Form NRCS-CPA-1236. Assignment of Payment

Form NRCS-CPA-1236, titled "Assignment of Payment," is an official document issued by the U.S. Department of Agriculture's Natural Resources Conservation Service (NRCS). This form is utilized to facilitate the assignment of cash payments related to specified programs administered by the NRCS. The purpose of this assignment is to allow the assignor (participant) to transfer their entitlement to a payment to the assignee. The form gathers essential information from both the assignor and the assignee to complete the assignment process accurately and transparently.

Contents of Form: The form is divided into several sections to collect comprehensive information necessary for the assignment process.

Part A: General Information

• State and County: Specifies the state and county where the program contract is located.
• Participant's (Assignor's) and Assignee's Name and Address: Includes mailing addresses with zip codes.
• Tax Identification Numbers: Requires tax identification numbers for both the assignor and the assignee.
• Account Number: Designates an account number associated with the assignment.
• Assignee's Electronic Fund Transfer Information: Provides details for electronic fund transfers, including direct deposit account type (checking or savings), routing number, financial institution name, and address.

Part B: Applicable Program(s)

• Specifies the relevant program name, contract number, program year or payment year, contract item number(s), and the assigned amount.

Part C: Representation of Assignor and Assignee

• Outlines the terms and conditions of the assignment, including the requirement for completion by both the assignor and the assignee.
• Indicates that the assignment is only valid for payments issued by the NRCS for the specified program and contract.
• Sets the assignee's agreement to repay any excess amount beyond the assigned payment.
• Allows for revocation of the assignment by written request from the assignee.

Part D: Revocation of Assignment

• Provides a space for the assignee's signature and date to revoke the assignment.

Special Provisions Relating to Assignments:

• Offers additional explanations and provisions regarding assignments, including the filing process, handling of multiple assignees, application of payments, and revocation of assignments.

Privacy Act and Non-discrimination Statements:

• Explains the privacy implications of providing personal information and the protection of that information under the Privacy Act.
• States the non-discrimination policy of the U.S. Department of Agriculture.

Usage and Submission: This form is intended to be completed by both the assignor (participant) and the assignee. It is used to officially assign payment entitlements related to NRCS programs and contracts. The completed form must be filed in the appropriate NRCS office in the county where the relevant program contract is located.

The form is an essential tool for facilitating the proper assignment of payments and ensuring transparency and accuracy in the process. It reflects the commitment of the U.S. Department of Agriculture's Natural Resources Conservation Service to administer programs in a fair and accountable manner.