Instructions For CCC-852

LIVESTOCK INDEMNITY PROGRAM APPLICATION

2018 and Subsequent Years

This form is used by livestock producers to make application for program benefits for 2018 and subsequent calendar years for livestock death losses that occur due to adverse weather events or attacks by animals reintroduced into the wild by the Federal Government or protected by Federal law, including wolves and avian predators.

Do not make any entries on this web version of the CCC-852. It is provided on this web site for information only. Producers must visit their local Servicing Center Office for computer-generated version of CCC-852.

Fld Name / Item No.	Instruction
1	Enter State and County Code. This is the service center State and county responsible for the physical location State and county Office where the livestock death loss occurred.
2	Enter the calendar year the eligible loss condition occurred that caused the livestock death losses.
3	Enter County Office Name. This is the service center county office for the county where the livestock units are physically located.
4	Enter the application number. Note: This is an automated system assigned number.
Part A - Producer Information
5	Enter the name and address for the producer filing the notice of loss for the livestock unit provided in Item 6B.
Part B - Notice of Loss Multiple notices of loss may be entered in Part B if more than 1 eligible loss condition resulted in the loss of eligible livestock during the calendar year and/or more than one livestock unit in the physical location county suffers livestock death losses due to an eligible loss condition.
6A	Enter the notice of loss number. Note: This is an automated system assigned number.
6B	Enter the livestock unit number affect by the livestock loss. Note: Livestock unit numbers will be established in the NAP software according to paragraph 85.
6C	Enter the producers associated to the livestock unit entered in Item 6B.
6D	Enter the eligible loss condition that caused the livestock deaths. For final year end applications enter all eligible loss conditions in the calendar year in which losses are claimed.
6E	Enter the start date of the eligible loss condition listed in Item 6D. For final year end applications enter December 31 of the applicable calendar year in which losses are claimed.
6F	Enter the end date of the eligible loss condition listed in Item 6D. Note: This is not a required field.
6G	Enter the date the livestock losses due to the eligible loss condition listed in Item 6D, first became apparent to the producer.
7	Enter the physical location of claimed livestock at the time they died for the eligible loss condition. Include the name of the County where the claimed livestock were physically located at the time they died. Examples: Jones County, TX, Farm 100, or 1211 Bovine Rd, Cow Palace, TX.
8	Enter the current physical location of the livestock in inventory. Examples: Jones County, TX, Farm 100, or 1211 Bovine Rd., Cow Palace, TX.
9A	Producer or representative of producer may sign to indicate that livestock losses have occurred because of the eligible loss condition listed in Item 6 D and the losses occurred or were apparent to the producer on the dates listed in Item 6 G. Producer or producer representative may also file a “notice of loss” with the service center county office responsible for the physical location county office where the death loss occurred by any of the following alternative methods: · telephone · facsimile · e-mail. Enter the method by which the “notice of loss” was filed with the service center county office responsible for the physical location county office where the death loss occurred if the producer or producer’s representative did not sign in Item 9A. Note: Multiple “Notices of Loss” may be filed during the calendar year if: · multiple livestock units in the same physical location county office were affected by livestock losses due to an eligible loss condition; and/or · multiple eligible loss conditions caused livestock losses affecting the same livestock units during the calendar year.
9B	Signatory in Item 9A shall enter their title/relationship when signing in the representative capacity. If a producer and/or applicant is not signing in the representative capacity, this field should be left blank. If a producer/applicant is signing on behalf of themselves, it is acceptable to write “self”; however, it is not necessary.
9C	Producer or producer’s representative enters date they signed “Notice of Loss” or County Office employee enters date producer or producer’s representative reported “Notice of Loss” using 1 of the alternative methods in Item 9A.
10	No entry required. Producer certifies that all information in Part B is correct, whether personally entered by the producer or another party, and acknowledges receipt of a copy of this form.
Part C – County Committee Determination of Loss
11A	Enter COC signature.
11B	Enter date of COC action.
11C	CHECK ( ) “Approved” or “Disapproved”.
Part D – Application for Payment
12	Enter the notice of loss number, from Item 6A, that caused the livestock losses listed in Item 18.
13	Enter “YES” if the producer in Item 5 is a contract grower. Otherwise, enter “NO”.
14	For each livestock unit in the physical location county where the death loss occurred, enter livestock kind, type, and weight range for which the loss occurred. A list of eligible livestock by kind, type, and weight range is found in paragraph 43. An entry in this field is always required when there is a loss in a particular livestock kind, type, and weight range. For different livestock units in the same physical location county affected by the same eligible loss condition and same livestock kind, type and weight range, enter as separate line Items, for example as follows. Notice of Loss Number Unit Number Livestock Kind, Type and Weight Range 3 100 Adult Beef Cows 3 105 Adult Beef Cows For subsequent eligible loss conditions in the calendar year for the same livestock unit and same livestock kind,type and weight range, enter as separate line Items, for example as follows. Notice of Loss Number Unit Number Livestock Kind, Type and Weight Range 1 100 Adult Beef Cows 2 100 Adult Beef Cows For subsequent eligible loss conditions in the calendar year, if livestock recorded for a previous eligible loss condition move to a new weight range and livestock losses occur in the new weight range, enter as separate line items, for example as follows. Notice of Loss Number Unit Number Livestock Kind, Type and Weight Range 1 300 Nonadult Beef cattle under 400 lbs 2 300 Nonadult Beef cattle 400 lbs. or more.--*
15	Enter the producer’s share in the livestock losses listed in Item 18.
16	Only a required entry when both of the following conditions are met: · It is the first eligible loss condition in the calendar year for the livestock kind, type and weight range provided in Item 14; and · normal mortality death losses are being claimed in Item 19. For the livestock kind, type and weight range listed in Item 14, enter the number of livestock that were sold as of the earliest date normal mortality death losses are being claimed, in Item 19, before, on, or during eligible loss condition.
17	For the livestock kind, type and weight range listed in Item 14, enter the total number of eligible livestock in inventory for the livestock unit as of the beginning date of the eligible loss condition. This is only a required entry for the first eligible loss condition in the calendar year for the livestock kind, type and weight range listed in Item 14. This Item must be left blank for subsequent eligible loss conditions in the calendar year for the livestock kind, type and weight range listed in Item 14.
18	For the livestock kind, type and weight range listed in Item 14, enter the number of livestock lost due to the corresponding eligible loss condition listed in Item 6D. Note: This is a required field. For each eligible loss condition and livestock kind, type and weight range, enter the number of livestock that died due to the eligible loss condition provided in Item 6D. Important: For final year end applications for payment, if applicable, enter “0” in this Item. Example: On March 17, 2017, Producer A loses 10 adult beef cows due to a hurricane (first eligible loss condition in the calendar year – notice of loss number 1). October 1, 2017, Producer A loses 5 adult beef cows due to flood (second eligible loss condition in the calendar year for the livestock kind, type and weight range notice of loss number 2). Enter the number of livestock death losses on the manual CCC-852 as follows. Notice of Loss Number Livestock Kind, Type Number of And Weight Range Death Losses 1 Beef, Adult Cows 10 2 Beef, Adult Cows 5
19	For the livestock kind, type and weight range listed in Item 14, enter the number of livestock lost due to normal mortality, as follows: · for the first eligible loss condition in the calendar year for the livestock kind, type and weight range, listed in Item 14, enter the number of livestock that died because of normal mortality before, on or during the first eligible loss condition. · For subsequent eligible loss condition(s) in the calendar year for the livestock kind, type, and weight range, listed in Item 14, enter the number of livestock that died because of normal mortality after the previous eligible loss condition and before, on or during the current eligible loss condition. · For final year end applications, enter the number of livestock that died because of normal mortality after the last eligible loss condition in the calendar year for the livestock kind, type and weight range and by December 31 in which benefits are requested.
20	For each livestock kind, type and weight range, enter the number of livestock added to inventory between notices of loss, as follows: · For the first eligible loss condition in the calendar year this Item must be left blank. · For subsequent eligible loss condition(s), enter the number of livestock that were added to inventory (livestock purchased, born, added to weight range) after the previous eligible loss condition for the livestock kind, type and weight range, and before, on or during the current eligible loss condition. · For final year end applications, enter the number of livestock added to inventory (livestock purchased, born, added to weight range) after last eligible loss condition in the calendar year and by December 31 in which benefits are requested.
21	COC will enter the adjusted number of livestock on day before the eligible loss condition, if applicable. Notes: An entry is only required when COC determines a livestock inventory on day before the eligible loss condition different than the inventory certified to by the producer. The producer must be provided applicable appeal rights according to 1‑APP if an entry is entered in Item 21 and only after Parts I and J are complete.
22	COC will enter the adjusted number of livestock lost due to an eligible loss condition, if applicable. Notes: An entry is only required when COC determines the number of eligible livestock lost because of an eligible loss condition is different than the number of livestock certified to by the producer as lost because of the eligible loss condition. The producer must be provided applicable appeal rights according to 1‑APP if an entry is entered in Item 22 and only after Parts I and J are complete.
23	COC will enter the adjusted number of livestock lost because of normal mortality, if applicable. Notes: An entry is only required when COC determines the number of livestock lost because of normal mortality is different than the number of livestock certified to by the producer as lost because of normal mortality. The producer must be provided applicable appeal rights according to 1‑APP if an entry is entered in Item 23 and only after Parts I and J are complete.
Part E - Documentation of Beginning Inventory
24	Enter the type of supporting documentation provided by the producer to verify beginning inventory and enter the number of livestock supported by the documentation provided. Note: See paragraph 44 for examples of acceptable documentation that may provide verifiable evidence of livestock beginning inventory.
Part F – Documentation to Verify Sales and Purchases
25	Enter the type of supporting documentation provided by the producer to verify livestock sales and/or purchases and enter the number of livestock supported by the documentation provided.
Part G - Documentation to Verify Livestock Losses
26	Enter the type of documentation provided by the producer to verify livestock losses due to normal mortality and losses as a direct result of an eligible loss condition. Enter the applicable number of livestock supported by the documentation provided. Note: See paragraph 44 for acceptable documentation for verifying livestock losses.
Part H - Similar Loss/Contract Growers
27	Enter the amount of monetary compensation received by the producer from their contractor for the loss of income suffered from the death of the livestock under contract (for contract growers only).
28	Enter amount of compensation received from other disaster assistance programs for the same livestock losses. Important: Include benefits received from any Federal or State established programs for the same livestock losses because of eligible attacks.
Part I - Producer Certification
29A - 29C	After reading the certification, the livestock owner or contract grower or representative signs and dates. Signatory in Item 29A shall enter their title/relationship when signing in the representative capacity. If a producer/applicant is not signing in the representative capacity, this field should be left blank. If an applicant is signing on behalf of themselves, it is acceptable to write “self”; however, it is not necessary.
Part J – County Committee Determination
30	Enter COC signature.
31	Enter date of COC action.
32	Enter a check in approved or disapproved box. Important: CCC-852 must be approved or disapproved as certified by the producer after applicable COC adjustment fields are completed. Provide appeal rights according to 1-APP if the application is either disapproved or if COC made adjustments to claimed losses.