1
Recording
State
|
Enter the producer’s
recording state.
|
2
Program
Year
|
Enter the applicable
program year.
|
3
Recording
County
|
Enter the producer’s
recording county.
|
4
Application
Number
|
Application Number will
be assigned by the automated system.
|
Part A
Producer
Agreement
|
For Informational
Purposes
Applicants
who are an individual person must complete automated CCC-902 or
manual CCC-902, agree to the information and complete the forms
referenced in Part A, and B, and provide name, address, taxpayer
identification number, and citizenship status. An individual
who is not a U.S. resident or lawful alien must also report
contributions of labor, capital, and land contributions to the
farming operation.
Applicants
who are a legal entity, including General Partnership or Joint
Venture, must complete automated CCC-902 or manual CCC-901 and
provide the name, address and taxpayer identification number for
the legal entity and all members, partners or stockholders with
an ownership interest. If any member, partner or stockholder is
not a U.S. resident or lawful alien, CCC-902 must be completed
to report contributions of labor to the legal entity.
|
Part B – Producer Information
|
5
Producer’s
Name, Address (City, State, and Zip Code), and Phone Number
(Including Area Code)
|
Enter the producer’s
name, address, including the ZIP code, and phone number
including area code.
|
Part C – Dairy/Egg Production Information
|
6
Commodity/Unit
of Measure
|
Displays the specific
commodity and the unit of measure for that commodity’s
production such as pounds (LBS).
|
7
January
2020 Production
|
Enter the total January
2020 production, for dairy include dumped milk, in pounds (LBS).
|
8
February
2020 Production
|
Enter the total February
2020 production, for dairy include dumped milk, in pounds (LBS).
|
9
March
2020 Production
|
Enter the total March
2020 production, for dairy include dumped milk, in pounds (LBS).
|
10
COC
Adjusted Jan 2020 Production (COC
USE ONLY)
|
COC may enter the
adjusted January 2020 Production, if applicable.
Note:
An entry is only required when COC determines the January 2020
production is different than what is certified to by the
producer in Item 7.
|
11
COC
Adjusted Feb 2020 Production
(COC
USE ONLY)
|
COC may enter the
adjusted February 2020 Production, if applicable.
Note:
An entry is only required when COC determines the February 2020
production is different than what is certified to by the
producer in Item 8.
|
12
COC
Adjusted March 2020 Production (COC
USE ONLY)
|
COC may enter the
adjusted March 2020 Production, if applicable.
Note:
An entry is only required when COC determines the March 2020
production is different than what is certified to by the
producer in Item 9.
|
A
If
you are no longer producing milk, what is the latest date milk
was produced?
(MM/DD/YYYY)
|
Enter the last date milk
was produced for those producers applying that are no longer
producing milk.
Note:
if you ceased producing milk before July 1, 2020, you are
required to notify the FSA County office of the date you stopped
producing milk.
|
B
COC
Adjusted Last Date Milk was Produced
(COC
USE ONLY)
|
COC may enter the
adjusted last date milk was produced, if applicable.
Note:
An entry is only required when COC determines the last date milk
was produced is different than what is certified to by the
producer in Item A.
|
Part D – Non-Specialty Crop & Wool Information
|
13
Commodity
|
Enter the eligible
non-specialty crop or wool.
|
14
Unit
of Measure
|
Enter the applicable unit
of measure for the commodity entered in Item 13.
|
15
2019
Total Production
|
Enter the 2019 total
production from all farms entered for the commodity entered in
Item 13.
|
16
2019
Production Not Sold (as
of Jan 15, 2020)
|
Enter the 2019 production
from all farms, not sold, of non-specialty crops or wool to be
eligible to submit loss claim as of January 15, 2020.
|
17
COC
Adjusted 2019 Total Production
(COC
USE ONLY)
|
COC may enter the
adjusted 2019 total production, if applicable.
Note: An
entry is only required when COC determines the 2019 total
production is different than what is certified to by the
producer in Item 15.
|
18
COC
Adjusted 2019 Production Not Sold (as
of Jan 15, 2020)
(COC
USE ONLY)
|
COC may enter the
adjusted 2019 production not sold, if applicable.
Note: An
entry is only required when COC determines the 2019 production
not sold is different than what is certified to by the producer
in Item 16.
|
Part E – Livestock Information
|
19
Livestock
|
Enter the name of the
eligible livestock.
Eligible
livestock categories are:
Feeder
Cattle: < 600 lbs
(cattle weighing less than 600 pounds)
Feeder
Cattle: ≥ 600 lbs
(cattle weighing 600 pounds or more but less than "Slaughter
Cattle: Fed Cattle")
Slaughter
Cattle: Fed Cattle
(cattle weighing 1,200 pounds or more and are intended for
slaughter)
Slaughter
Cattle: Mature Cattle
(culled cattle raised or maintained for breeding purposes, but
which were removed from inventory and are intended for
slaughter)
All
Other Cattle
(commercially raised or maintained bovine animals not meeting
the definition of another category of cattle, excluding beefalo,
bison, and animals used for dairy production or intended for
dairy production)
Pigs:
< 120 lbs
(any swine weighing less than 120 pounds)
Hogs:
≥ 120 lbs
(any swine 120 pounds or more)
Lambs
& Yearlings: Less Than 2 Years Old
(all sheep less than 2 years old)
|
20
Unit
of Measure
|
Enter the applicable unit
of measure, for the livestock entered in Item 19. The unit of
measure for livestock is “Head”.
|
21
Sales
(Between
Jan 15, 2020 –
April
15, 2020)
of
Inventory Owned as of Jan 15, 2020
|
Enter the total sales
between January 15, 2020 and April 15, 2020, of owned unpriced
inventory as of Jan 15, 2020 for the livestock entered in Item
19, if applicable.
Note:
Offspring from owned inventory as of January 15, 2020 that were
sold between January 15 and April 15, 2020 are eligible.
|
22
Inventory
(Highest
Between April 16, 2020 – May 14, 2020)
|
Enter the highest owned
inventory between April 16, 2020, and May 14, 2020, for the
livestock entered in Item 19, if applicable.
|
23
COC
Adjusted Sales
(Between
Jan 15, 2020 –
April
15, 2020)
of
Inventory Owned as of Jan 15, 2020.
(COC USE ONLY)
|
COC will enter the
adjusted total sales between January 15, 2020, and April 15,
2020, for owned unpriced inventory as of Jan 15, 2020, and any
sales of offspring from owned inventory, if applicable.
Note: An
entry is only required when COC determines the total sales is
different than what is certified to by the producer in Item 21.
|
24
COC
Adjusted Inventory (Highest
Between April 16, 2020 – May 14, 2020)
(COC USE ONLY)
|
COC will enter the
adjusted owned inventory, if applicable.
Note: An
entry is only required when COC determines the inventory is
different than what is certified to by the producer in Item 22.
|
Part F – Aquaculture & Nursery/Floriculture
Information
|
25
Commodity
|
Enter the eligible value
loss commodity.
|
26A
Volume
of Inventory Sold (Jan 15,2020 – April 15, 2020)
|
Enter the total volume of
inventory sold between January 15, 2020 and April 15, 2020 for
the commodity entered in item 25.
Note:
For Aquaculture Commodities Only
|
26B
Value
of Inventory Shipped that Spoiled or went Unpaid (as
of April 15, 2020)
|
Enter the total value of
inventory shipped that spoiled or went unpaid from all farms as
of April 15, 2020, for the commodity entered in Item 25.
Note:
For Nursery/Floriculture Commodities Only.
|
27A
Volume
of Available Inventory
|
For crayfish only: Enter
the volume of inventory not sold as of April 15, 2020
For all other
aquaculture: Enter the volume of ready to market inventory
between January 15, 2020 through April 15, 2020.
Note:
For Aquaculture Commodities Only
|
27B
Value
of Inventory Not Sold (as of April 15, 2020)
|
Enter the value of
inventory not sold as of April 15, 2020 for the commodity
entered in item 25.
Note:
For Nursery/Floriculture Commodities Only
|
28A
COC
Adjusted Volume of Inventory Sold (Jan 15, 2020 – April
15, 2020)
(COC
USE ONLY)
|
COC will enter the
adjusted total volume of inventory sold between January 15,
2020, and April 15, 2020, if applicable.
Note: An
entry is only required when COC determines the total volume of
inventory sold is different than what is certified to by the
producer in Item 26A.
|
28B
COC
Adjusted Value of Inventory Shipped that Spoiled or Went Unpaid
(as of April 15, 2020)
(COC
USE ONLY)
|
COC will enter the
adjusted value of inventory shipped that spoiled or went unpaid,
if applicable.
Note: An
entry is only required when COC determines the value of
inventory shipped that spoiled or went unpaid is different than
what is certified to by the producer in Item 26B.
|
29A
COC
Adjusted Volume of Available Inventory
(COC
USE ONLY)
|
For crayfish only: COC
will enter the adjusted volume of inventory not sold as of April
15, 2020, if applicable.
For all other
aquaculture: COC will enter the adjusted volume of ready to
market inventory between January 15, 2020 through April 15,
2020, if applicable.
Note:
For Aquaculture Commodities Only
Note: An
entry is only required when COC determines the total volume of
inventory sold or volume of inventory ready to market is
different than what is certified to by the producer in Item 27A.
|
29B
COC
Adjusted Value of Inventory Not Sold (as of April 15, 2020)
(COC
USE ONLY)
|
COC will enter the
adjusted value of inventory not sold as of April 15, 2020, if
applicable.
Note: An
entry is only required when COC determines the value of
inventory not sold is different than what is certified to by the
producer in Item 27B.
|
Part G – Specialty Crops (COC Determination Not
Required)
|
30
Commodity
|
Enter the eligible
specialty crop.
|
31
Unit
of Measure
|
Enter the unit of measure
for the crop in Item 30.
|
32
Volume
of Production Sold (Jan
15, 2020 – April 15, 2020)
|
Enter the total volume of
production sold between January 15, 2020, and April 15, 2020,
for the crop in Item 30.
|
33
Volume
of Production Shipped that Spoiled or Unpaid (Jan
15, 2020 – April 15, 2020)
|
Enter the total volume of
production shipped that spoiled or went unpaid between January
15, 2020, and April 15, 2020, for the crop in Item 30.
|
34
Acres
with Production Not Shipped or Sold
(Jan
15, 2020 – April 15, 2020)
|
Enter the total number
per unit of output basis left in the field or harvested but not
shipped between January 15, 2020, and April 15, 2020, for the
crop in Item 30
|
35
AMS
Adjusted
Volume
of Production Sold (Jan
15, 2020 – April 15, 2020)
(AMS
USE ONLY)
|
Leave blank. AMS will
enter an adjusted number if application is selected for audit.
Note: No
action required by producer.
|
36
AMS
Adjusted
Volume
of Production Shipped that Spoiled or Unpaid (Jan
15, 2020 – April 15, 2020) (AMS
USE ONLY)
|
Leave blank. AMS will
enter an adjusted number if application is selected for audit.
Note: No
action required by producer,
|
37
AMS
Adjusted
Acres
with Production Not Shipped or Sold
(Jan
15, 2020 – April 15, 2020)
(AMS
USE ONLY)
|
Leave blank. AMS will
enter an adjusted number if application is selected for audit.
Note: No
action required by producer.
|
Part H – Increased Payment Limitation for
Corporations, Limited Liability
Companies, and Limited
Partnerships
|
38
A-C
Members
|
Enter the member/partner
or stockholder name(s) who provide 400 hours or more of active
personal labor or active personal management, or combination
thereof, to the farming operation identified in Part A, Item 5.
Note: Entry
only required to be completed by Corporations, LLC’s, and
LP’s.
|
Part I – Producer Certification
|
39A
Signature
(By)
|
Producer applying for
CFAP benefits must sign.
|
39B
Title/Relationship
of the Individual Signing in the Representative Capacity
|
Enter title and/or
relationship to the individual when signing in a representative
capacity.
Note: If
the producer signing is not signing representative capacity,
this field should be left blank.
|
39C
Date
(MM/DD/YYYY)
|
Enter the date the
AD-3114 is signed in Item 39A.
|
Part J – COC Determination – COC USE ONLY
|
40
Payment
Part
(COC
USE ONLY)
|
Displays the Payment
Parts – CARES and CCC.
|
41
COC
or Designee Signature
(COC
USE ONLY)
|
COC or their
representative’s signature.
Note: COC
must complete for both payment parts in Item 40.
|
42
Date
(MM/DD/YYY)
(COC
USE ONLY)
|
Date COC or their
representative signs the AD-3114.
|
43
Determination
(COC
USE ONLY)
|
Check ()
either “Approved” or “Disapproved” for
both payment parts in
Item 40.
Important: AD-3114
will be approved or disapproved as certified by the producer
after applicable COC adjustment fields are completed.
|