2. 

   2026 Agricultural Access Pass Program Application

   
   

   
   

   Thank you for your interest in the Agricultural Access Pass Program.

   The Humboldt County Sheriff’s Office of Emergency Services, Agricultural Commissioner’s Office and Planning & Building Department have established a program through the issuance of a Agricultural Area Access Pass, which may permit qualifying agricultural producers/cultivators and/or commercial livestock operators to gain emergency entrance to evacuation zones, or other restricted areas, to provide feed, water, medical treatment, and other care to large scale commercial livestock, and/or to tend to crops.

   Your application will be reviewed in the order received. Once your application has been reviewed, you will receive a separate email notifying you of your application status (approved, denied, appointment needed, or on hold pending additional information) and additional instructions. 

   In order to obtain your physical Agricultural Access Pass card, you can get your card during the in-person training on May 7, 2026. If your application is not processed by the day of the training, you can still complete the training, but you will need come to the Sheriff’s Main Station (826 4th Street, Eureka, CA 95501) to have your picture taken. Once your application is approved, we will call you to schedule an appointment.

   Should any information be omitted from your application, it may result in delays in processing.

   For information regarding the Agricultural Access Pass Program, including eligibility and authorization requirements, please visit the Humboldt County Sheriff's Office of Emergency Services website. 

4. Applicant Information

6. First Name*
7. Last Name*
9. Street Address*
11. City*
12. State*
13. Zip Code*
15. Applicant Phone Number*
16. Applicant Email Address*
18. Date of Birth*
    Date of Birth
19. Driver's License Number*
20. State Issuing Driver's License*
22. Upload a Photo of your Driver's License*

26. Company Information

28. Company Full Name*
30. Company Street Address*
32. Company City*
33. Company State*
34. Company Zip Code*
36. Company Phone Number*
37. Company Email Address*
39. Is the Owner and Applicant the same person? *

    1. Yes
    2. No
40. Owner's Name
42. Owner's Phone Number
43. Owner's Email Address

47. Criteria

    In order to qualify for a new Ag Pass card, the agricultural operation that you are affiliated with must meet the following three criteria. If you are unable to meet these three criteria your application will be rejected.

49. 1. Is your operation located within the State Responsibility Area (SRA) of Humboldt County? The SRA is recognized by the Board of Forestry and Fire Protection as areas where CalFire (or County Fire) is the primary emergency response area.*

    View the map to determine whether or not your property is within the SRA.

    1. Yes
    2. No
51. 2. Are you the owner, sole proprietor or employee of a bona fide agricultural operation?*

    1. Yes
    2. No

57. Agricultural Operation Qualifications

    In order to confirm that your operation is a bona fide Agricultural operation, please provide the following:

59. Primary Location (be as descriptive as possible, including, at minimum, an address): *
61. Map of primary location of business*
63. Parcel Number associated with your business.*
65. What type of agricultural pass are you applying for?*

    1. Traditional Agricultural Pass
    2. Commercial Cannabis Access Pass
67. Humboldt County issued Cannabis Cultivation Permit Number.

    REQUIRED

69. Humboldt County Agricultural Commissioner's Office-issued Operator Identification Number.

    REQUIRED - Provide Operator Identification Number OR Two (2) of the Following:

71. --OR--

    Two (2) of the following:

    1. A redacted "Schedule F" tax form
    2. Agricultural land lease documentation
    3. United States Department of Agriculture (USDA) Farm Services Agency (FSA) Farm Number
    4. California Department of Food and Agriculture (CDFA)Bureau of Livestock Identification registered brand
    5. Proof of membership in local industry association (e.g. Farm Bureau, Cattlemen's Association)
73. Redacted "Schedule F" Tax Form
74. Agricultural Land Lease
75. USDA FSA Farm Number
77. CDFA Bureau of Livestock Identification Registered Brand
78. Proof of Membership in Local Industry Association
80. Critical & Essential Activities to be performed:*

    Select up to two (2) of the following:

    1. Evacuate or Care for Livestock
    2. Provide Feed, Water, Medical Treatment and Other Care to Livestock
    3. Irrigating Crops
    4. Fueling Emergency Generators
    5. Support to First Responders
82. In-Person Training Schedule*

    You will need to attend an in-person training on May 7, 2026. There will be a morning session and an afternoon session, please pick one.

    1. Morning Session: 9 a.m. - 12 p.m.
    2. Afternoon Session: 1 p.m. - 4 p.m.

86. Agricultural Access Pass Terms and Conditions

    Each requester will agree to these terms and conditions of entry by signing a virtual attestation at the time of the initial application. 

    1. The protection of life is at all times the priority of the Humboldt County Sheriff’s Office and the Office of Emergency Services (OES).
    2. Access will not be permitted if conditions are unsafe – this will be determined daily by incident command personnel and the Emergency Operations Center will keep a daily updated list of which pass holders will be permitted entry by zone.
    3. All decisions made by OES and incident command personnel pertaining to the entry into a restricted area are based upon the protection of human life which shall be prioritized over agricultural production.
    4. Access is restricted to the date and time(s) identified to be safe by incident command personnel and Emergency Operations Center leadership, and will be limited to fulfilling the activity listed by the requester in the Application. 
    5. Requester acknowledges the inherent risks and hazards associated with accessing restricted areas subject to official road closure as the result of a local emergency.
    6. Requester acknowledges and understands that access to restricted areas is subject to orders of law enforcement, fire services, emergency services and the California National Guard. 
    7. Requester agrees that requester and any other individuals who access restricted areas will follow all orders of those agencies regarding entry and exit from the property. 
    8. Requester is solely responsible for the safety of those individuals included in this request and is solely responsible for any damage to property or equipment arising from restricted access. 
    9. Requester shall hold harmless, defend and indemnify the County of Humboldt and its agents, officers, officials, employees and volunteers from and against any and all claims, demands, losses, damages, liabilities, expenses and costs of any kind or nature, including, without limitation, attorney’s fees and other costs of litigation, arising out of, or in connection with, Requester’s access to the restricted area. 
    10. Requester is solely responsible for the actions or omissions of the requester, its officers, agents, employees, volunteers, contractors and subcontractors. 
    11. Requester understands and agrees, if access is granted it is only to the location and activities described by the requester in the Application form. 
    12. Requester further understands that access is limited to the direct route to and from the location listed by the requester. The requester, his or her officers, agents, employees, volunteers, contractors and subcontractors are not to stop, wander, loiter or otherwise meander from the location, or perform activities other than those specified by the requester. 
    13. Requester acknowledges that only one (1) vehicle will be granted access to restricted areas per access pass. 
    14. Failure to adhere to these terms and conditions will result in the revocation of access and may subject the requester, his or her officers, agents, employees, volunteers, contractors and subcontractors to criminal prosecution under California Penal Code section 409.5.
88. I have read and agree the terms and conditions of the Agricultural Access Pass Program.*

    By typing your name and date in this field and clicking the 'submit' button, you certify that you agree to the terms and conditions and all information and statements made herein are true to the best of your knowledge.

89. Date Signed*
    Date Signed

93. Your application it will be reviewed in the order received. Once your application has been reviewed, you will receive a separate email notifying you of your application status (approved, denied, appointment needed, or on hold pending additional information) and additional instructions. 

    Should any information be omitted from your application, it may result in delays in processing.

    For information regarding the Agricultural Access Pass Program, including eligibility and authorization requirements, please visit the Humboldt County Sheriff's Office of Emergency Services website. 

Leave This Blank:


95. 1. Receive an email copy of this form.
96. Email address

    This field is not part of the form submission.

97. Submit

* indicates a required field