Notice of Crop Damage

NS Crop and Livestock Insurance Commission
NOTICE OF CROP DAMAGE

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Date: (mm/dd/yyyy)
Contract No.:
Name of Insured:
Email: (required)
Telephone No:
Mailing Address:
Location:
Indicate Crop:
Date Damaged: (mm/dd/yyyy)
Area Insured:
Area Damaged:
Ha Ac
Please indicate cause of damage:
excessive moisture
drought
hail
wildlife (no known control)
insect infestation
disease
winter injury		 adverse weather
snow
spring frost
fall frost
wind
unavoidable pollination
Describe damage briefly  

I HEREBY REQUEST PERMISSION TO: (Please signify your intention)

CONTINUE MY CROP TO HARVEST

A. I anticipate a claim and declare that I have some old crop stored on my farm as of this date. I request that this crop be measured. I expect to start harvesting on (mm/dd/yyyy).

B. My crop will not be completely harvested by the final harvesting date.

ABANDON OR DESTROY THE DAMAGED CROP

NOTE: COMPLETE PROOF OF LOSS FORM FOR THIS SECTION
A. RE-PLANT TO ANOTHER CROP
B. RE-PLANT TO THE SAME CROP
C. OTHER (specify):
     

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