Easement Forms

Conservation Easement Application Forms

Important: these forms are updated frequently. Please return to this page for a current version of the forms each time you use them.

• SWCD Easement Acquisition Checklist (pdf)
• Conservation Easement Application (pdf)
• Area Assessment Form Word document (docx)
• Scoresheet (see individual program web pages)
• Conservation Easement Financial Worksheet (pdf) - Download form and open using Adobe Acrobat Reader. Do not open and fill out the form using a web browser.
• Conservation Easement Financial Worksheet Tax Assessed Calculation Excel spreadsheet (xlsm)
• Agreement Information Form Word document (docx)
• W-9 Form (IRS Website)
• Power of Attorney Form (Minnesota Attorney General Website)

Title Insurance Forms

• Title Insurance Request Word document (docx)
• Specimen Title Insurance Policy (pdf)
• Utility Confinement Release Letter Word document (docx)

Conservation Planning, Implementation & Reimbursement Forms

• Conservation Plan Workbook Excel spreadsheet (xlsx)
• Practice Implementation Reimbursement Request (PIRR) (pdf)
  • PIRR Guidance (pdf)
• Practice Implementation Request for Funding (PIRF) (pdf)
  • PIRF, Conservation Plan Amendment, and Enhancement Guidance (pdf)

Easement Site Inspection, Compliance & Ownership Change Forms

• Site Inspection Form Word document (docx)
• Corrective Actions Transmittal (pdf)
• Corrective Actions Plan (pdf)
• Ownership Change Form (pdf)

SWCD Reimbursement Forms

• Cost Reimbursement Request (pdf)
• For old 2020-2025 MJPA only: Reimbursable Services Invoice Excel spreadsheet (xlsx)