MILK INCOME LOSS CONTRACT (MILC)
Producers use this form to offer to enter into a Milk Income Loss
Contract with the Commodity Credit Corporation (
Submit the original of the
completed form in hard copy or facsimile to the appropriate FSA servicing
office.
Features for transmitting the form electronically are
available to those customers with access credentials only. If you would like to establish online access
credentials with USDA, follow the instructions provided at the USDA eForms web
site.
Items 1 and 2, Item 4, and Items 21 through 24 are
for FSA Use Only.
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Fld Name / |
Instruction |
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3 Name of Dairy Operation |
Enter the name and address
of the dairy operation including Zip Code. NOTE: Separate contracts are required for each
dairy operation. |
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Item
4 is for FSA use only. |
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5 Date Contract Submitted |
Enter the date (MM-DD-YYYY) the contract is submitted
by the dairy operation. NOTE: Separate contracts are required for each
dairy operation. |
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6A through 6C Contact Producer’s Name,
Address, and Telephone Number |
Item 6A. Enter the contact producer’s name and
address including Zip Code. Item 6B. Enter the Contact Producer’s Telephone
Number including Area Code. Item 6C. Enter the Contact Producer’s Cell Telephone
Number including Area Code. |
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Part A – FY 2009- FY 2012 MILC Production Start
Month |
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7, 9, 11, and 13 Start Month Selections |
Enter a checkmark in the
appropriate box to designate which month in each applicable FY the dairy
operation would like to begin receiving payments from CCC based on the
selected start months’ production. Note: The dairy operation can select either the month
CCC-580 is submitted, or any month that follows the month CCC-580 is
submitted in FY that has not begun or has not passed, and that selection must
be made on or before the 14th of the month the dairy operation
wants to select. |
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8, 10, 12, and 14 Production |
Enter the pounds of
production for the applicable months for the appropriate months during FY
2009- FY2012, in the appropriate block. |
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Part B -
Participant Signature (s) |
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15 Producer’s Signature |
After reading the
participation statement and the CCC-580 Appendix, enter your signature if you
agree to all of the terms and conditions of the Milk Income Loss Contract,
CCC-580 and the CCC-580 Appendix. Enter the title/relationship of the individual
signing in a representative capacity. |
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16 Producer’s ID Number |
Enter the producer’s
9-digit taxpayer identification number. NOTE: Tax identification numbers may be social
security numbers, employer identification numbers, or individual taxpayer identification numbers. |
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17 Date of Signature |
Enter the date (MM-DD-YYYY) of the producer’s
signature. |
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18 Producer’s Share |
Enter each producer’s
share in the dairy operation. |
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19 Refuse Payment Indicator |
Each applicant must place
a checkmark in either the “YES” or “NO” box to indicate whether they would
like to receive MILC payments if applicable. |
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20 Production Evidence Certification |
Dairy operations must
check “YES” or “NO” to indicate
whether they authorize production evidence to be provided by the designated
milk cooperative or handler directly to their FSA County Office |