GLAS Commonage Authorisation Form

• Published date: 01 October 2019

GLAS Auth COMM

Page 1 of 2

January 2015

Authorisation Form to Allow an Agent to Submit a GLAS Commonage Management Plan

Agent Agriculture Number _______________________________ Agency Number ________________________

Agent Name _________________________________________ Mobile Number __________________________

Have you contacted all the shareholders, listed in the commonage database, who made a claim on the commonage in

2014, seeking their participation in this Commonage Management Plan? Yes  No 

Agent Signature _______________________________________ Date ___________________________________

This form must be signed by all those who farm the below-named commonage and have agreed to draw up a

Commonage Management Plan (CMP) as part of the Green, Low-carbon, Agri-environment Scheme (GLAS). The

named advisor will have access to the GLAS online system in order to complete the CMP for the undersigned.

Commonage Name: ____________________________________ Commonage Identifier: ___________________

Applicant Details: To be completed and signed by the scheme applicants. This form must be completed by the registered owner(s) of the

Herd numbers or other Department identifiers. If any Herd number or other Department identifier is owned in joint names, all parties must sign this

form. Please use BLOCK CAPITALS. Incomplete or illegible forms will be returned, thereby delaying this registration process. Please use

additional forms as necessary for all the participants of the CMP.

Herd number* _______________________ Full Name ________________________________________________

Address _____________________________________________________________________________________

Herd number* _______________________ Full Name ________________________________________________

Address _____________________________________________________________________________________

Herd number* _______________________ Full Name ________________________________________________

Address _____________________________________________________________________________________

Herd number* _______________________ Full Name ________________________________________________

Address _____________________________________________________________________________________

Herd number* _______________________ Full Name ________________________________________________

Address _____________________________________________________________________________________

Herd number* _______________________ Full Name ________________________________________________

Address _____________________________________________________________________________________

*Herd number or other Department identifier

Liability, Indemnity Authorisation and Declaration

By signing this authorisation form we agree that the Minister for Agriculture, Food and the Marine shall not be liable for any direct or

indirect loss or liability to us resulting from the use by an agency/agent of the GLAS on-line application to submit a commonage

application on our behalf. Full responsibility for the data submitted online rests with the agency/agent and the client concerned.

We understand that the Department reserves the right to withdraw our access to this service where there is evidence of improper

use. Loss of GLAS payments may be incurred where it is found that we or our agent does not adhere to the terms and conditions

of the Scheme.