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) 3/17/2022
• Conservation Easement Application (pdf) 9/23/2025
• Area Assessment Form (docx) 12/20/2018
• Scoresheet (see individual program web pages)
• Conservation Easement Financial Worksheet (pdf) 7/1/2025 - Download form and open using Adobe Acrobat Reader. Do not open and fill out the form using a web browser.
• Conservation Easement Financial Worksheet (CEFW) Tax Assessed Calculation (xlsm) 7/1/2025
  • Tax Assessed CEFW Calculation Q&A (PDF) 7/1/2025
• Agreement Information Form (docx) 5/10/2024
• W-9 Form (IRS Website)
• Power of Attorney Form (Minnesota Attorney General Website)

Title Insurance Forms

• Title Insurance Request (docx)
• Specimen Title Insurance Policy (pdf)
• Utility Confinement Release Letter (docx) 4/25/2023

Conservation Planning, Implementation & Reimbursement Forms

• Conservation Plan Workbook (xlsx) 11/1/2024
• Practice Implementation Reimbursement Request (PIRR) (pdf) 11/18/2024
  • PIRR Guidance (pdf)
• Practice Implementation Request for Funding (PIRF) (pdf) 11/18/2024
  • PIRF, Conservation Plan Amendment, and Enhancement Guidance (pdf)

Easement Site Inspection, Compliance & Ownership Change Forms

• Site Inspection Form (docx)
• Ownership Change Form (pdf) 4/11/2023
• Corrective Actions Plan (pdf) 9/4/2025
  • Corrective Actions Plan Guidance (pdf)
  • Corrective Actions Plan Letter Example (pdf)

SWCD Reimbursement Forms

• Cost Reimbursement Request (pdf) 9/25/2025