OMB Approval No. 0560-0316

OMB Expiration Date: 04/30/2024

FSA-525

(10-31-23) 

U.S. DEPARTMENT OF AGRICULTURE

Farm Service Agency

CROP INSURANCE AND/OR NAP 

COVERAGE AGREEMENT

FOR ERP 2022

FOR COUNTY OFFICE USE ONLY

1. Recording State 2. Recording County

Name Code Name Code

3. FSA-524 Application Number

4. Producer Name

INSTRUCTIONS: Return this completed form to your Recording County FSA Office.

PART A - CROP/COMMODITY THAT SUFFERED A REVENUE LOSS DUE TO QUALIFYING DISASTER EVENT

5. Crop/Commodity Name (Example: Corn) 6. Crop/Type (Example: Yellow) 7. Intended Use (Example: Grain)

Producers that need to list more crops can use the continuation sheet on the back of this form.

PART B - LINKAGE AGREEMENT

The Disaster Relief Supplemental Appropriations Act, 2023, requires producers to obtain Federal crop insurance or Noninsured Crop Disaster 

Assistance Program (NAP) coverage for the next two available crop years to be eligible for an ERP 2022 payment.

By signing this form, the producer agrees to have read and to comply with the crop insurance and NAP coverage requirement as stated below

for each crop listed in Part A. This agreement does not supersede or modify any previous requirements to purchase crop insurance or NAP 

coverage under any other law or program.

I understand that I have applied for a payment under the ERP 2022 program. I have listed in Part A all eligible crops that suffered a revenue

loss in whole or in part due to a qualifying disaster event that occurred in the 2022 calendar year, and for which I have applied payment under

the ERP 2022. These crops include any of the following: insurable crops, NAP eligible crops, and non-insured crops.

In return for receiving a payment under ERP 2022, I agree to file an acreage report and purchase crop insurance at a coverage level equal to 

or greater than 60% for insurable crops, or at the catastrophic level or higher for NAP eligible crops, for the first two consecutive crop years 

when coverage is available after receiving payment, but no later than crop year 2027 to meet the second year of coverage. If I am required to

meet this requirement for a crop for which a individual crop insurance policy is not available and I am ineligible for a NAP payment for the

applicable year(s) because I exceed the average Adjusted Gross Income (AGI) limitations, then I must meet this requirement by either:

• obtaining NAP coverage and paying the applicable NAP service fee as required above, regardless of my ineligibility for NAP payment, or

• purchasing Whole-Farm Revenue Protection (WFRP) coverage, if eligible.

If my crop is not eligible for NAP, then I am required to purchase Whole Farm Revenue Protection (WFRP) insurance at a coverage level of at

least 60%. I understand that I am also required to pay any service fees, administrative fees, and premiums associated with the coverage 

required by this agreement.

I acknowledge that I will be required to refund my Emergency Relief Program 2022 payment if I fail to meet this requirement.

8A. Producer's Signature 8B. Title/Relationship of the Individual Signing in the Representative Capacity 8C. Date 

(MM/DD/YYYY)

DATE STAMP
FSA-525 (10-31-23) Page 2 of 2

NOTE: Privacy Act Statement: The following statement is made in accordance with the Privacy Act of 1974 (5 USC 552a - as amended). 

The authority for requesting the information identified on this form is the Disaster Relief Supplemental Appropriations Act, 2023 (P.L. 

117-328). The information will be used to determine eligibility for program benefits. The information collected on this form may be 

disclosed to other Federal, State, and Local government agencies, Tribal agencies, and nongovernmental entities that have been 

authorized access to the information by statute or regulation and/or as described in applicable Routine Uses identified in the System 

of Records Notice for USDA/FSA-2, Farm Records File (Automated). Providing the requested information is voluntary; however, 

failure to furnish the requested information will result in a determination of ineligibility for program benefits. 

Public Burden Statement (Paperwork Reduction Act): Public reporting burden for this collection is estimated to average 10 

minutes per response, including reviewing instructions, gathering and maintaining the data needed, completing (providing the

information), and reviewing the collection of information. You are not required to respond to the collection or FSA may not conduct or

sponsor a collection of information unless it displays a valid OMB control number.

Non-Discrimination Statement: 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.
OMB Approval No. 0560-0316

OMB Expiration Date: 04/30/2024

FSA-525-1 

(10-31-23)

U.S. DEPARTMENT OF AGRICULTURE

Farm Service Agency

CROP INSURANCE AND/OR NAP 

COVERAGE AGREEMENT

FOR ERP 2022

(Continuation Sheet)

FOR COUNTY OFFICE USE ONLY

1. Recording State 2. Recording County

Name Code Name Code

3. FSA-524 Application Number

INSTRUCTIONS: Return this completed form to your Recording County FSA Office.

PART A - CROP/COMMODITY THAT SUFFERED A REVENUE LOSS DUE TO QUALIFYING DISASTER EVENT

5. Crop/Commodity Name (Example: Corn) 6. Crop/Type (Example: Yellow) 7. Intended Use (Example: Grain)

4. Producer Name
FSA-525-1 (10-31-23) Page 2 of 2

NOTE: Privacy Act Statement: The following statement is made in accordance with the Privacy Act of 1974 (5 USC 552a - as amended). 

The authority for requesting the information identified on this form is the Disaster Relief Supplemental Appropriations Act, 2023 (P.L. 

117-328). The information will be used to determine eligibility for program benefits. The information collected on this form may be

disclosed to other Federal, State, and Local government agencies, Tribal agencies, and nongovernmental entities that have been

authorized access to the information by statute or regulation and/or as described in applicable Routine Uses identified in the System

of Records Notice for USDA/FSA-2, Farm Records File (Automated). Providing the requested information is voluntary; however,

failure to furnish the requested information will result in a determination of ineligibility for program benefits.

Public Burden Statement (Paperwork Reduction Act): Public reporting burden for this collection is estimated to average 10 

minutes per response, including reviewing instructions, gathering and maintaining the data needed, completing (providing the

information), and reviewing the collection of information. You are not required to respond to the collection or FSA may not conduct or

sponsor a collection of information unless it displays a valid OMB control number.

Non-Discrimination Statement: 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.