NRCS-CPA-13 Contract Review

U.S. Department of Agriculture
Natural Resources Conservation Service

NRCS-CPA-13
4/2005

CONTRACT REVIEW
1. Date:

2. Contract or Agreement No.:

4. County:

3. Program:

5. Name and Address

6. Progress in applying plan.

7. Revision of plan or modification of contract or agreement needed:

8. Need for technical assistance:

9. Land is still under control of the participant:

YES

NO

9a. If the answer to item 9 is NO, provide explanation:

10. Signature of Designated Conservationist
Signature: _______________________________________________

10a. Date: __________________

NONDISCRIMINATION STATEMENT
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, sex,
religion, age, disability, political beliefs, sexual orientation, or marital or family status. (Not all prohibited bases 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 Director, Office of Civil Rights, Room 326-W, Whitten Building,
14th and Independence Avenue, S.W., Washington, D.C. 20250-9410 or call (202) 720-5964 (voice or TDD). USDA, Natural Resources Conservation
Service is an equal opportunity provider and employer.