Narrative:

Aircraft X was climbing to his requested altitude of 12;000 after departing runway 25 at fmn via fmn.rsk.v361.cez... He was approximately 2 miles north of the airport heading toward rsk (east bound). On initial call he reported leaving 6;800 for 12;000 requesting direct cez. Cez was northeast of his current heading. I radar identified him and I said 'provide your own terrain separation; you may proceed direct cez'. The mia in his area was 8;300 and the airport elevation was 5;500. I did not ask the pilot whether he could provide the required terrain separation until he was above the mia. This requirement was understood but intentionally excluded from the clearance. Weather in the area was non existent. Clear and no visibility limitations. There is a departure procedure (even though the aircraft was not assigned nor flying it) that follows the same track as the aircraft requested/flew until he would have been above the mia. The aircraft was 1;300 ft and climbing above the airport elevation with the nearest terrain 30+ miles northwest of his position and the assigned altitude of 12;000 was sufficient to clear. I know mia; the local terrain and procedures. I made a mistake with no excuses.

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Original NASA ASRS Text

Title: ZDV Controller described an event when IFR traffic departing FMN was not issued the published verbiage with regard to terrain clearance requirements.

Narrative: Aircraft X was climbing to his requested altitude of 12;000 after departing Runway 25 at FMN via FMN.RSK.v361.CEZ... He was approximately 2 miles north of the airport heading toward RSK (east bound). On initial call he reported leaving 6;800 for 12;000 requesting direct CEZ. CEZ was northeast of his current heading. I RADAR identified him and I said 'provide your own terrain separation; you may proceed direct CEZ'. The MIA in his area was 8;300 and the airport elevation was 5;500. I did not ask the pilot whether he could provide the required terrain separation until he was above the MIA. This requirement was understood but intentionally excluded from the clearance. Weather in the area was non existent. Clear and no visibility limitations. There is a departure procedure (even though the aircraft was not assigned nor flying it) that follows the same track as the aircraft requested/flew until he would have been above the MIA. The aircraft was 1;300 FT and climbing above the airport elevation with the nearest terrain 30+ miles northwest of his position and the assigned altitude of 12;000 was sufficient to clear. I know MIA; the local terrain and procedures. I made a mistake with no excuses.

Data retrieved from NASA's ASRS site as of April 2012 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.