U.S. USDA Form usda-ccc-751
This form is available electronically.
U.S. DEPARTMENT OF AGRICULTURE
Commodity Credit Corporation
CCC-751
(02-28-05)
CROP INSURANCE AND/OR NONINSURED CROP DISASTER ASSISTANCE
PROGRAM (NAP) COVERAGE AGREEMENT
NOTE: The authority for collecting the following information is Pub. L. 108-324. 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 10 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 Military Construction Appropriations and Emergency Hurricane Supplemental Appropriations Act, 2005 (Pub L.
108-324) and 7 CFR Part 1479. 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 next two subsequent crop years, as applicable. In cases where the sales closing date has
passed prior to the date producers sign the Crop Disaster Program (CDP) Application, producers will be required to purchase coverage for the next two available crop
years. 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 2003, 2004 or 2005
disaster benefits plus interest as identified in this contract. RETURN THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE.
In accordance with Section 101 of Chapter 1 of Division B of the Military Construction Appropriations and Emergency Hurricane
Supplemental Appropriations Act, 2005, regarding eligibility for 2003, 2004 or 2005 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 agreement
does not supersede any previous requirements to purchase crop insurance. Insurable crops are those for which crop insurance is available
from USDA's Risk Management Agency (RMA). Non-insurable crops are all other crops for which benefits can be obtained under the
USDA's Non-Insured Crop Disaster Assistance Program (NAP). In any case in which an insurable crop shall become a non-insurable crop
or vice-versa the purchase obligations set out below shall change accordingly for the crop year involved.
1.
I understand that I have applied for the Crop Disaster Program (CDP), Virginia Crop Loss Program (VA-CDP) or North
Carolina Fruit and Vegetable Crop Loss Program (NC-CDP) benefits on at least one insurable crop that I elected not to
insure for the 2003, 2004 or 2005 crop year, as applicable. In return for 2003, 2004 or 2005 CDP, VA-CDP, or NC-CDP
benefits paid to me on the 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 next two subsequent years for such
crop(s). If the crop insurance sales closing date for the next crop year is within 30 days of the date I signed the CDP
application, I may choose to obtain the required coverage for the two crop years subsequent to the next crop year. In cases
where the crop insurance sales closing date has passed, prior to the date I sign the CDP application, I will be required to
purchase crop insurance for the next two available crop years for such crop(s).
2.
I understand that I have applied for the CDP, VA-CDP, or NC-CDP benefits on at least one noninsurable crop for which I
elected not to purchase NAP coverage. In return for my 2003, 2004 or 2005 CDP, VA-CDP, or NC-CDP benefits paid to
me on the noninsurable crop(s), I am required to purchase such NAP coverage for the next two subsequent years for such
crop(s). If the last day for obtaining NAP coverage is within 30 days of the date I signed the CDP application, I may choose
to obtain the required NAP coverage for the two crop years subsequent to the next crop year. In cases where the NAP
application period has passed prior to the date I sign the 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 crops 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 the CDP, VA-CDP, or NC-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 2003, 2004 or 2005 CDP, VA-CDP, or NC-CDP benefits. With respect to noninsurable commodities for which I
am applying for CDP, VA-CDP, or NC-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 basis apply to all programs.) Persons with disabilities who require alternative 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.