U.S. USDA Form usda-ccc-566
This form is available electronically.
CCC-566
U. S. DEPARTMENT OF AGRICULTURE
Commodity Credit Corporation
(06-17-03)
2001 AND 2002 CROP INSURANCE AND/OR
NONINSURED CROP DISASTER ASSISTANCE PROGRAM (NAP) COVERAGE AGREEMENT
NOTE: The authority for collecting the following information is Pub. L. 108-7. This authority allows for the collection of information without prior OMB approval mandated
by the Paperwork Reduction Act of 1995. The time required to complete this information collection is estimated to average 5 minutes per response, including the
time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information.
The authority for requesting this information is the Agricultural Assistance Act of 2003 (Pub. L. 108-7) and 7 CFR Part 1480. The information on this form will be used to
determine whether a producer has complied with the requirement to purchase crop insurance and/or Noninsured Crop Disaster Assistance Program (NAP) coverage for the
2003 and 2004 crop years. In cases where the sales closing date has passed for 2003, producers will be required to purchase coverage for 2004 and 2005. Providing this
information is voluntary; however, failure to execute this contract will result in a determination of ineligibility. In addition to the already published routine uses, this
information may be provided to other agencies, the IRS, Department of Justice or other State or Federal law enforcement agencies and in response to a court magistrate or
administrative tribunal. All information provided herein is subject to verification by the Commodity Credit Corporation or its agents. As provided in various civil and criminal
statutes, failure to provide true and correct information may result in civil suit or criminal prosecution, the assessment of penalties or pursuit of other remedies. As provided in
the applicable regulations, failure to purchase crop insurance as certified in this contract, may result in the refund of 2001 or 2002 disaster benefits plus interest as identified in
this contract. RETURN THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE.
In accordance with Section 202 of the Agriculture Assistance Act of 2003, regarding eligibility for 2001 or 2002 disaster assistance, I hereby
certify that I have read and understand the crop insurance and NAP coverage requirements as it pertains to the applicable box
checked. This statement of understanding shall remain in effect until the earlier of: (1) the year 2007, or (2) cancellation by the Department.
This agreement does not supersede any previous requirements to purchase crop insurance.
1.
I understand that I have applied for 2001 or 2002 Crop Disaster Program (CDP) benefits on at least one insurable crop that I
elected not to insure for the 2001 or 2002 crop year, as applicable. In return for 2001 or 2002 CDP benefits paid to me on
the 2001 or 2002 insured crop(s) that I elected not to insure, I am required to purchase crop insurance at a level of coverage
greater than the level available under catastrophic risk coverage, for the years 2003 and 2004 for such crop(s). In cases
where the 2003 and/or 2004 crop insurance sales closing date has passed, prior to the date I sign the 2001 and 2002 CDP
application, I will be required to purchase crop insurance for the next two available crop years for such crop(s). If crop
insurance is not available for such crop in the next two available crop years, I will be required to purchase NAP coverage for
the next two available crop years for such crop.
2.
I understand that I have applied for 2001 or 2002 CDP benefits on at least one noninsurable crop for which I elected not to
purchase NAP coverage. In return for my 2001 or 2002 CDP benefits paid to me on such 2001 or 2002 noninsurable crop, I
am required to purchase such NAP coverage for the years 2003 and 2004 for such crop(s). In cases where the 2003 and/or
2004 NAP application period has passed prior to the date I sign the 2001 and 2002 CDP application, I will be required to
purchase such NAP coverage for the next two available crop years. If crop insurance becomes available for such crop in the
next two available crop years, I will be required to purchase crop insurance at a level of coverage greater than the level
available under catastrophic risk coverage for the next two available crop years. Furthermore, with respect to NAP coverage,
I understand that I am required to file the required paperwork and pay the administrative fee by the applicable State filing
deadline as required by Section 196 of the Federal Agriculture Improvement and Reform Act of 1996.
3.
I understand that I have applied for 2001 or 2002 CDP benefits and that I purchased, in the case of insurable commodities,
crop insurance, and in the case of noninsurable commodities, NAP coverage, for all crops for which I am applying for 2001
or 2002 CDP benefits. With respect to noninsurable commodities for which I am applying for CDP benefits, I certify that I
filed the required paperwork and paid the administrative fee by the applicable State filing deadline as required by Section 196
of the Federal Agriculture Improvement and Reform Act of 1996.
1A. Producer's Name (Print):
2A. County Name and Address (Including Zip Code):
1B. Producer's Signature:
1C. Date (MM-DD-YYYY):
2B. County Telephone Number (Including Area Code):
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation,
and marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require altemative means for communication of program information (Braille, large print, audiotape, etc.)
should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 1400 Independence
Avenue, SW, Washington, D.C. 20250-9410 or call (202) 720-5964 (voice or TDD). USDA is an equal opportunity provider and employer.