HEMP REGULATORY PROGRAM 

USDA PROGRAM 

ADMINISTRATION 

PROPOSAL 

JANUARY 2020 
The State of Wyoming respectfully submits our plan to regulate hemp production and processing 

in the State of Wyoming. Enclosed in this plan you will find the following: 

- C hapter 58 R ules Pertaini ng to Hemp

- 2 019 Hemp, C annabidioland Other C ontrolled Substance Regulation Act 

- W DA Hemp Plan Depart ment Policie s 

- H emp Licens e Applicatio n 

- H emp Licens e Amendme nt Applicati on 

- H arvest Repo rt 

- C ertification Statement 

- S ampling Gu idelines For Hemp 

- T esting Guide lines for He mp 

- S tate and Trib al Hemp An nual Repor t Form 

- S tate Produce r Report Fo rm 

- L aboratory T est Results R eport Form 

- S tate Hemp D isposal Rep ort Form 

- U SDA RubricOutlining A ll Complet ed Requirements for Delegated Authority 

- H emp Plan S ignature Pag e 

This plan puts Wyoming in a position to effectively regulate hemp in our great state. We look 

forward to a quick review and approval of this plan so our producers and processors can take 

advantage of the 2020 growing season. If you have any questions, please don’t hesitate to 

contact us at 307-777-6569. 

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2020 

WYOMING DEPARTMENT 

OF AGRICULTURE 

CHAPTER 58 RULES 

PERTAINING TO HEMP 

2 01/31/20
2020 Chapter 58 DRAFT 

Rules Pertaining to Hemp 

Section 1. Authority. These rules are written in accordance with the authority provided in 

Wyoming Statute 11-51-105. 

Section 2. Definitions. Any applicable term defined in W.S. 11-51-101 shall have the same 

meaning throughout these rules. 

a. “Acceptable Hemp THC Level” means that when a laboratory tests a sample, it must 

report the delta-9 tetrahydrocannabinol content concentration level on a Dry Weight 

Basis and the Measurement of Uncertainty. The Acceptable Hemp THC Level for the 

purposes of compliance with the requirements of this rule is when the application of the 

Measurement of Uncertainty to the reported delta-9 tetrahydrocannabinol content 

concentration level on a Dry Weight Basis produces a distribution or range that includes 

0.3% or less. This definition of “Acceptable Hemp THC Level” affects neither the 

definition of “hemp” nor the definition of “marihuana” or “marijuana” in Wyoming 

Statutes. 

b. “Batch” means the hemp or hemp products processed during a period indicated by a 

specific code. 

c. “Cannabis” means a genus of flowering plants in the family Cannabaceae of which 

Cannabis sativa is a species, and Cannabis indica and Cannabis ruderalis are subspecies 

thereof. For the purposes of these rules, Cannabis refers to any form of the plant in which 

the delta-9 tetrahydrocannabinol concentration on a Dry Weight Basis has not yet been 

determined. 

d. “Certified Laboratory” means a DEA certified and ISO/IEC 17025 accredited laboratory 

accredited for the testing of potency of cannabinoids, including THC in Cannabis. 

e. “Controlled Substances Act” or “CSA” means the Controlled Substances Act as codified 

in 21 U.S.C. 801 et seq. 

f. “Criminal History Report” means the United States Federal Bureau of Investigation’s 

Identity History Summary. 

g. “Culpable Mental State Greater Than Negligence” means to act intentionally, knowingly, 

willfully, or recklessly. 

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h. “Department” means the Wyoming Department of Agriculture. 

i. “Drug Enforcement Administration” or “DEA” means the United States Drug 

Enforcement Administration. 

j. “Dry Weight Basis” means the ratio of the amount of moisture in a sample to the amount 

of dry solid in a sample. A basis for expressing the percentage of a chemical in a 

substance after removing the moisture from the substance. Percentage of THC on a Dry 

Weight Basis means the percentage of THC, by weight, in a Cannabis item (plant, 

extract, or other derivative), after excluding moisture from the item. 

k. “Geospatial Location” means a location designated through a global system of 

navigational satellites used to determine the precise ground position of a place or object. 

l. “Handle” means to Harvest or store hemp plants or hemp plant parts prior to the delivery 

of such plants or plant parts for further processing. 

m. “Harvest” means the collection of any portion of a Cannabis plant from a Licensed Area 

at any time. 

n. “Hemp Statute” means W.S. 11-51-101 through -107. 

o. “Key Participant” means a sole proprietor, a partner in a partnership, a member of a 

limited liability company, a director of a corporation, or a person with executive 

managerial control in a corporation. A person with executive managerial control includes 

persons such as a chief executive officer, chief operating officer, chief financial officer, 

principal, officer, member, manager, and director. This definition does not include nonexecutive managers such as farm, field, or shift managers. 

p. “Licensed Area” means a field, greenhouse, hoop house, high tunnel, building, or other 

structure on or in which a licensee plans to produce or process hemp that is licensed by 

the Department. A Licensed Area may include land, buildings, or other structures that are 

not used for producing or processing hemp. 

q. “Lot” means a contiguous area in a field, greenhouse, or indoor growing structure 

containing the same variety or strain of Cannabis throughout the area. 

r. “Measurement of Uncertainty” means the parameter, associated with the result of a 

measurement, that characterizes the dispersion of the values that could reasonably be 

attributed to the particular quantity subject to measurement. 

s. “Negligence” or “Negligent” means failure to exercise the level of care that a reasonably 

prudent person would exercise in complying with the provisions of the Hemp Statute or 

these rules. 

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t. “Official Test Result” means an official result prepared by a Certified Laboratory about 

the analytical testing it performed and the results of the testing, including the 

Department's Official Test Results. 

Section 3. Licensing. 

a. Each applicant for a license shall submit a signed, complete, accurate, and legible 

application. 

In addition to submitting the Department’s application form, an applicant must submit the 

following: 

i. A copy of the applicant's government issued photo identification or, if a business 

entity, a Wyoming Secretary of State certificate of good standing. 

ii. An aerial map or photograph (e.g., from Farm Service Agency, Google, or Bing) 

of all the Licensed Areas on which the applicant plans to grow hemp, showing the 

boundaries and dimensions of each Lot in acres or square feet. 

iii. An aerial map or photograph (e.g., from Farm Service Agency, Google, or Bing) 

of all the Licensed Areas on which the applicant plans to process hemp, showing 

the boundaries and dimensions of each licensed facility in acres or square feet. 

iv. An official Criminal History Report for all Key Participants of the applicant dated 

within 60 days prior to the application submission date. 

v. If the applicant intends to process hemp, a description of all hemp products the 

applicant plans to make. 

vi. If the applicant intends to process hemp, a statement of the intended end use for 

all hemp material received for processing. 

b. In addition to the application, each applicant shall submit the license fee set by W.S. 11-

51-103(c)(ii). 

c. The Department will not begin reviewing an application until it receives the fee specified 

in W.S. 11-51-103(c)(ii). 

d. Licenses cannot be assigned or transferred. 

e. To amend a license, including changing a Licensed Area or activity, a licensee must 

submit the Department's amendment request form and receive the Department's approval. 

f. A licensee must report any changes to contact information listed on the licensee’s 

application form within 10 days of the change by completing the Department’s 

amendment request form and submitting it to the Department by email. 

g. A license shall be valid for the remainder of the current calendar year in which the 

application was approved. All licenses will expire on December 31 of each year. 

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Section 4. Hemp Producer Reporting and Record Keeping Requirements. 

a. A licensee who plans to produce hemp shall report to the USDA Farm Service Agency: 

i. Hemp crop acreage; 

ii. Total acreage of hemp planted, Harvested, and destroyed; 

iii. License number; 

iv. Street address for each Licensed Area; 

v. Geospatial location(s) of each Lot or greenhouse where hemp will be produced; 

and 

vi. Acreage or indoor square footage of any greenhouse dedicated to the production 

of hemp. 

b. A licensee must keep all records specified in this section for at least three years. 

c. A licensee must make available for inspection by the Department during reasonable 

business hours the following records: 

i. Records regarding acquisition of Cannabis plants; 

ii. Records regarding production and handling of Cannabis plants; 

iii. Records regarding storage of Cannabis plants; and 

iv. Records regarding destruction of all Cannabis plants that do not meet the 

definition of hemp. 

d. Harvest Reports 

i. Fifteen days prior to anticipated Harvest, each licensee shall file a Harvest report 

on the Department’s form, via email, which must include the estimated Harvest 

date(s) and location of each Lot to be Harvested within a Licensed Area. 

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Section 5. Hemp Producer Inspection and Sampling Protocol. 

a. Within that 15 day time period, the Department will sample each Lot to be Harvested. 

The licensee may not Harvest prior to Department sampling. 

b. A licensee must notify the Department immediately of any changes in the reported 

Harvest date(s) in excess of five days. If any such changes are made, the Department may 

require additional sampling prior to Harvest. 

c. A licensee shall not Harvest any portion of a Lot before the Department takes samples of 

that Lot. 

d. All licensees are subject to inspection and sampling to verify that the THC concentration 

level of all Cannabis does not exceed the Acceptable Hemp THC Level. 

e. During an inspection, the licensee or a designated employee shall be present at the 

Licensed Area and shall provide the Department with complete and unrestricted access 

during reasonable business hours to all Licensed Areas and to all documents specified in 

Section 4 of these rules. When the Department collects samples during an inspection, the 

licensee or a designated employee must accompany the Department’s representative 

throughout the sampling process. 

f. The Department shall only use samples collected and analyzed by the Department to 

determine compliance with these rules. 

g. Any Official Test Results showing that a sample’s THC concentration level is greater 

than the Acceptable Hemp THC Level shall constitute evidence that all Cannabis in the 

sampled Lot has a THC concentration level greater than the Acceptable Hemp THC 

Level and that the licensee is therefore not in compliance with the Hemp Statute and 

these rules. Upon receipt of such an Official Test Result, the Department will notify 

federal, state, or local law enforcement and request destruction of each non-compliant 

Lot. The Department will also negotiate a corrective action plan with the licensee as 

provided in Section 12. 

h. If a licensee believes that an Official Test Result is in error, and pays for a retest of the 

originally submitted sample, the Department will retest the sample. 

i. If Cannabis in a Lot has a THC concentration level that does not exceed the Acceptable 

Hemp THC Level, it is considered hemp and may enter the stream of commerce. 

j. Cannabis with a THC concentration level exceeding the Acceptable Hemp THC Level 

constitutes marijuana, a schedule I controlled substance under the CSA, and must be 

destroyed in accordance with the CSA and 21 CFR part 1317. 

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Section 6. General Hemp Processing Requirements. 

a. A licensee must assign to each Batch a unique number or way to identify the product at 

the time of processing. 

b. A licensee that extracts THC from hemp must submit for approval by the Department a 

plan that ensures the THC is destroyed in accordance with 21 CFR part 1317 and that 

accounts by Batch number for all THC destroyed. 

c. The licensee may not accept hemp for processing from any source other than a person 

licensed by the Department, the United States Department of Agriculture (USDA), or a 

state or tribe with a plan approved by USDA. 

d. The Department will require destruction of Cannabis discovered at a Licensed Area for 

processing for which records are not available to prove that the Cannabis was received 

from a person licensed by the Department, USDA, or a state or tribe with a plan approved 

by USDA. Any Cannabis commingled with Cannabis for which those records are not 

available will also be subject to destruction. 

e. A licensee may not process or Handle any Cannabis that is not hemp. 

f. A licensee may process or Handle hemp only on Licensed Areas. 

Section 7. Hemp Processor Record Requirements 

a. A licensee who processes hemp must keep the following documentation available for 

inspection by the Department: 

i. Copies of all written agreements with licensed growers; 

ii. Official Test Results for all hemp products sampled and tested by the licensee or 

by a Certified Laboratory. 

b. A licensee must keep and update monthly records and make them available for inspection 

by the Department upon request. These records must include: 

i. Hemp intake records, which must include: 

1. The name, location, and license number (Wyoming license number or 

other specific hemp grower identification number) for each grower from 

whom the licensee accepts hemp for processing; 

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2. The date(s) on which hemp is received; 

3. The amount of each variety received; 

4. The hemp products for which each variety of hemp received will be used; 

and 

5. The Official Test Results providing evidence that the THC concentration 

level of all hemp received does not exceed the Acceptable Hemp THC 

Level. 

ii. Destruction records for all non-compliant Cannabis or Cannabis products, which 

must include: 

1. The date a person authorized by 21 CFR part 1317 destroyed or took 

possession of the non-compliant Cannabis or Cannabis products; 

2. The method of destruction, if known; 

3. The location at which a person authorized by 21 CFR part 1317 destroyed 

or took possession of the non-compliant Cannabis or Cannabis products; 

and 

4. The name and title of the person authorized by 21 CFR part 1317 who 

destroyed or took possession of the non-compliant Cannabis or Cannabis 

products, and if possible, the person’s signature. 

iii. Processing records, which must include: 

1. A list of hemp products made by the licensee; and 

2. A list of buyers or recipients of hemp products, including: 

a. The final destination of hemp products after leaving the licensee’s 

facility; 

b. The description of each product sold or otherwise distributed; 

c. The quantity of each product sold or otherwise distributed; and 

d. The date of distribution. 

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c. A licensee must keep copies of all records, documents, and information required by these 

rules for at least three years and in a manner such that they can be readily provided to the 

Department upon request during reasonable business hours. 

Section 8. Hemp Processor Inspection and Laboratory Testing. 

a. Each licensee shall select a random sample from every Batch of hemp products made at 

each of the licensee’s facilities that is of sufficient quantity to perform the required tests. 

b. Unless otherwise indicated by the Department, a licensee shall have a Certified 

Laboratory test every hemp product sample to determine whether the sample’s THC 

concentration level exceeds the Acceptable Hemp THC Level. The licensee must obtain 

an Official Test Result from the Certified Laboratory for each sample tested. 

c. An Official Test Result showing that the THC concentration level of a sample of a Batch 

does not exceed the Acceptable Hemp THC Level is evidence that the whole Batch’s 

THC concentration level does not exceed the Acceptable Hemp THC Level. 

d. A licensee shall not sell or otherwise distribute a hemp product unless the hemp product’s 

THC concentration level does not exceed the Acceptable Hemp THC Level and meets all 

of the other processing requirements in these rules. 

Section 9. Storage of Hemp. 

a. Only licensees are authorized to store hemp. 

b. A licensee may store hemp obtained from a person licensed by the Department, USDA, 

or a state or tribe with a USDA approved plan if: 

i. The licensee identifies each storage facility on the license application; 

ii. The storage facility is owned or leased by the licensee; and 

iii. The licensee keeps complete and accurate records detailing the licensed growers 

from whom hemp at each storage facility was received, the varieties stored at each 

storage facility, and the amount of each hemp variety stored at each storage 

facility; 

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c. A licensee may not warehouse or otherwise store hemp that are not owned by the 

licensee. 

d. A licensee must separate Harvested Lots in storage in such a manner that maintains the 

unique identity of each Harvested Lot. Hemp from one Lot may not be commingled with 

hemp from other Lots. 

e. If a licensee stores Cannabis or Cannabis products that have a THC concentration level 

that exceeds the acceptable hemp level and that Cannabis or Cannabis products have been 

commingled with hemp or hemp products, then the noncompliant Cannabis or Cannabis 

products and the hemp or hemp products must all be destroyed in accordance with the 

CSA and 21 CFR part 1317. 

f. The licensee must permit the Department to inspect all storage areas during reasonable 

business hours. 

g. The licensee must keep inventory records for hemp or hemp products stored, which must 

include: 

i. The date of inventory; 

ii. The location of stored hemp; 

iii. The total amount of each hemp product on hand; 

iv. The total amount of hemp and hemp seed of each variety on hand; 

v. The total amount of unusable hemp and hemp seed of each variety on hand; and 

vi. The name, signature, and title of the employee performing inventory. 

Section 10. Incorporation by Reference. 

a. For all regulations incorporated by reference in these rules: 

i. The Department has determined that incorporation of the full text in these rules 

would be cumbersome or inefficient given the length or nature of the rules; 

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ii. The incorporation by reference does not include any amendments or editions of 

the incorporated matter later than January 1, 2020; 

iii. The agency originally issuing the incorporated matter has copies of it readily 

available to the public; and 

iv. The Department maintains the incorporated regulations, which is available for 

public inspection and copying at cost at 2219 Carey Avenue, Cheyenne, WY 

82002. 

b. The following regulations are incorporated by reference in these rules: 

i. 21 CFR part 1317 (2019), found electronically at: https://www.ecfr.gov/cgibin/textidx?SID=b533c23fd52fec42d48af83dc9f5a2c3&mc=true&node=pt21.9.1317&rg 

n=div5 

Section 11. Violations. 

a. The Department will initiate a corrective action plan or revoke the license of any licensee 

who violates the requirements of the Hemp Statute or these rules. 

b. Specific examples of violations that the Department could determine to be Negligent 

include: 

i. Failure to provide a legal description of land on which the licensee produces 

Cannabis. 

ii. Failure to obtain a license. 

iii. Producing Cannabis with a THC concentration level that exceeds the Acceptable 

Hemp THC Level. 

c. A licensee may not provide false, misleading, or incorrect information pertaining to 

production or processing of hemp to the Department, including information provided in 

any application, report, or record. 

d. A licensee may not continue producing or processing hemp if, after receiving a license, 

the licensee is convicted of or pleads nolo contendre to a state or federal controlled 

substance felony. 

e. Persons with a revoked license shall not sell, Handle, transport, or otherwise allow into 

the stream of commerce any Cannabis or Cannabis product. 

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f. If the Department revokes a license, the Department will require that each Lot of 

Cannabis or Batch of Cannabis products currently being produced or processed under that 

license must be destroyed unless the ex-licensee has a Official Test Result showing that 

each Lot or Batch has a THC concentration level that does not exceed the Acceptable 

Hemp THC Level. 

g. Destruction of Non-Compliant Cannabis and Cannabis Products 

i. All destruction of noncompliant Cannabis and Cannabis products must be in 

accordance with the CSA and 21 CFR part 1317. 

ii. If the Official Test Result of a Cannabis or Cannabis product sample shows that 

the sample’s THC concentration level exceeds the Acceptable Hemp THC Level, 

all Cannabis or Cannabis products in the Lot, Batch, or other unit from which the 

sample was taken must be destroyed. The licensee is responsible for the cost of 

destruction. USDA will be notified and supplied test results of hemp samples 

above the Acceptable Hemp THC Levels. Hemp in non-compliant Lots or 

Batches are prohibited from further Handling, processing, or entering the stream 

of commerce. 

iii. No person may move or transport Cannabis or Cannabis products subject to 

destruction except those persons authorized by 21 CFR part 1317. 

Section 12. Corrective Action Plan. 

a. A licensee that Negligently violates the requirements of the Hemp Statute or these rules 

must comply with a corrective action plan as prescribed by the Department. 

b. The corrective action plan for licensee violations that the Department determines to be 

Negligent shall include: 

i. A reasonable date by which the licensee will correct the Negligent violation. 

ii. A requirement that the licensee shall provide all requested compliance reports to 

the Department for a period of two years following the date of the Negligent 

violation. 

c. A licensee’s Negligent violation will not be subject to criminal enforcement action by the 

federal, state, or local government. 

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d. A licensee that violates the provisions of the Hemp Statute or these rules three times in a 

five year period shall be ineligible for a license to produce or process hemp for a period 

of five years beginning on the date of the third violation. 

e. The Department shall conduct inspections to determine if a corrective action plan has 

been implemented. 

f. If a subsequent violation occurs while a corrective action plan is in place, the Department 

will either: 

i. Institute a new corrective action plan, which may include quality control, training, 

or other quantifiable action requirements; or 

ii. Proceed to revoke the licensee's license. 

g. If the Department determines that a licensee has violated the Hemp Statute or these rules 

with a Culpable Mental State Greater Than Negligence the Department shall: 

i. Immediately report the licensee to the United States Attorney General and the 

State of Wyoming Attorney General; and 

ii. Either institute a corrective action plan or proceed to revoke the licensee’s license. 

Section 13. License Denial, Revocation, and Appeals. 

a. The Department will deny a license application if: 

i. The applicant has made a materially false statement(s) on the application; 

ii. The applicant failed to submit the appropriate fee; 

iii. The applicant failed to submit a correct and complete application; or 

iv. Any applicant or Key Participant of the applicant has been convicted of or pled 

nolo contendre to a state or federal controlled substance felony within the past 10 

years. An exception applies to a person who was lawfully growing hemp under 

the federal Agricultural Act of 2014 before December 20, 2018, and whose 

conviction or nolo contendre plea also occurred before that date. 

b. The Department may deny a license application if the applicant has failed to comply with 

the Hemp Statute or these rules. 

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c. If the Department denies a license application, the Department shall provide the applicant 

with a notice that includes: 

i. The specific reasons for the denial and citations to the applicable provisions of the 

Hemp Statute or these rules; 

ii. The actions, if any, that the applicant must take to qualify for a license; 

iii. Notice of the applicant's right to request a hearing; and 

iv. The legal authority under which the hearing is to be held. 

d. If the applicant wants a hearing to contest the denial, the applicant must request a hearing 

within 20 days of receiving the notice. 

e. If a hearing is requested, the Department shall schedule a time and place for the hearing, 

to be held not later than 30 days from the date of the request unless a later date is agreed 

to by the parties. 

f. The Department shall notify the applicant of the time, date, and place of the hearing at 

least seven days before the hearing date. 

g. If prior to the hearing the applicant supplies evidence of correction and all other license 

requirements have been met, the Department may issue a license and cancel the hearing. 

h. If the Department decides to revoke a license, the Department will provide the licensee 

with a revocation notice, which shall state: 

i. That the license shall be revoked 15 days after receipt of the revocation notice and 

that all operations shall cease at that time unless a contested case hearing is 

requested; 

ii. The reasons for revocation and citations to the applicable provisions of the Hemp 

Statute or these rules; 

iii. That the licensee may request a hearing by submitting a request to the Department 

within 15 days of the receipt of the notice of revocation; 

iv. The name and address of the Department representative to whom a request for a 

hearing may be made; 

v. That if a hearing is requested, the hearing shall be conducted by a hearing officer 

in accordance with the Wyoming Administrative Procedure Act, W.S. 16-3-107 

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through -115, and the Department’s Rules of Practice and Procedures for 

Contested Case Hearings; and 

vi. That the licensee may appear in person or by counsel licensed to practice in the 

State in Wyoming. 

i. The Department shall send all notices in this section by certified mail, return receipt 

requested. 

j. If the licensee does not confirm attendance at the requested hearing within five days of 

the scheduled hearing, the Department will cancel the hearing. 

k. The director of the Department shall issue the final decision, accompanied by written 

findings of fact and conclusions of law. 

l. The Department shall deliver the final decision to the licensee by certified mail, return 

receipt requested. 

m. Hearings. 

i. All hearings provided for in these rules shall be conducted in accordance with the 

Department’s Rules of Practice and Procedures for Contested Case Hearings. 

Appeal from any final order of the Department may be made as provided by the 

Wyoming Administrative Procedure Act. 

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2020 

WYOMING DEPARTMENT 

OF AGRICULTURE 

HEMP, CANNABIDIOL AND 

OTHER CONTROLLED 

SUBSTANCE REGULATION ACT 

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2020 

WYOMING DEPARTMENT 

OF AGRICULTURE 

WDA HEMP PLAN 

DEPARTMENT POLICIES 

28 01/31/20
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Wyoming Hemp Plan Department Policies 

Wyoming Department of Agriculture (WDA) hereby adopts the following 

policies regarding the Wyoming Hemp Regulatory Program: 

- W DA will co llect, mainta in and prov ide to USDA contact and real-time information for 

ea ch hemp pr oducer licen sed or autho rized in Wyoming, including a legal description of 

th e land on w hich the pro ducer will p roduce hemp, including, to the exte nt practicable, its 

g eospatial loc ation. 

- WDAwill procur e an adequat e software program to support this data collection 

and re lay. 

- W DA will ma intain and r eport to US DA the status of licensed producers (and any 

ch anges) and license or au thorizationnumbers of producers. 

- W DA Analyt ical Service s Lab will m aintain DEA certification and ISO/IEC 17025 

S tandard Acc reditation. 

- W DA shall co nduct rando m audits oflicensees to verify hemp is being p roduced in 

accordance with the prov isions of Chapter 58 Rules Pertaining to Hemp. 

WDA will routinely report to USDA. 

- WDA will report the following to USDA: 

- (a) By the first of each month (but not later than every 30 days), a report providing the 

contact information and the status of the license or other authorization issued for each 

producer covered under the Wyoming Hemp Plan. 

- The report shall contain the following information: 

 (1) 

(i) For each new producer who is an individual and is licensed or authorized under 

the State plan, the report shall include thefull name of the individual, license or 

authorization identifier, business address,telephone number, and email address (if 

available). 

29 01/31/20
(ii) For each new producer that is an entity and is licensed or authorized under the 

State plan, the report shall include the full name of the entity, the principal 

business location address, the EIN, license or authorization identifier, and the full 

name, title, and email address (if available) of each key participant for whom the 

entity is required to submit a criminal history record report. 

(iii) For each producer that was included in a previous report and whose reported 

information has changed, the report shall include the previously reported 

information and the new information. 

(2) The status of each producer's license or authorization. 

(3) The period covered by the report. 

(4) Indication that there were no changes during the current reporting cycle, if applicable. 

WDA will provide a State Hemp Disposal report. 

If a producer has produced Cannabis exceeding the acceptable hemp THC level, the 

Cannabis must be disposed of in accordance with the Controlled Substances Act and 

DEA regulations found at 21 CFR part 1317. WDA will submit to USDA, by the first of 

each month, a report notifying USDA of any occurrence of non-conforming plants or 

plant material, including test results, and providing a disposal record of those plants and 

materials. This report will include information regarding name and contact information 

for each producer subject to a disposal during the reporting period, and the date disposal 

was completed. 

The report shall contain the following information: 

(1) Name and address of the producer. 

(2) Producer license or authorization identifier. 

(3) Location information, such as lot number, location type, and geospatial location or 

other location descriptor for the production area subject to disposal. 

(4) Identification of a retest. 

(5) Test result. 

(6) Information on the person handling the disposal. 

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_______________________________ 

(7) Disposal completion date. 

(8) Total acreage. 

Annual report. 

WDA shall submit an annual report to USDA. The report form shall be submitted by December 

15 of each year and contain the following information: 

(1) Total planted acreage. 

(2) Total harvested acreage. 

(3) Total acreage disposed. 

The Department will maintain all relevant records and information regarding licensees and 

facilities at which hemp is produced or processed in Wyoming, including a legal description for 

property on which each processing facility is located, for a period of not less than three (3) 

calendar years. 

These Policies are to take effect January 31, 2020. 

Doug Miyamoto 

Wyoming Department of Agriculture, Director 

31 01/31/20
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2020 

WYOMING DEPARTMENT 

OF AGRICULTURE 

HEMP LICENSE 

APPLICATION 

32 01/31/20
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2219 CAREY AVE. | CHEYENNE, WY 82002 | PHONE : 307-777-7321 | 

TECHN ICAL SERV ICES DIVISIO N - HEMP LICENSE APPLICATION 

PLEASE 

PLEA 

E TYPE OR PR 

ASE INDICAT 

RINT CLEARLY 

TE: ☐PRO 

Y (Incomplete o 

ODUCER ☐ 

or illegible form 

☐ PROCESS 

ms will be reject 

SOR BO ☐ T 

ted.) 

TH 

(O 

S ECTION 1:INDIVIDUA L APPLICANT INFOR MATION 

Only complete t his section if y ou are an indiv idual applying . Business ent ities proceed to section 2.) 

 NAM

 PRI

 MAI

 PHO

 EMA

ME: _______ LAST 

NCIPAL AD 

ILING ADDR 

ONE NUMB 

AIL ADDRES 

__________ 

DDRESS*: __ 

S 

RESS: _____ STRE 

ER: (____) _ 

SS: _______ 

__________ FIRST 

__________ STREET 

__________ EET 

_____-_____ 

__________ 

___________ 

__________ 

__________ 

______ ALT 

__________ 

__________ MI 

___________ CITY 

___________ CITY 

TERNATE P 

___________ 

______ DAT 

__________ 

__________ 

PHONE NUM 

__________ 

TE OF BIRTH 

__________ STATE 

__________ STATE 

MBER:(____ 

__________ 

H: ___/___/_ 

___________ ZIP 

___________ ZIP 

_) _____-___ 

___________ 

______ 

_____ 

_____ 

_______ 

_____ 

Individu 

SECTION 2 : BUSINES S APPLICANT INFORMATION 

2a. 

Only com plete this sec tion if you are a business en tity. 

uals complete section 1, addi tional Key Participants proceed to section 2 

 BUS

 CON

 PRI

 MAI

 PHO

 EMA

 TYP

 EIN

SINESS NAM 

NTACT NAM 

NCIPAL AD 

ILING ADDR 

ONE NUMB 

AIL ADDRES 

PE OF BUSI

 # ________ 

PLEASE 

ME: ______ 

ME: _______ LAST 

DDRESS*: __ 

S 

RESS: _____ STRE 

ER: (____) _ 

SS: _______ 

NESS (CIRC 

_______ 

E ATTACH W 

* Principa 

___________ 

__________ 

__________ STREET 

__________ EET 

_____-_____ 

__________ 

CLE ONE): 

WYOMING S 

al address m 

__________ 

__________ FIRST 

__________ 

__________ 

_____ ALTE 

__________ 

CORPORA 

SECRETARY 

must be a phy 

__________ 

___________

 M 

___________ CITY 

___________ CITY 

ERNATE PH 

___________ 

ATION LLC 

Y OF STATE 

ysical addre 

___________ 

_____ DAT 

MI 

__________ 

__________ 

HONE NUMB 

__________

 PARTNER 

E CERTIFIC 

ess and not a 

__________ 

TE OF BIRT 

__________ STATE 

__________ STATE 

BER:(____) 

__________ 

RSHIP OTH 

CATE OF GO 

a Post Office 

__________ 

H: ___/___/_ 

___________ ZIP 

___________ ZIP 

_____-____ 

___________ 

HER: _____ 

OOD STAND 

e Box. 

_____ 

______ 

_____ 

____ 

_______ 

_____ 

_________ 

DING 

WDA O FFICE USE ONLY (DO NOT WRIT E BELOW THIS LINE PROCEED TO SECTION 3.) 

 Date

 Paym

 Lice 

 Application 

ent: Cash 

nse Number: 

Rec’d: ___/__

 Check Che

 __________ 

_/______ 

ck #_______ 

____________ 

_________ A 

____ Proces 

Amount: $___ 

ssed Date: __ 

___________ 

__/___/_____ 

__ 

__ 

PAGE 1 

33 01/31/20
SECTION 2a: KEY PARTICIPANTS 

“Key participant” means a sole proprietor, a partner in a partnership, a member of a limited liability company, a director of a corporation, 

or a person with executive managerial control in a corporation. A person with executive managerial control includes persons such as a 

chief executive officer, chief operating officer, chief financial officer, principal, officer, member, manager, and director. This definition 

does not include non-executive managers such as farm, field, or shift managers. Please list them below and attach official criminal 

history reports for each key participant.

 Name:_______________________________________ Title:_______________________________ 

 Name:_______________________________________ Title:_______________________________ 

 Name:_______________________________________ Title:_______________________________ 

 Name:_______________________________________ Title:_______________________________ 

 Name:_______________________________________ Title:_______________________________ 

 Name:_______________________________________ Title:_______________________________ 

PAGE 2 

34 01/31/20
 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION 3a: LICENSED PRODUCING AREA(S) 

Multiple production areas can be attached to a single application. Please make additional copies of this page as necessary. Please 

name and number each licensed area lot. GPS coordinates must be included and obtained from the approximate center of each 

licensed area Lot. Each field is considered a licensed area Lot. An aerial map (FSA, Google, Bing, etc) indicating the outer boundaries 

of each licensed area lot must also be included.

 LICENSED AREA LOT: _________ FIELD NAME: ______________________________________________________

 LEGAL DESCRIPTION: ____________________________________________________________________________

 Section Township Range 

 GPS: (LATITUDE): ______________________________ (LONGITUDE): ____________________________________

 LICENSED AREA LOT SIZE: _______________ (sq/ft or acres) 

 OWNERSHIP (Circle One): OWNED LEASED (if area is leased, please complete Section 4 for each non-owned field)

 LICENSED AREA LOT: _________ FIELD NAME: _____________________________________________________

 LEGAL DESCRIPTION: ____________________________________________________________________________

 Section Township Range 

 GPS: (LATITUDE): ______________________________ (LONGITUDE): ____________________________________

 LICENSED AREA LOT SIZE: _______________ (sq/ft or acres) 

 OWNERSHIP (Circle One): OWNED LEASED (if area is leased, please complete Section 4 for each non-owned field)

 LICENSED AREA LOT: _________ FIELD NAME: _____________________________________________________

 LEGAL DESCRIPTION: ____________________________________________________________________________

 Section Township Range 

 GPS: (LATITUDE): ______________________________ (LONGITUDE): ____________________________________

 LICENSED AREA LOT SIZE: _______________ (sq/ft or acres) 

 OWNERSHIP (Circle One): OWNED LEASED (if area is leased, please complete Section 4 for each non-owned field)

 LICENSED AREA LOT: _________ FIELD NAME: _______________________________________________________

 LEGAL DESCRIPTION: ____________________________________________________________________________

 Section Township Range 

 GPS: (LATITUDE): ______________________________ (LONGITUDE): ____________________________________

 LICENSED AREA LOT SIZE: _______________ (sq/ft or acres) 

 OWNERSHIP (Circle One): OWNED LEASED (if area is leased, please complete Section 4 for each non-owned field)

 LICENSED AREA LOT: _________ FIELD NAME: ______________________________________________________

 LEGAL DESCRIPTION: ____________________________________________________________________________

 Section Township Range 

 GPS: (LATITUDE): ______________________________ (LONGITUDE): ____________________________________

 LICENSED AREA LOT SIZE: _______________ (sq/ft or acres) 

 OWNERSHIP (Circle One): OWNED LEASED (if area is leased, please complete Section 4 for each non-owned field) 

PAGE 3 

35 01/31/20
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION 3b: LICENSED PROCESSING AREA(S) 

Multiple processing areas can be attached to a single application. Please make additional copies of this page as necessary. Please 

name and number each individual processing area. GPS coordinates must be included and obtained from the approximate center of 

each processing area. Each building is considered an individual processing area. An aerial map (FSA, Google, Bing, etc) indicating the 

outer boundaries of each processing area must also be included. 

LICENSED AREA: _________ BUILDING NAME: _______________________________________________________

 LEGAL DESCRIPTION: ____________________________________________________________________________

 Section Township Range

 GPS: (LATITUDE): ______________________________ (LONGITUDE):____________________________________

 PROCESSING AREA: ______________ (sq/ft or acres) 

 OWNERSHIP (Circle One): OWNED LEASED (if area is leased, please complete Section 4 for each building) 

LICENSED AREA: _________ BUILDING NAME: ________________________________________________________

 LEGAL DESCRIPTION: ____________________________________________________________________________

 Section Township Range

 GPS: (LATITUDE): ______________________________ (LONGITUDE): ____________________________________

 PROCESSING AREA: ______________ (sq/ft or acres) 

 OWNERSHIP (Circle One): OWNED LEASED (if area is leased, please complete Section 4 for each building) 

LICENSED AREA: _________ BUILDING NAME: ________________________________________________________

 LEGAL DESCRIPTION: ____________________________________________________________________________

 Section Township Range

 GPS: (LATITUDE): ______________________________ (LONGITUDE): ____________________________________

 PROCESSING AREA: ______________ (sq/ft or acres) 

 OWNERSHIP (Circle One): OWNED LEASED (if area is leased, please complete Section 4 for each building) 

LICENSED AREA: _________ BUILDING NAME: ________________________________________________________

 LEGAL DESCRIPTION: ____________________________________________________________________________

 Section Township Range

 GPS: (LATITUDE): ______________________________ (LONGITUDE): ____________________________________

 PROCESSING AREA: ______________ (sq/ft or acres) 

 OWNERSHIP (Circle One): OWNED LEASED (if area is leased, please complete Section 4 for each building) 

LICENSED AREA: _________ BUILDING NAME: ________________________________________________________

 LEGAL DESCRIPTION: ____________________________________________________________________________

 Section Township Range

 GPS: (LATITUDE): ______________________________ (LONGITUDE): ____________________________________

 PROCESSING AREA: ______________ (sq/ft) 

 OWNERSHIP (Circle One): OWNED LEASED (if area is leased, please complete Section 4 for each building) 

PAGE 4 

36 01/31/20
SECTION 4: LANDOWNER AGREEMENT 

This section is to be completed if you are leasing the licensed area from another real property owner. Please make additional 

copies of this form as necessary. 

The landowner of any non-owned licensed area used for production/processing hemp or hemp products MUST 

consent for the area to be used for hemp production/processing. 

 I, _________________________________ (print name), the undersigned, am the lawful owner of real property 

 located at the referenced licensed area number ______ in Section 3 of this application, and I hereby consent to the 

 use of such property for the purpose of production/processing hemp consistent with and for all purposes allowed 

 under federal law, Wyoming law, and the rules of the Wyoming Department of Agriculture (“WDA”). I 

 further acknowledge and agree to the following terms and conditions for Applicant’s license from WDA to 

produce/process hemp on said property. 

1. Any information obtained by WDA with respect to this application and the production/processing of hemp on my 

property may be disclosed to the public and/or provided to law enforcement agencies without further notice to me 

or my representative(s). 

2. I agree to allow any inspection or sampling of my property at the referenced licensed area number ____ in 

Section 3 of this application that WDA deems necessary relative to this application for a hemp 

production/processing license. 

3. I agree to allow WDA to use any right of way or another entry point to access the field for inspection.

 Landowner’s Signature: _______________________________________________ Date: ___/___/______

 Landowner Contact Information: (Please print) 

 Name: _______________________________________________________________________________________

 Phone: (____) ____-________ Alternate Phone: (____) ____-________ Email address: ___________________ 

PAGE 5 

37 01/31/20
Section 5: ACKNOWLEDGEMENT 

Please affirm the applicant's agreement to the following terms and conditions for a hemp license. 

I,__________________________________ (print name), having legal authority to bind the applicant to the terms and 

conditions of this application for a hemp license, hereby acknowledge those regulations governing the production and 

processing of hemp under federal law, Wyoming law, and the rules of the Wyoming Department of Agriculture (“WDA”). 

I further acknowledge, understand, and agree to each of the following terms and conditions of a license from WDA to 

produce and/or process hemp. 

1. Any information provided to the Department may be publicly disclosed in accordance with the Wyoming Public 

Records Act (W.S. § 16-4-201 through 16-4-205) and may be provided to law enforcement agencies without 

further notice to the license applicant or licensee. License and harvest information will also be shared with the 

appropriate sections of the United States Department of Agriculture or other federal agencies. 

2. I agree to allow any inspection or sampling that WDA deems necessary pursuant to Wyoming law during 

reasonable business hours. 

3. In accordance with Wyoming hemp law, I agree to pay all fees for inspection, sampling, and analysis. 

4. I agree that failure to pay any invoice sent to me by WDA within 60 days of the invoice date may result in license 

revocation. 

5. I agree to submit all reports or records requested by WDA pertaining to this license application, hemp production, 

and hemp processing by the applicable due dates specified by WDA. 

6. I agree to produce or process hemp only in a licensed area. 

7. I affirm that I have not been convicted of or pled nolo contendere to a controlled substance felony within the past 

10 years. 

8. If the applicant is a business entity, I affirm that no key participant of the applicant has been convicted of or pled 

nolo contendere to a controlled substance felony within the past 10 years. 

9. I affirm that all documents and information submitted in support of this application for a hemp license are correct 

and complete. 

10. I affirm that I have read and understand the Rules of the Wyoming Department of Agriculture, Chapter 58, Rules 

Pertaining to Hemp, available at http://rules.wy.gov. 

11. I acknowledge that WDA will determine my compliance with Wyoming hemp laws based solely on samples 

collected by WDA and analysis performed by WDA. 

 Applicant Name (Please print): ____________________________________

 Applicant Signature: _____________________________________________

 Date: ___/___/______ 

PAGE 6 

38 01/31/20
SECTION 6: APPLICATION CHECKLIST 

Please ensure that all items listed below are included in this application packet. Any incomplete applications will be rejected and 

returned to the applicant. 

✓ APPLICATION ITEM 

Completed and signed application for Hemp License

 Photo Identification 

Key Participant List 

Wyoming Secretary of State Certificate of Good Standing 

(Business Applications Only) 

Maps of Licensed Area (FSA, Google, Bing, etc.) 

Landowner Agreement (If applicable)

 Acknowledgement Form 

Criminal History Report for applicant or, if the applicant is a business entity, each 

Key Participant 

License Application Fee - $750.00 ($500 for an educational or nonprofit 

organization) non-refundable 

Approved hemp licenses will be valid for the remainder of the current calendar year. 

All licenses expire on December 31 of each year 

PAGE 7 

39 01/31/20
R

 

2020 

WYOMING DEPARTMENT 

OF AGRICULTURE 

HEMP LICENSE 

AMENDMENT APPLICATION 

40 01/31/20
I

F

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2219 CAREY AVE. | CHEYENNE, WY 82002 | PHONE : 307-777-7321 | 

T ECHNICAL SERVICES DIVISION 

H EMP LICE NSE AMENDMENT 

PLEASE 

PLEA 

E TYPE OR PR 

ASE INDICAT 

RINT CLEARLY 

TE: ☐PRO 

Y (Incomplete o 

ODUCER ☐ 

or illegible form 

☐ PROCESS 

ms will be reject 

SOR BO ☐ T 

ted.) 

TH 

SECTIO N 1: INDIVI DUAL APPL ICANT INFORMATION AMENDMENT 

(Only completethis section ifthere was a n ame change. Business entities proceed to section 2.) 

 NAM

 PRI

 MA

 PHO

 EMA

 WY

ME: ______ LAST 

INCIPAL AD 

ILING ADDR 

ONE NUMB 

AIL ADDRE 

YOMING HEM 

___________ 

DDRESS*: __ 

S 

RESS: ____ STRE 

ER: (____) _ 

SS: ______ 

MP LICENS 

__________ FIRST 

__________ STREET 

___________ EET 

_____-____ 

___________ 

SE NUMBER 

___________ 

__________ 

__________ 

______ ALTE 

__________ 

R: _________ 

__________ 

MI 

___________ CITY 

___________ CITY 

ERNATE PH 

___________ 

__________ 

______ DAT 

__________ 

___________ 

HONE NUMB 

___________ 

_______ 

TE OF BIRT 

__________ STATE 

__________ STATE 

BER:(____) 

__________ 

H: ___/___/_ 

___________ ZIP 

__________ ZIP 

_____-____ 

__________ 

______ 

_____ 

______ 

_______ 

______ 

Only 

SECTIO N 2: BUSIN ESS APPL ICANT INF ORMATION AMENDMENT 

y complete this section if you are a businessentity. Additional Key Participants proceed to section 2a. 

 BUS

 CO

 PRI

 MA

 PHO

 EMA

 TYP

 EIN 

WY

SINESS NA 

NTACT NAM 

INCIPAL AD 

ILING ADDR 

ONE NUMB 

AIL ADDRE 

PE OF BUSI 

N #: _______ 

YOMING HEM 

* Pr 

ME: ______ 

ME: _______ LAST 

DDRESS*: __ 

S 

RESS: ____ STRE 

ER: (____) _ 

SS: ______ 

INESS (CIR 

__________ 

MP LICENS 

rincipal addre 

___________ 

__________ 

__________ STREET 

___________ EET 

_____-____ 

___________ 

CLE ONE): 

____ 

E NUMBER 

ess must be 

__________ 

__________ FIRST 

__________ 

__________ 

_______ ALT 

__________

 CORPORA 

R: _________ 

e a physical a 

__________ 

___________ 

M 

___________ CIT 

___________ CITY 

TERNATE P 

___________ 

ATION LLC 

__________ 

address in W 

___________ 

______ DAT 

MI 

__________ TY 

___________ 

PHONE NUM 

___________ 

C PARTNER 

_______ 

Wyoming an 

__________ 

TE OF BIRT 

__________ STATE 

__________ STATE 

MBER:(____ 

__________ 

RSHIP OTH 

d not a Post 

__________ 

TH: ___/___/ 

___________ ZIP 

__________ ZIP 

_) _____-___ 

__________ 

HER: _____ 

t Office Box. 

_____ 

/______ 

_____ 

______ 

_______ 

______ 

_________ 

. 

WDA O FFICE USE ONLY (DO NOT WRIT E BELOW THIS LINE PROCEED TO SECTION 3.) 

 Initia 

Ame 

al Application 

endment Proc 

 Date Rec’d: 

cess Date: __ 

___/___/____ 

__/___/______ 

___ 

PAGE 1 

41 01/31/20
 

 

 

 

 

SECTION 2a: KEY PARTICIPANTS AMENDMENT 

“Key participant” means a sole proprietor, a partner in a partnership, a member of a limited liability company, a director of a 

corporation, or a person with executive managerial control in a corporation. A person with executive managerial control includes 

persons such as a chief executive officer, chief operating officer, chief financial officer, principal, officer, member, manager, and 

director. This definition does not include non-executive managers such as farm, field, or shift managers. Please list them below and 

attach official criminal history reports for each key participant. 

Initial Name:________________________________ Title:__________________________________ 

New Name:_________________________________ Title:_________________________________ 

Initial Name:________________________________ Title:_________________________________ 

New Name:_________________________________ Title:_________________________________ 

Initial Name:_________________________________ Title:_________________________________ 

New Name:_________________________________ Title:_________________________________ 

 PAGE 2 

42 01/31/20
 

 

 

 

 

 

 

 

 

 

SECTION 3a: LICENSED PRODUCING AREA(S) AMENDMENT 

Production areas can be added or amended in the application. Please make additional copies of this page as necessary. Please name 

and number each licensed area Lot to be amended. GPS coordinates must be included and obtained from the approximate center of 

each licensed area lot. Each field is considered a licensed area lot. An aerial map (FSA, Google, Bing, etc) indicating the outer 

boundaries of each licensed area Lot must also be included. 

ORIGINAL AREA LOT 

LICENSED AREA LOT: _________ FIELD NAME: __________________________________________

 LEGAL DESCRIPTION: ____________________________________________________________________________

 Section Township Range

 GPS: (LATITUDE): ______________________________ (LONGITUDE): ____________________________________

 LICENSED AREA LOT SIZE: _______________ (sq/ft or acres) 

 OWNERSHIP (Circle One): OWNED LEASED 

AMENDED AREA LOT 

LICENSED AREA LOT: _________ FIELD NAME: __________________________________________

 LEGAL DESCRIPTION: ____________________________________________________________________________

 Section Township Range

 GPS: (LATITUDE): ______________________________ (LONGITUDE): ____________________________________

 LICENSED AREA LOT SIZE: _______________ (sq/ft or acres) 

 OWNERSHIP (Circle One): OWNED LEASED (if area is leased, please complete Section 4 for each non-owned field) 

ORIGINAL AREA LOT 

LICENSED AREA LOT: _________ FIELD NAME: __________________________________________

 LEGAL DESCRIPTION: ____________________________________________________________________________

 Section Township Range

 GPS: (LATITUDE): ______________________________ (LONGITUDE): ____________________________________

 LICENSED AREA LOT SIZE: _______________ (sq/ft or acres) 

 OWNERSHIP (Circle One): OWNED LEASED 

AMENDED AREA LOT 

LICENSED AREA LOT: _________ FIELD NAME: __________________________________________

 LEGAL DESCRIPTION: ____________________________________________________________________________

 Section Township Range

 GPS: (LATITUDE): ______________________________ (LONGITUDE): ____________________________________

 LICENSED AREA LOT SIZE: _______________ (sq/ft or acres) 

 OWNERSHIP (Circle One): OWNED LEASED (if area is leased, please complete Section 4 for each non-owned field) 

 PAGE 3 

43 01/31/20
 

 

 

 

 

 

 

 

 

 

 

SECTION 3b: LICENSED PROCESSING AREA(S) AMENDMENT 

Processing areas can be added or amended. Please make additional copies of this page as necessary. Please name and number 

each individual processing area. GPS coordinates must be included and obtained from the approximate center of each processing 

area. Each building is considered an individual processing area. An aerial map (FSA, Google, Bing, etc) indicating the outer boundaries 

of each processing area must also be included. 

ORIGINAL LICENSED PROCESSING AREA 

 LICENSED AREA: _________ BUILDING NAME: __________________________________________

 LEGAL DESCRIPTION: ____________________________________________________________________________

 Section Township Range

 GPS: (LATITUDE): ______________________________ (LONGITUDE): ___________________________________

 PROCESSING AREA: ______________ (sq/ft or acres) 

 OWNERSHIP (Circle One): OWNED LEASED 

AMENDED LICENSED PROCESSING AREA 

 LICENSED AREA: _________ BUILDING NAME: __________________________________________

 LEGAL DESCRIPTION: ____________________________________________________________________________

 Section Township Range

 GPS: (LATITUDE): ______________________________ (LONGITUDE): ____________________________________

 PROCESSING AREA: ______________ (sq/ft or acres) 

 OWNERSHIP (Circle One): OWNED LEASED (if area is leased, please complete Section 4 for each building) 

ORIGINAL LICENSED PROCESSING AREA 

 LICENSED AREA: _________ BUILDING NAME: __________________________________________

 LEGAL DESCRIPTION: ____________________________________________________________________________

 Section Township Range

 GPS: (LATITUDE): ______________________________ (LONGITUDE): ____________________________________

 PROCESSING AREA: ______________ (sq/ft or acres) 

 OWNERSHIP (Circle One): OWNED LEASED 

AMENDED LICENSED PROCESSING AREA 

LICENSED AREA: _________ BUILDING NAME: __________________________________________

 LEGAL DESCRIPTION: ____________________________________________________________________________

 Section Township Range

 GPS: (LATITUDE): ______________________________ (LONGITUDE): ____________________________________

 PROCESSING AREA: ______________ (sq/ft or acres) 

 OWNERSHIP (Circle One): OWNED LEASED (if area is leased, please complete Section 4 for each building) 

 PAGE 4 

44 01/31/20
SECTION 4: LANDOWNER AGREEMENT AMENDMENT 

This section is to be completed if you are leasing the licensed area from another real property owner. Please make additional copies of 

this form as necessary. 

The landowner of any non-owned licensed area used for production/processing hemp or hemp products MUST 

consent for the area to be used for hemp production/processing. 

I, _________________________________ (print name), the undersigned, am the lawful owner of real property located at 

the referenced licensed area number ______ in Section 3 of this application, and I hereby consent to the use of such 

property for the purpose of production/processing hemp consistent with and for all purposes allowed under federal law, 

Wyoming law, and the rules of the Wyoming Department of Agriculture (“WDA”). I further acknowledge and agree to the 

following terms and conditions for Applicant’s license from WDA to produce/process hemp on said property. 

1. Any information obtained by WDA with respect to this application and the growing/processing of hemp on my 

property may be disclosed to the public and/or provided to law enforcement agencies without further notice to me 

or my representative(s). 

2. I agree to allow any inspection or sampling of my property at the referenced licensed area number ____ in 

Section 3 of this application that WDA deems necessary relative to this application for a hemp 

production/processing license. 

3. I agree to allow WDA to use any right of way or another entry point to access the field for inspection. 

Landowners Signature: _______________________________________________ Date: ___/___/______ 

Landowner Contact Information: (Please print) 

Name: __________________________________________________________________________________________ 

Phone: (____) ____-________ Alternate Phone: (____) ____-________ 

 PAGE 5 

45 01/31/20
Section 5: ACKNOWLEDGEMENT OF AMENDMENT 

Please affirm the applicant's agreement to the amendment of a hemp license. 

Applicant Name (Please print): ____________________________________ 

Applicant Signature: _____________________________________________ 

Date: ___/___/______ 

 PAGE 6 

46 01/31/20
R

2020 

WYOMING DEPARTMENT 

OF AGRICULTURE 

HARVEST 

REPORT 

47 01/31/20
N

A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2219 CAREY AVE . | CHEYENNE, WY 82002 | PHON E: 307-777-7321 | FAX: 307-777-6593 

T ECHNICAL SERVICES DIVISION 

R 

T 

H 

5 

e. 

_ 

_ 

d 

HEMP HA RVEST RE PORT 

PLEA 

TO H 

REPO 

CHAN 

*NO 

DAYS 

“Harv 

ASE TYPE OR 

HARVEST. A 

ORT, OF ANY 

NGES ARE MA 

PLANTS SHA 

S PRIOR TO S 

vest” means 

R PRINT CLEA 

LICENSEE M 

Y CHANGES M 

ADE, THE DEP 

ALL BE HARVE 

SUCH ACTION 

the collect 

ARLY (Incompl 

UST NOTIFY 

MADE IN THE 

PARTMENT MA 

ESTED WITHO 

BEING TAKEN 

tion of any 

ete or illegible 

THE DEPAR 

E REPORTED 

AY REQUIRE 

OUT NOTIFICA 

N.* 

portion of 

forms will be 

RTMENT IMME 

D HARVEST D 

ADDITIONAL S 

ATION VIA A 

f a cannab 

rejected.) REP 

EDIATELY, BY 

DATE(S) IN EX 

SAMPLING AN 

HARVEST RE 

bis plant fro 

PORT IS DUE 

Y SUBMITTING 

XCESS OF 5 

ND TESTING P 

EPORT BEING 

om a licens 

AT LEAST 15 

G AN UPDAT 

DAYS (+/-). 

PRIOR TO HAR 

G SUBMITTED 

sed area a 

5 DAYS PRIOR 

TED HARVEST 

IF ANY SUCH 

RVEST. 

D at LEAST 15 

at any time 

Return f orms to W DA Hemp P rogram email: wes.brown@wyo .gov 

DAT 

LICE 

CON 

BUS 

BUS

 PHO

 EMA 

E OF SUBMI 

ENSE NUMBE 

NTACT NAME 

INESS NAME 

INESS ADDR 

ONE NUMBE 

AIL ADDRESS 

SSION:_____ 

ER: ________ 

E: _________ 

L 

E*: ________ 

RESS: ______ 

S 

R: (____) ___ 

S: _________ 

___________ 

___________ 

____________ 

LAST 

(MUST BE A 

____________ 

____________ 

STREET 

___-________ 

___________ 

___________ 

___________ 

___________ 

APPLICANT OR K 

___________ 

___________ 

____ 

___________ 

____________ 

____________ 

___________

 FIRST 

KEY PARTICIPA 

___________ 

___________

 CITY 

 ALTERNATE 

____________ 

____________ 

___________ 

____________ 

ANT ON APPLIC 

___________ 

____________ 

E PHONE NU 

____________ 

___________ 

___________ 

____________

 MI 

CATION) 

____________ 

___________

 STATE 

UMBER:(____ 

___________ 

___________ 

___________ 

___________ 

___________ 

___________ 

E Z 

_) _____-___ 

___________ 

_______ 

_______ 

______ 

___________ 

___________ 

ZIP 

_________ 

__ 

I atte 

All cr 

were 

Depa 

If cro 

____ 

____ 

Print 

est, to the bes 

rop(s) reporte 

e planted, with 

artment AND: 

ops died, plea 

___________ 

___________

 Name: _____ 

st of my know 

ed in this Hem 

hin the locatio 

: 

ase explain: __ 

____________ 

____________ 

____________ 

wledge, that th 

mp Harvest Re 

on of the acre 

___________ 

___________ 

___________ 

___________ 

he following st 

eport are of th 

age or square 

___________ 

___________ 

___________ 

_________ 

tatements are 

he variety and 

e footage as s 

___________ 

____________ 

____________

 Signatu 

e complete an 

d/or cultivar th 

stated in the 

____________ 

___________ 

___________ 

re: ________ 

nd true: 

hat have been 

application pr 

________ 

___________ 

___________ 

___________ 

n reported as 

reviously sub 

___________ 

___________ 

____________ 

s planted, and 

bmitted to the 

__________ 

__________ 

_____ 

48 01/31/20
 

 

 

 

 

 

 

 

 

HARVEST REPORT 

For each Lot to be harvested, provide the following: Variety Name, Acreage or Square Footage planted, Description of each unique 

location where each variety is planted, and GPS coordinates (in decimal degree - i.e. 40.12345, -104.1234) of each location. If a map is 

attached of the licensed area, outline the boundaries of each unique location for each lot. 

Please print additional copies of this page if additional lots need to be reported. 

Lot #______ Variety Name: 

PLEASE INDICATE INDOOR OR OUTDOOR: 

(CHECK ONLY ONE BOX FOR EACH 

SEPARATE LOCATION FOR THIS VARIETY) 

Indicate Whether 

Plant or Seed 

Anticipated Harvest Date: 

Must report at last 15 days 

prior to harvest 

Grow Site Size 

(i.e. 1,000 sq ft or 

acres) 

Indoor Outdoor

 GPS COORDINATES of center of lot: GPS - Longitude & Latitude - in decimal degree format (Lat 44.2345, Long -108.1235) 

Descriptions of Location: (include adequate detail to clearly define i.e.; 1000 sq ft greenhouse in SW Corner or 100 sq ft shed on N border of licensed 

area. 

Lot # ______ Variety Name: 

PLEASE INDICATE INDOOR OR OUTDOOR: 

(CHECK ONLY ONE BOX FOR EACH 

SEPARATE LOCATION FOR THIS VARIETY) 

Indicate Whether 

Plant or Seed 

Anticipated Harvest Date: 

Must report at last 15 days 

prior to harvest 

Grow Site Size 

(i.e. 1,000 sq f or 

acrest) 

Indoor Outdoor

 GPS COORDINATES of center of lot: GPS - Longitude & Latitude - in decimal degree format (Lat 44.2345, Long -108.1235) 

Descriptions of Location: (include adequate detail to clearly define i.e.; 1000 sq ft greenhouse in SW Corner or 100 sq ft shed on N border of licensed 

area. 

Lot #______ Variety Name: 

1 PLEASE INDICATE INDOOR OR OUTDOOR: 

(CHECK ONLY ONE BOX FOR EACH 

SEPARATE LOCATION FOR THIS VARIETY) 

Indicate Whether 

Plant or Seed 

Anticipated Harvest Date: 

Must report at last 15 days 

prior to harvest 

Grow Site Size 

(i.e. 1,000 sq ft or 

acres) 

Indoor Outdoor

 GPS COORDINATES of center of lot: GPS - Longitude & Latitude - in decimal degree format (Lat 44.2345, Long -108.1235) 

Descriptions of Location: (include adequate detail to clearly define i.e.; 1000 sq ft greenhouse in SW Corner or 100 sq ft shed on N border of licensed 

area. 

Lot #______ Variety Name: 

PLEASE INDICATE INDOOR OR OUTDOOR: 

(CHECK ONLY ONE BOX FOR EACH 

SEPARATE LOCATION FOR THIS VARIETY) 

Indicate Whether 

Plant or Seed 

Anticipated Harvest Date: 

Must report at last 15 days 

prior to harvest 

Grow Site Size 

(i.e. 1,000 sq ft or 

acres) 

Indoor Outdoor

 GPS COORDINATES of center of lot: GPS - Longitude & Latitude - in decimal degree format (Lat 44.2345, Long -108.1235) 

Descriptions of Locations: (include adequate detail to clearly define i.e.; 1000 sq ft greenhouse in SW Corner or 100 sq ft shed on N border of 

licensed area. 

49 01/31/20
 

 

PLEASE READ CAREFULLY 

I (print name)_______________________________, declare under penalty of perjury that the foregoing is true and correct and that I am the owner or 

person with legal control of and authority to bind, the herein named applicant, and that I have read and understand all of the conditions and obligations 

stated herein. 

Print Name_______________________________ Signature _____________________________________________ 

Title ____________________________________ Date __________________________________________________ 

50 01/31/20
R

2020 

WYOMING DEPARTMENT 

OF AGRICULTURE 

CERTIFICATION 

STATEMENT 

51 01/31/20
Certification Statement 

As part of the 2019 Hemp, Cannabidiol and Other Controlled Substance Regulation Act, the 

WDA received an appropriation of $120,000 for the purpose of administering this program and 

$315,000 for building maintenance, employee training, laboratory supplies and equipment and 

maintenance agreements necessary to implement this act. Appropriations will be used for 

implementation of this program and purchasing/installation of the equipment needed to provide 

sound scientific testing of cannabis samples in order to regulate this crop and product. In 

addition,the Department will charge $750 license fees, as well as testing fees. 

52 01/31/20
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2020 

WYOMING DEPARTMENT 

OF AGRICULTURE 

SAMPLING GUIDELINES 

FOR HEMP 

53 01/31/20
 

 

 

 

 

 

Sampling guidelines for hemp growing facilities 

Purpose: 

1. Standard sampling guidelines are specified for field and greenhouse sampling of hemp. 

2. Samples are taken to obtain specimens for the measurement of tetrahydrocannabinol (THC) 

content, which determine whether the specimens are hemp or marijuana. The measurements are 

intended to be representative of the THC content in a “lot” of hemp crop acreage as identified by 

the producer. Hemp producers may not harvest hemp prior to the hemp being sampled and 

tested for THC concentration. Testing procedures are provided in a separate document. 

Scope: 

1. Samples collected under this procedure are acceptable for submission to a qualified, DEAregistered laboratory for determination of THC in hemp. 

2. Since the THC content of hemp generally peaks as the plant ripens, the timing of when 

sampling occurs is important to accurately measure THC concentration and monitor compliance 

with the USDA hemp production program. 

3. Samples must be collected by a USDA approved sampling agent, or a Federal, State or Tribal 

law enforcement agent authorized by USDA to collect samples. It is the responsibility of the 

licensed producer to pay any fees associated with sampling. 

Summary of Practice: 

1. This practice provides procedures for entering a growing area and collecting the minimum 

number of plant specimens necessary to represent a homogeneous composition of the “lot” that is 

to be sampled. An authorized representative enters a growing area, strategically examines the 

growing area, establishes an approach for navigating the growing area, and collects individual 

specimens of plants in order to obtain a representative sample of hemp in the designated lot. 

2. Cuttings from each “lot” of hemp crop acreage, as identified by the producer, and submitted to 

and uniquely identified by the Farm Service Agency per the requirements of the USDA hemp 

production program, shall be organized as composite samples. For the purposes of these 

procedures, a “lot” is a contiguous area in a field, greenhouse, or indoor growing structure 

containing the same variety or strain of cannabis throughout. In addition, “lot” refers to the batch 

of contiguous, homogeneous whole of a product being sold to a single buyer at a single time. 

“Lot” is to be defined by the producer in terms of farm location, field acreage, and to be reported 

as such to the FSA. 

54 01/31/20
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Equipment and Supplies: 

1. Garden pruners/shears (Cleaned prior to and following each composite sample. Some 

examples of appropriate cleaning agents and supplies to use on garden pruners/shears are bleach, 

rubbing alcohol, steel wool, and/or sandpaper.) 

2. Sample bags, paper. 

2.1. The size of the bags will depend upon the number of clippings collected per lot. 

2.2 The bags should be made from material known to be free from THC. 

3. Security tape 

4. Permanent markers 

5. Sample collection forms 

6. GPS Unit 

7. Disposable gloves – Nitrile 

Sampling Guidelines: 

1. The licensee or designated employee shall accompany the sampling agent throughout the 

sampling process. 

2. Surveillance of the growing area. 

2.1. The inspector shall verify the GPS coordinates of the growing area as compared with 

the GPS coordinates submitted by the licensee to USDA. 

2.2. The inspector shall estimate the average height, appearance, approximate density, 

condition of the plants, and degree of maturity of the flowering material, meaning 

inflorescences (flowers/buds). 

2.3. The inspector shall visually establish the homogeneity of the stand to establish that the 

growing area is of like variety. 

3. Time of Sampling: 

3.1. Within 15 days prior to the anticipated harvest of cannabis plants, an approved Federal, 

State, local, or Tribal law enforcement agency or other State or Tribal designated person shall 

collect representative samples from such cannabis plants for THC concentration level testing. 

4. Field Sampling: 

4.1. For purposes of determining the number of individual plants to select for sampling, the 

size of the growing area shall be considered. For sampling purposes, samples from separate 

“lots” must be kept separate and not be comingled. 

4.2. For lots of less than one acre, including greenhouses, select a minimum of 1 plant, then 

take a cutting from the plant to form a sample. For lots of 2 to 10 acres, including greenhouses, 

select a minimum of one plant per acre, then take cuttings of each plant, then combine to form a 

composite sample. 

4.3. For growing areas larger than ten (10) acres, including greenhouses, the number of 

plants that will be selected to form a composite sample is based upon the Codex Alimentarius 

Recommended Methods of Sampling for the Determination of Pesticide Residues for 

Compliance with MRLS CAC/GL 33-1999. 

4.3.1. The sample size is estimated in a two-step process. The first step is to estimate the 

number of primary plants to be sampled. The second step is to adjust the estimate of primary 

plants by the acreage under cultivation. 

4.3.2. The initial number of primary plants is estimated using 

55 01/31/20
 

 

 

 

 

 

ln(1 −pp) 

nnoo = ln(1 −ii) 

where p is the confidence level to detect hemp plants having THC content greater than the 

acceptable hemp THC level and i is the proportion of hemp plants having THC content greater 

than the acceptable hemp THC level. The values for i are based on past experience in the same 

or similar growing areas. 

4.3.3. The initial primary plants estimate is adjusted by the number of acres to calculate the 

minimum number of primary plants for composting as follows: 

nnoo

nn = 

1 + (nnoo

NN

− 1) 

where n is the minimum number of primary plants to be selected for forming a composite 

sample, no is the initial number of primary plants, and N is the number of acres under cultivation. 

4.3.4. Example 1 : The initial primary plant sample size is 299 with a confidence level of 

95% to detect hemp plants having THC content greater than the acceptable hemp THC level 

and a proportion of hemp plants having THC content of greater than the acceptable hemp 

THC level equal to 0.01 is considered appropriate. The adjusted primary plant sample sizes 

for fields from 11 to 173 acres in size are shown in the following table: 

56 01/31/20
Number 

of acres 

Sample Number 

of acres 

Sample Number 

of acres 

Sample Number 

of acres 

Sample 

Size "n" Size "n" Size "n" Size "n" 

11 11 40 36 75-76 61 119-120 86 

12 12 41-42 37 77 62 121-122 87 

13 13 43 38 78-79 63 123-124 88 

14 14 44 39 80-81 64 125-126 89 

15 15 45-46 40 82 65 127-128 90 

16 16 47 41 83-84 66 129-130 91 

17 17 48 42 85-86 67 131-132 92 

18-19 18 49-50 43 87 68 133-134 93 

20 19 51 44 88-89 69 135-136 94 

21 20 52 45 90-91 70 137-138 95 

22 21 53-54 46 92 71 139-140 96 

23 22 55 47 93-94 72 141-143 97 

24 23 56 48 95-96 73 144-145 98 

25-26 24 57-58 49 97-98 74 146-147 99 

27 25 59 50 99 75 148-149 100 

28 26 60-61 51 100-101 76 150152 101 

29 27 62 52 102-103 77 153-154 102 

30 28 63-64 53 104-105 78 155-156 103 

31-32 29 65 54 106-107 79 157-157 104 

33 30 66-67 55 108 80 159-161 105 

34 31 68 56 109-110 81 162-163 106 

35 32 69-70 57 111-112 82 164-166 107 

36 33 71 58 113-114 83 167-168 108 

37-38 34 72-73 59 115-116 84 169-170 109 

39 35 74 60 117-118 85 171-173 110 

57 01/31/20
 

 

 

 

 

Example 2: The adjusted primary plant sample sizes for fields from less than 1 to 10 acres in 

size are shown in the following table: 

Number of 

Acres “N” 

Sample 

Size “n” 

Less than 1 1 

1 1 

2 2 

3 3 

4 4 

5 5 

6 6 

7 7 

8 8 

9 9 

10 10 

6. Collecting Samples from each lot: 

6.1. Sampling agents shall always walk at right angles to the rows of plants, beginning at 

one point of the lot and walking towards another point on the opposite side of the lot. 

6.2. While walking through the growing area, the inspector shall cut at least “n” 

flowering material, meaning inflorescences (the flower or bud of a plant) at random but 

convenient distances. Avoid collecting too many specimens from the borders of the 

field/greenhouse. 

6.3. The cut shall be made just underneath a flowering material, meaning inflorescence 

(the flower or bud of a plant), located at the top one-third {1/3) of the plant. (See figure below.) 

The sample size must be of adequate volume to accommodate laboratory tests. 

58 01/31/20
6.4. Utilize a paper sample bag for collecting sample cuttings. Ensure that each bag has the

minimum number of cuttings, n, as calculated by 4.3.3, or in the Example Tables 1 and 2. 

6.5. Seal each bag and record the sample number. 

7. Sample identification: 

7.1 The inspector shall seal each bag and record the sample identification number. The sample 

shall also be identified with the following information: 

(1) The sample ID shall include: Sampling agent contact information ; name and contact 

information of the producer; producer hemp license or authorization number ; date of sample; 

and “lot” ID as provided by the USDA Farm Service Agency; any other information that may be 

required by States, Tribes, Law Enforcement Authorities, mail delivery services, customers or 

groups of customers. 

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2020 

WYOMING DEPARTMENT 

OF AGRICULTURE 

TESTING GUIDELINES 

FOR HEMP 

60 01/31/20
 

 

 

 

 

 

 

Testing guidelines for Identifying Delta-9 Tetrahydrocannabinol (THC) 

Concentration in Hemp 

Purpose: 

1. Standard testing procedures are specified for samples taken in accordance with the 

Sampling Procedures for the USDA Hemp Program to measure the delta-9 

tetrahydrocannabinol (THC) concentration levels of those samples on a dry weight basis. 

Hemp testing laboratories are not required to be ISO accredited, although USDA strongly 

encourages adherence to the ISO 17025 standard. 

2. The results are intended to measure the THC content of composite hemp samples collected 

from a designated “lot” of hemp crop acreage designated by a hemp producer and as reported 

to the USDA Farm Service Agency as required under the USDA hemp production program. 

The purpose of the measurements are to determine whether the THC concentration of the 

tested material is within the acceptable hemp THC level. 

3. As required under USDA hemp production program regulation, laboratories conducting 

testing of hemp must conduct analytical testing for purposes of detecting the concentration 

levels of delta-9 tetrahydrocannabinol THC and shall meet the following standards: 

(a) Laboratory quality assurance must ensure the validity and reliability of test results; 

(b) Analytical method selection, validation, and verification must ensure that the testing 

method used is appropriate (fit for purpose) and that the laboratory can successfully perform 

the testing; 

(c) The demonstration of testing validity must ensure consistent, accurate 

analytical performance; and 

(d) Method performance specifications must ensure analytical tests are sufficiently sensitive 

for the purposes of the detectability requirements of this part. 

(e) At a minimum, analytical testing of samples for delta-9 tetrahydrocannabinol concentration 

levels must use post-decarboxylation or other similarly reliable methods approved by the 

Secretary. The testing methodology must consider the potential conversion of delta-9 

tetrahydrocannabinolic acid (THCA) in hemp into delta-9 tetrahydrocannabinol (THC) and the 

test result reflect the total available THC derived from the sum of the THC and THC-A 

content. Testing methodologies meeting these requirements include, but are not limited to, gas 

chromatography and high-performance liquid chromatography. 

(f) The total delta-9 tetrahydrocannabinol concentration level shall be determined and 

reported on a dry weight basis. 

(g) Any sample test result showing with at least 95% confidence that the THC content of the 

sample is higher than the acceptable hemp THC level shall be conclusive evidence that the lot 

represented by the sample is not in compliance with this part. 

61 01/31/20
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Laboratories approved for THC testing must also be registered with DEA to handle controlled 

substances under the Controlled Substances Act (CSA), 21 CFR part 1301.13. 

5. In order to provide flexibility to States and Tribes in administering their own hemp production 

programs, alternative testing protocols will be considered if they are comparable and similarly 

reliable to the baseline mandated by section 297B(a)(2)(ii) of the Agricultural Marketing Act of 

1946 and established under the USDA plan and procedures. Alternative testing protocols must be 

requested of USDA in writing and approved in writing by USDA, provided they meet the 

requirements of this guidance. 

General Sample Preparation and Testing Procedures are as follows: 

1. Laboratory receives sample. 

2. Dry sample to remove the majority of water. 

3. Mill and “manicure” sample though a wire screen no larger than 1.5 x 1.5mm to discard 

mature seeds and larger twigs and stems. 

4. Separate sample into a test and retain specimens. 

a. Test specimen: go to step 5 

b. Retain specimen: package and store until needed. When needed go to step 5. 

5. Determine moisture content or dry to a consistent weight (meeting criteria). 

6. Perform chemical analysis. 

7. Calculate total THC on a dry weight basis. Test results should be determined and 

reported on a dry weight basis. 

(A) Samples shall be received and prepared for testing in a DEA registered laboratory as follows: 

(1) Once the composite sample is received by the laboratory, the laboratory shall dry all of the 

leaf and flower (not obvious stem and seeds) of the composite sample until brittle in a manner 

that maintains the THC level of sample. Samples are to be dried to a consistent loss (typically 5-

12% moisture content) so that the test can be performed on a dry weight basis, meaning the 

percentage of THC, by weight, in a cannabis sample, after excluding moisture from the sample. 

The moisture content is expressed as the ratio of the amount of moisture in the sample to the 

amount of dry solid in the sample. 

(2) The laboratory shall mill and manicure samples though a wire screen no larger than 1.5 x 

1.5mm to discard mature seeds and larger twigs and stems. 

(3) The laboratory shall form sieve a “Test Specimen” and a “Retain Specimen.” One sample 

part shall be selected for analysis and labeled ''Test Specimen". The other sample part shall be 

marked "Retain Specimen" and shall be packaged and stored in a secured place. 

(4) The laboratory shall then determine moisture content or dry to a consistent weight. 

(5) The laboratory will then perform chemical analysis on the sample using postdecarboxylation or other similarly reliable methods where the total THC concentration level 

considers the potential to convert delta-9-tetrahydrocannabinolic acid (THCA) into THC. 

Testing methodologies meeting these requirements include those using gas chromatography and 

high-pressure liquid chromatography. High-performance liquid chromatography. Highperformance liquid chromatography (HPLC) or (LC) is a scientific method (specifically, a type 

of chromatography) used in analytical chemistry used to separate, identify, and quantify each 

62 01/31/20
 

 

 

 

 

 

component in a mixture. It relies on pumps to pass a pressurized liquid solvent containing the 

sample mixture through a column filled with a solid adsorbent material to separate and analyze 

compounds. Under the terms of this part, HPLC is one of the valid methods by which 

laboratories may test for THC concentration levels. Ultra-Performance Liquid Chromatography 

(UPLC) is an additional method that may also be used as well as other liquid or gas 

chromatography with detection. 

(6) The laboratory will then calculate total THC on a dry weight basis. 

References: 

E. Small and H. D. Beckstead. 1973. Common Cannabinoid Phenotypes in 350 stocks of Cannabis. 

J. of Natural Products. 36(2): 144-165. 

United Nations Office on Drugs and Crime: Recommended Methods for the Identification and 

Analysis of Cannabis and Cannabis Products. ISBN 978-92-1-148242-3. 

(B) Testing Methods The total available THC, derived from the sum of the THC and THCA 

content, shall be determined and reported on a dry weight basis. Alternative testing protocols will 

be considered if they are comparable to the baseline mandated by the 2018 Farm Bill and 

established under the USDA plan and procedures. Alternative sampling and testing procedures 

must be requested in writing and approved in writing by USDA. 

Laboratories shall use appropriate, validated methods and procedures for all testing activities and 

evaluate measurement of uncertainty. Laboratories shall meet the AOAC International standard 

method performance requirements (SMPR) for selecting an appropriate method. The range of 

estimated uncertainty is reported as a ± value and is the same unit as the hemp THC threshold 

(0.3% THC), following best practices for significant figures and rounding. 

There are resources available for defining, guiding, and calculating measurement uncertainty. 

They include the GUM, ISO, and Eurachem. It is necessary for the laboratory to determine the 

uncertainty of accuracy (ubias), repeatability (ur), and reproducibility (uR) for each validated 

method. Once the expanded measurement uncertainty (U) is determined, then the confidence 

interval can be calculated around a designated threshold such as the hemp THC threshold (0.3% 

THC). 

Based on the aforementioned resources, the following equation is recommended: 

Equation: 

UU = kk × uucc

Where, 

2 uucc = �uurr

2 + uuRR

2 + uubbbbbbbb

And: 

u = standard uncertainty (standard deviation) 

ur = uncertainty due to repeatability 

uR = uncertainty due to reproducibility 

ubias = uncertainty due to accuracy (bias) 

uc = combined standard uncertainty uu U = Expanded uncertainty = MMMMbbMM ∗ kk95% ccccMMccbbccMMMMccMM llMMllMMll, k = 2 

63

k = coverage factor, use 2 for a 95% confidence level 

01/31/20
 

 

 

 

 

 

 

References: 

ISO 17025. General requirements for the complete testing and calibration laboratories. 

Food and Drug Administration, Office of Regulatory Affairs, ORA Laboratory Manual 

Volume III Section 4, Basic Statistics and Data Presentation (current version). 

AOAC Standard Method Performance Requirements (draft) AOAC SMPR 2019.XXX; Title: 

Quantitation of cannabinoids in plant materials of hemp (low THC varieties 4 Cannabis spp.). 

JCGM 100:2008, Evaluation of measurement data – Guide to the expression of uncertainty in 

measurement (GUM). 

ISO/IEC Guide 98, Expression of Uncertainty in Measurement. 

EURACHEM/CITAC Guide “Quantifying Uncertaity in Analytical Measurement” Second 

edition (2000). A Williams, S L R Ellison, M Roesslein (eds.) ISBN 0 948926 15 5. Available 

from the Eurachem Secretariate. 

(C) Test results exceeding 0.3% THC. Any sample test result showing with at least 95% 

confidence that the THC content of the sample is higher than the acceptable hemp THC level 

shall be conclusive evidence that one or more cannabis plants or plant products from the lot 

represented by the sample contain a THC concentration in excess of that allowed under the 

Act. If the results of a test conclude that the THC levels of a sample are conclusively higher 

than the acceptable hemp THC level, the laboratory will promptly notify the producer and 

USDA or its authorized agent. 

(D) Retest Procedures. Any hemp program licensee may request that the laboratory retest 

samples if it is believed the original THC concentration level test results were in error. If this 

occurs, the laboratory shall follow the same procedures as described in paragraphs (A)-(C) above 

that were followed to conduct the initial test. The licensee requesting the retest of the second 

sample will pay the cost of the test. The retest results shall be issued to the licensee requesting 

the retest and a copy shall be provided to USDA or its agent. 

(E) Information Sharing with USDA. Laboratories performing THC testing for hemp produced 

under this program are required to share test results with the licensed producer and USDA. 

USDA will provide instructions to all approved labs on how to electronically submit test results 

to USDA. Laboratories may provide test results to licensed producers in whatever manner best 

aligns with their business practices, but producers must be able to produce a copy of test results. 

For this reason, providing test results to producers through a web portal or through electronic 

mail, so the producer will have ready access to print the results when needed, is preferred. 

64 01/31/20
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2020 

WYOMING DEPARTMENT 

OF AGRICULTURE 

STATE AND TRIBAL HEMP 

ANNUAL REPORT FORM 

65 01/31/20
 

 

 

 

 

 

UNITED STATES DEPARTMENT OF AGRICULTURE 

AGRICULTURAL MARKETING SERVICE 

USDA DOMESTIC HEMP PRODUCTION PROGRAM 

STATE AND TRIBAL HEMP ANNUAL REPORT 

States and Tribes must submit this form to the U.S. Department of Agriculture (USDA) by 

December 15th of each year. 

This report should be submitted to USDA using a digital format compatible with USDA’s 

information sharing systems, whenever possible. If this is not possible, please submit report to: 

By Mail: Or via Email at: Or via Fax at: 

USDA/AMS/Specialty Crops Program FarmBill.Hemp@usda.gov (202) 720-8938 

Hemp Branch 

470 L’Enfant Plaza S.W. 

Post Office Box 23192 

Washington, D.C. 20026 

State or Tribe Plan: ___________________ Date Submitted: ________________ 

Total Planted Acreage Total Acreage Disposed Total Harvested Acreage 

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 OMB 0581-NEW. The time required to complete 

this information collection is estimated to average 20 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. 

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. 

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2020 

WYOMING DEPARTMENT 

OF AGRICULTURE 

STATE PRODUCER 

REPORT FORM 

67 01/31/20
 

 

 

 

 

 

 

 

 

 

 

UNITED STATES DEPARTMENT OF AGRICULTURE 

AGRICULTURAL MARKETING SERVICE 

USDA DOMESTIC HEMP PRODUCTION PROGRAM 

STATE AND TRIBAL HEMP PRODUCER REPORT 

Reporting Period: _________________ to _________________ 

State or Tribe Name: ________________ Date Submitted: __________ 

The USDA Domestic Hemp Production Program requires states and tribes with approved plans to 

submit contact information and the status of the license for each producer under their plan. 

Instructions: 

This information must be submitted to the U.S. Department of Agriculture (USDA) on the 1st day 

of each month. If this date falls on a holiday or weekend, the reports are due the next business day. 

Each monthly report is for new producers and changes to existing producer information only. 

Producers: Report all required information for each producer licensed under the Plan. 

Changes to Producer Information: Report any changes to reported information for producers that 

were included in previous reports. These changes include but are not limited to; a change of 

license status, an address change, a change in the key participant of a business or an updated phone 

number. 

This report should be submitted to USDA using a digital format compatible with USDA’s 

information sharing systems, whenever possible. If this is not possible, please submit report to: 

By Mail: Or via Email at: Or via Fax at: 

USDA/AMS/Specialty Crops Program FarmBill.Hemp@usda.gov (202) 720-8938 

Hemp Branch 

470 L’Enfant Plaza S.W. 

Post Office Box 23192 

Washington, D.C. 20026 

The following statements are made in accordance with the Privacy Act of 1974 (5 U.S.C. § 552a) and the 

Paperwork Reduction Act of 1995. The authority for requesting this information to be supplied on this form is 

the 7 CFR Part 990 Domestic Hemp Program (Program). The purpose of collecting this information is for 

USDA to administer the Program and the information provided on this form will be used to monitor Program 

participants. Failure to provide the information requested on this form may result in ineligibility to participate 

in the Program. 

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 OMB 0581-NEW. The time required to complete this information collection is estimated to average 20 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. 

68 01/31/20
 

 

 

 

List all producers and business entities in the space below: 

Individual or 

Entity Name 

Name of 

Producer(s)/Key 

Participant(s) 

License 

Identifier or 

other 

Authorization 

Identifier 

New Producer? 

(Yes, No) 

Business Address 

of Producer(s) or 

Entity 

Telephone # Email 

Address (if 

available) 

Status of License 

(active, revoked, 

suspended) 

(Use additional pages if needed) 

69 01/31/20
 

 

 

 

 

Employees Submitting Criminal History Record Report by Entity: 

Individual or Entity Name Name of Employee Title of Employee Employee Email Address (if available) 

(Use additional pages if needed) 

Document any changes to existing producer information in the space below: 

Individual or 

Entity Name 

Name of 

Licensee(s) 

License 

Identifier or 

other 

Authorization 

Identifier 

Business Address 

of Producer(s) 

Telephone # Email Address 

(if available) 

Status of License 

(active, revoked, 

suspended) 

Current 

Information 

New 

Information 

Current 

Information 

New 

Information 

Current 

Information 

New 

Information 

Current 

Information 

New 

Information 

(Use additional pages if needed) 

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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. 

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2020 

WYOMING DEPARTMENT 

OF AGRICULTURE 

LABORATORY TEST 

RESULTS REPORT FORM 

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UNITED STATES DEPARTMENT OF AGRICULTURE 

AGRICULTURAL MARKETING SERVICE 

USDA DOMESTIC HEMP PRODUCTION PROGRAM 

LABORATORY TEST RESULTS REPORT 

Hemp laboratory test data shall be reported to the U.S. Department of Agriculture (USDA) in accordance 

with 7 CFR Part 990. USDA Domestic Hemp Production Program. Laboratories providing testing 

services for producer hemp samples for the Domestic Hemp Production Program shall use this reporting 

instruction and template. The data shall be submitted to USDA using a digital format comparable with 

USDA’s information sharing systems, whenever possible. If this is not possible, this report may be 

submitted to the following: 

By Mail: 

USDA/AMS/Specialty Crops Program 

Hemp Branch 

470 L’Enfant Plaza S.W. 

Post Office Box 23192 

Washington, D.C. 20026 

Or via Email at: 

FarmBill.Hemp@usda.gov 

Or via Fax at: 

(202) 720-8938 

The following statements are made in accordance with the Privacy Act of 1974 (5 U.S.C. § 552a) and the Paperwork 

Reduction Act of 1995. The authority for requesting this information to be supplied on this form is the 7 CFR Part 990 

Domestic Hemp Program (Program). The purpose of collecting this information is for USDA to administer the 

Program and the information provided on this form will be used to monitor Program participants. Failure to provide 

the information requested on this form may result in ineligibility to participate in the Program. 

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 OMB 0581-NEW. The time required to complete this information collection is 

estimated to average 30 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. 

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. 

73 01/31/20
 

Laboratory_ 

Name 

Laboratory_ 

City 

Laboratory_State Laboratory _DEA 

Registration_# 

Producer_ID Producer_ 

Name 

Producer_ 

Street 

Producer_City Producer_ 

State 

Lot_ID Testing_ 

Date 

Results_ 

Reported 

_Date 

Test Result_ 

% THC 

Measurement 

Uncertainty 

Pass_ 

Fail 

Add additional rows if necessary. 

74 01/31/20
 

 

 

 

Column Heading Field Description Instructions on Field Format and Values 

Producer_ID This field is the license or 

authorization identifier of the 

producer the sample and test 

result is attributed to. 

Use the producer’s license or authorization number as assigned by the State, 

Indian Tribe, or USDA. 

Producer_Name This field is the name of the 

producer that the sample and 

test result will be attributed to. 

Producer names should match the name associated with the license or 

authorization number as assigned by the State, Indian Tribe, or USDA. 

Producer_Street This field is the street address 

of the producer. 

Building Number, Street Name, Street Type is given its own column to 

facilitate electronic management and analysis of data. 

Producer_City This field is the city of the 

producer. 

City is given its own column to facilitate electronic management and trend 

analysis of data. 

Producer_State This field is the state of the 

producer. 

State is given its own column to facilitate electronic management and trend 

analysis of data. 

Laboratory_Name This field is the name of the 

laboratory issuing the test 

result. 

Use the laboratory name associated with the DEA registration number. 

Laboratory_City This field is the city of the 

laboratory issuing the test 

result. 

City is given its own column to facilitate electronic management and trend 

analysis of data. This data facilitates differentiation between facilities under 

a corporation name. 

Laboratory_State This field is the state of the 

laboratory issuing the test 

result. 

State is given its own column to facilitate electronic management and trend 

analysis of data. This data facilitates differentiation between facilities under 

a corporation name. 

Laboratory_DEA 

registration 

This field is the DEA 

registration number of the 

laboratory issuing the test 

result. 

This should match the format (alpha-numeric) provided by the DEA. 

Lot_ID This field is the identifier of the 

lot represented by the sample. 

Use the identification number (alpha, numeric, or combination) 

provided on the sample form. Exercise consistency throughout 

entering and reporting of these values (i.e., general formatting of 

data entered should be the same throughout all cells of this 

column--spacing, underscoring, symbols, capitalization, font, 

font size) and ensure that lot numbers can be sorted in order. 

75 01/31/20
 

 

 

Testing_Date This field is the date the sample 

is tested by the laboratory. 

Use a consistent format (i.e., YYYYMMDD) 

Result_Reported_Date This field is the date the result 

is reported to the producer by 

the laboratory. 

Use a consistent format (i.e., YYYYMMDD) 

Test This field is to identify if the 

result is of the initial test or a 

re-test. 

Report as “Initial” or “Re-test” 

Result_% THC This field is the quantified 

concentration of THC 

determined by the laboratory. 

Report percent (%) THC on a dry weight basis to the nearest 

ten thousandth, or 4 decimal places (Ex. .3999) 

“Percentage of THC on a dry weight basis means the percentage of THC, by 

weight, in a cannabis item (plant, extract, or other derivative), after 

excluding all moisture from the item. 

Measurement 

Uncertainty 

This field is to identify the 

measurement uncertainty of the 

hemp test. 

Report measurement uncertainty as a percent (%) + or - to the nearest 

ten thousandth, or 4 decimal places (Ex. .3999) 

The measurement uncertainty is parameter associated with the accuracy of a 

result, which is the interval around the value of the measurement that 

characterizes the dispersion of the values. 

Pass_Fail This field is to identify if the 

hemp sample passes or fails the 

definition of the law to be 

called hemp. 

Report as “Pass” or “Fail” 

Pass equates to “delta-9 tetrahydrocannabinol concentration of not more than 

0.3 percent on a dry weight basis + or – the measurement uncertainty” 

Fail equates to “concentration level of THC on a dry weight basis of higher 

than 0.3 percent + or – the measurement uncertainty” 

76 01/31/20
R

2020 

WYOMING DEPARTMENT 

OF AGRICULTURE 

STATE HEMP DISPOSAL 

 REPORT FORM 

77 01/31/20
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UNITED STATES DEPARTMENT OF AGRICULTURE 

AGRICULTURAL MARKETING SERVICE 

USDA DOMESTIC HEMP PRODUCTION PROGRAM 

STATE AND TRIBAL HEMP DISPOSAL REPORT 

If a producer has produced cannabis that tested above the acceptable delta-9 

tetrahydrocannabinol (THC) level, the material must be disposed of in accordance with the 

Controlled Substances Act (CSA) and U.S. Drug Enforcement Administration (DEA) regulations 

because such material constitutes marijuana, a schedule I controlled substance under the CSA. 

Consequently, the material must be collected for destruction by a person authorized under the 

CSA to handle marijuana, such as a DEA-registered reverse distributor, or a duly authorized 

Federal, State, or local law enforcement officer. This form is used to document the disposal 

process. 

States and Tribes must submit this form and each corresponding disposition certificate to the 

U.S. Department of Agriculture (USDA) on the 1st day of each month. If this date falls on a 

holiday or weekend, the report is due the next business day. If no disposals occurred during the 

reporting cycle, check the box indicating there were no changes during the current reporting 

cycle. This report should be submitted to USDA using a digital format compatible with USDA’s 

information sharing systems, whenever possible. If this is not possible, please submit report to: 

By Mail: Or via Email at: Or via Fax at: 

USDA/AMS/Specialty Crops Program FarmBill.Hemp@usda.gov (202) 720-8938 

Hemp Branch 

470 L’Enfant Plaza S.W. 

Post Office Box 23192 

Washington, D.C. 20026 

The following statements are made in accordance with the Privacy Act of 1974 (5 U.S.C. § 552a) and the 

Paperwork Reduction Act of 1995. The authority for requesting this information to be supplied on this form 

is the 7 CFR Part 990 Domestic Hemp Program (Program). The purpose of collecting this information is for 

USDA to administer the Program and the information provided on this form will be used to monitor 

Program participants. Failure to provide the information requested on this form may result in ineligibility to 

participate in the Program. 

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 OMB 0581-NEW. The time required to complete 

this information collection is estimated to average 20 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. 

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. 

78 01/31/20
 

 

 

 

 

 

Reporting Period: ______________ to ______________ 

State or Tribe Plan: ______________ Date Submitted: _________ 

List all licensees and locations where a disposal took place during this reporting cycle. 

Producer or 

Entity Name 

Producer/Entity 

Address 

License or 

Authorization 

identifier 

Lot # Location Type 

(Greenhouse, 

Indoor, Field) 

Geospatial 

Location 

(or other valid land 

descriptor) 

Total 

Acreage 

Date 

of Disposal 

Disposal 

Agent Name and 

Organization 

(Add additional pages if needed) 

OR 

No disposals during this reporting cycle □

79 01/31/20
R

2020 

WYOMING DEPARTMENT 

OF AGRICULTURE 

USDA RUBRIC OUTLINING ALL 

COMPLETED REQUIREMENTS 

FOR DELEGATED AUTHORITY 

80 01/31/20
R

2020 

WYOMING DEPARTMENT 

OF AGRICULTURE 

HEMP PLAN 

SIGNATURE PAGE 

89 01/31/20
90 01/31/20