Government of Ontario: Ministry of Agriculture, Food and
Rural Affairs

Farm Unit Declaration Form

1. General Information

A Farm Unit as defined by the Nutrient Management Act, 2002, Ontario Regulation 267/03 (as amended) is the basis for a Nutrient Management Strategy and/or Nutrient Management Plan.

For each Farm Unit there is only one Nutrient Management Strategy and one Nutrient Management Plan.

The Farm Unit must include all land on the property where the nutrients are generated.

The Farm Unit may include other properties.

2. Contact Information Name of Farm Unit Operator
Legal Farm Name
911 Address (Street No., Street Name, RR, Lot, Concession, Township)
City/Town/Village
Province Postal Code
Telephone No. Home (incl. Area code)
Telephone No. Business (incl. Area code and ext.)
E-mail address
Operation Identifier (if previously assigned by Ministry)

3. Declaration

As the farm unit operator I declare that the facilities and property referred to in Table 1 comprise the entirety of this Farm Unit. I acknowledge the requirement to complete a Nutrient Management Plan and/or Strategy, and that such Nutrient Management Plan and/or Strategy shall include all of the lands identified on this form.

I hereby warrant that the information contained on this form is true, and that I have authority to complete this document.

Indicate the type of operation that this Farm Unit is in: (check one only)

Corporation (specify name below)
Division of a Corporation (specify name below)

Name of Corporation or Division of Corporation

Partnership (specify names and addresses of Partners below)
Sole Proprietorship (specify name and address of Owner below)

Names and Addresses of Partners or Name and Address of Owner

Name of Farm Unit Operator (please print)

Signature Date (yyyy/mm/dd)

Name of Witness (please print)

Signature Date (yyyy/mm/dd)

Table 1 Location and Identification of Land that is part of this Farm Unit

Give each farm a unique name that will also be used in the Nutrient Management Plan for this Farm Unit.
Be sure to list all roll numbers, concessions and lots that are related to this Farm Unit.

As seen in NMAN

1. Farm Name
911 Address

Roll Number
Upper Tier (county)
Lower Tier (township)
Geo Township (former township)
Concession
Lot
Tillable Area (include units - ha or ac)

Generator or Receiver (check any that apply) Generator Receiver