If you have any questions regarding this form, contact Steve Herdzina (sherdzina@lpsnrd.org) at the NRD Office (402) 476-2729. You must have JavaScript enabled to use this form. First Name Last Name Email Address Address Address City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP Code What is accurate to your situation? 1. I own the tract and make the nitrogen management decisions. 2. I own the tract, however the nitrogen management decisions are made by another person/entity. 3. Nitrogen fertilizer is not applied to this property. Certification I certify that the nitrogen management decisions are made by the individual(s) listed above for this property, that they will complete the nitrogen management certification requirements, and that I will notify the NRD if there are any changes. Submit Leave this field blank