CCC0036_eGov_05-28-21V01

Assignments of Payments and Joint Payment Authorization; Request for Waiver

CCC0036_eGov_05-28-21V01

OMB: 0560-0183

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Instructions For CCC-36
ASSIGNMENT OF PAYMENT
Producers (Assignors) may use form CCC-36 to assign payments under various
Commodity Credit Corporation (CCC), Farm Service Agency (FSA) programs, or
for Natural Resources Conservation Service (NRCS) programs. Farm loans,
commodity loans, farm storage facility loans, and purchase agreement proceeds are
not eligible for assignments.
Submit the original completed form in hard copy or electronically to the FSA
county office. DO NOT FAX. Retain copies for assignors and the assignee.
Producers (Assignors) and the assignees Participating in CCC and FSA programs
must complete Items 1 through 13, Items 18A-18C and 19A-19C and Items 24A – 24B
at the time this form is filed with FSA county office.
Part C Items 14 through 17, are for NRCS use only.
Use Part E upon revocation of the assignment, complete Items 20A – 20C
Items 21, 22, and 23 are for FSA County Office use only.
Field Name /
Item No.

Instruction

Part A - General Information
1
Agency Name
2
Producer’s
(Assignor's) Name
and Address
3
Assignee’s Name
and Address

Check box for applicable agency (Check only one box) – FSA or NRCS

4
Producer’s
(Assignor’s)
Tax Identification
Number

Enter the producer’s (assignor's) 9-digit tax identification number (TIN).

Page 1 of 5

Enter producer’s (assignor’s) name and address including Zip Code.

Enter the assignee’s name and address including Zip Code.

As of: 05-28-2021

Field Name /
Item No.
5
Assignee’s Tax
Identification No.

Instruction
Enter assignee’s 9-digit TIN (e.g.; enter the social security number when the
assignee is an individual OR enter the employer Tax ID when the assignee is a
company or a financial institution.
NOTES:
• Assignee must provide tax identification information to the County office.
• If the assignee wishes to receive payment by EFT, the assignee must
complete Block 6 of this form.
• If the assignee is a financial institution, the TIN must be used to identify the
type for a financial institution is "E" (E=employer ID number)
• The bank routing number is not acceptable as the TIN

6
Assignee’s
Electronic Fun
Transfer
Information

Enter the assignee’s electronic fund transfer information.

Part B – FSA Applicable Program(s)
7
Program
(FSA use only)

Select the applicable program category:
-

Agricultural Risk Coverage (ARC)
Price Loss Coverage (PLC)
(Make sure to write the type of cover for ARC: individual or County)
Conservation Reserve Program Annual Rent (CRP)
Coronavirus Food Assistance Program (CFAP)
Coronavirus Food Assistance Program 2.0 (CFAP)
Emergency Assistance Honeybees and Farm-Raised Fish (ELAP)
Livestock Forage Program (LFP)
Livestock Indemnity Program (LIP)
eLoan Deficiency Web Payment (eLPD)
Noninsured Crop Disaster Assistance Program (NAP)
Wildfires and Hurricanes Indemnity Program Plus (WHIP+)

8
Assigned Amount
of Each Applicable
Year

Enter the applicable program years and the total assignment amount for the selected
program category.

9
State, County and
Reference Number,
If Applicable

Enter applicable State, County, and Reference Number, if applicable. If the State
and County is not specified, the assignment will be applicable to all counties in
which the producer is associated. State, County, and Reference Number is
necessary only if the assignor expects multiple payments for the same program
category to be assigned to different assignees.

Part B – FSA Applicable Program(s) Continued
10
Other Programs
Name
(FSA use only)

Page 2 of 5

Enter the names of any other program code (s) not listed under Item 7.

As of: 05-28-2021

Field Name /
Item No.

Instruction

11
Contract Year
Crop Year
Program Year or
Payment Year

Enter the year of the applicable program year or payment year of the assigned
program name entered in item 10.

12
Assigned Amount

Enter the estimated amount of payment that benefits are to be assigned.

13
State and County
Reference Number
if Applicable

Enter the State, County, and Reference Number, if applicable. If the State and
County is not specified, the assignment will be applicable to all counties in which
the producer is associated. State, County, and Reference Number is necessary only
if the assignor expects multiple payments for the same program code to be assigned
to different assignees.

Part C – NRCS Use only
14 – 17

NRCS Use only

Part D - Representation of Assignor and Assignee
The producer (Assignor) and Assignee shall read the certification statement carefully.
NOTE: By signing both parties acknowledge and agree to the terms and conditions set forth in Part D.
18A-18C
Producer’s
(Assignor's),
Signature (By)

Ensure that the producer (assignor) or representative signs in Item 18A.

18B
Title/Relation of
the Individual if
Signing in
Representative
Capacity
18C
Date
(MM-DD-YYYY)
19A
Assignee’s,
Signature (By)

If Item 18A is signed by a representative, enter title/relationship to the producer
(assignor).

Page 3 of 5

Ensure that producer/representative enters the date.

Ensure that the assignee or representative signs in Item 19A.

As of: 05-28-2021

Field Name /
Item No.

Instruction

19B
Title/Relation of
the Individual if
Signing in
Representative
Capacity

If 19A is signed by a representative, enter title/relationship to the assignee.

19C
Date
(MM-DD-YYYY)

Ensure that assignee/representative enters the date in Item 19C.

Part E - Revocation of Assignment
The assignee must complete Part E to revoke an existing Assignment of Payment.
20A
Assignee's
Signature (By)
20B
Title/Relation of
the Individual if
Signing in
Representative
Capacity
20C
Date

Ensure that the assignee or representative signs in Block 20A.

If 20A is signed by a representative, enter title/relationship to the assignee.

Ensure that assignee/representative enters the date in Block 20C.

(MM-DD-YYYY)

Items 21, 22 and 23 are for FSA For County Office Use Only
21
Enter receiving State and County name and identification code,
Receiving State and
County
22
Date Filed

Enter the date that Form CCC-36, Assignment of Payment is filed.

(MM-DD-YYYY)

23
Time Filed

Enter the time that Form CCC-36, Assignment of Payment is filed

Page 3,
Special Provisions

Producer (Assignor) and assignee must read the Special Provisions Relating to
Assignments, and Privacy Act and Public Burden Statements on Page 3 of Form
CCC-36.

24A
FSA County Office
Name and Address

Enter the FSA County office name and address

Page 4 of 5

As of: 05-28-2021

Field Name /
Item No.
24B
Telephone Number
(Including area
code)
Copy of Form
CCC-36

Instruction
Enter the FSA County office telephone number

A copy of the CCC-36 shall be sent via e-mail to the applicable party as follow:
✓ County FSA Committee
✓ Assignee
✓ Participant

Additional Information
Assignee

An assignee is a person or entity to which the assignment of a payment is made.

Assignment

An assignment is the transfer of the right to receive a cash payment from an
assignor who is participating in FSA, NRCS, or CCC farm programs to an assignee.
•
•

Assignor

Page 5 of 5

An assignment of payment is executed on CCC-36 and must be filed in the
County FSA/NRCS Office making the payment.
Commodity Credit Corporation payment is made payable to assignee.

An assignor is any person who:
• Is eligible to receive a payment
• Assigns the payment to another party.

As of: 05-28-2021


File Typeapplication/pdf
File TitleInstructions for form CCC-36
AuthorBeverly Harold
File Modified2021-08-03
File Created2021-08-03

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