Plan (check one):	VACS	EQIP	CREP	CRP	Other	Date Submitted:
Practice Code(s) (if applicable):	Recommended Completion Date:
SECTION 1 – Tract Information
Tract Number:	Cost-Share No.:
Parcel:	Parcel Size:
Parcel Location:
Do you have a multi-resource forest management plan?	Yes	No	Plan Date:
SECTION 2 – Applicant Information
Last Name:	First Name:
Mailing Address:
City:	State:	Zip:
Home Phone:	Work Phone:
E-mail:	Cell Phone:
SECTION 3 –Management Objectives and Information
Landowner’s Management Objectives:
Description of Existing Conditions:
Recent Management Activities (if any):
SECTION 4 – Management Prescriptions (Attach a plan addendum if you need additional space for prescriptions)
Tree Planting:	(Hardwood seedlings must be ¼ inch in diameter or 18 inches tall.)
Site Preparation:
Tree Species:
Trees Per Acre:	Spacing:	X
Required Amenities (if any):	Shelters:	4’	5’	Bird Nets	Other
Planting Prescriptions:
Prescribed Maintenance:
Forest Stand Improvement:
Pine Release	Invasive Species Control	Hardwood TSI	Prescribed Burn	Critical Area
Specific Prescriptions:
Other Practices:
Identify Practice(s):
Specific Prescriptions:
Identify Practice(s):
Specific Prescriptions:
Identify Practice(s):
Specific Prescriptions:
SECTION 5 – DOF Forester Approval and Contact Information
DOF Forester Name (Print)	DOF Forester Signature	Date
Mailing Address:
City:	State:	Zip:
Work Phone:	Cell Phone:
E-mail: