___Ε ___’ ___” / ___Ε ___’ ___”

BLOCK LOCATION:

NEAREST CROSSROADS: ____________________ and __________________________

LOCATION DIRECTIONS:

GENERAL INFORMATION ABOUT THIS BLOCK OF CHERRIES

ACRES: ____ . __ SPACING: ___ Ν x ___ Ν

EST. OF LIVE TREES REMAINING: ___ __ %

VARIETY:9 Montmorency 9 Balaton 9

Meteor (optional) 9 Other

ROW NO. 1 IS ON THE 9 North 9 South 9 East 9 West SIDE OF THE FIELD.

PLEASE NOTE: PLEASE MAP THE BLOCK AS IT WAS ORIGINALLY PLANTED.

ROW 

NO.

TREES IN 

ROW

YEAR 

PLANTED

ROW 

NO.

TREES IN 

ROW

YEAR 

PLANTED

ROW 

NO.

TREES IN 

ROW

YEAR 

PLANTED

1 21 41

2 22 42

3 23 43

4 24 44

5 25 45

6 26 46

7 27 47

8 28 48

9 29 49

10 30 50

11 31 51

12 32 52

13 33 53

14 34 54

15 35 55

16 36 56

17 37 57

18 38 58

19 39 59

20 40 60

IF THE BLOCK IS LARGER THAN 60 ROWS, USE ANOTHER MAP FOR THE CONTINUATION AND INDICATE 

THAT THE SECOND MAP IS A CONTINUATION OF THE FIRST. ATTACH OR DRAW MAP(S) THAT SHOWS 

BLOCK LOCATION USING SECTIONS, TOWNS, ROADS, and/or OTHER IMPORTANT LANDMARKS SO THAT 

THE BLOCK CAN BE EASILY FOUND. 

I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT MAPPING OF THE ORCHARD TO WHICH IT 

APPLIES.

Grower Signature Date: 
OMB No. 0581-0177

CIAB Form 6 (Exp. 1/31/2024) Destroy previous versions.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, 

offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national 

origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived 

from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by 

USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign 

Language, etc.) should contact the responsible Agency or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the 

Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English. 

To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at 

http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter addressed to USDA and provide in the letter all of the 

information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) 

mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; 

(2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov. USDA is an equal opportunity provider, employer, and lender.