This form must be completed by, or on behalf of, an individual seeking reimbursement for completed NRCS Regional Conservation Partnership Program (RCPP) practices via the National Bobwhite and Grassland Initiative Foundation (NBGIF).
As the designated Alternative Funding Arrangement (AFA) agent, NBGIF requires this information to accurately document the landowner's identity and facilitate the secure electronic transfer of funds. This form collects personal and banking information for the individual who will receive program reimbursements directly using the Social Security Number or Taxpayer Identification Number identified in Section A.
The information provided on this form is used exclusively to:
Note: Payment eligibility and the final reimbursement amount are contingent upon the successful completion and certification of the conservation practices as outlined in your RCPP contract.
Note: This information must match the listed Farm Service Agency (FSA) record and cannot be modified.
Use the provided link to download the IRS W-9 form: Download IRS Form W-9
Complete all required fields.
Enter the SSN or EIN for the individual or LLC receiving payment.
Sign, date, and upload the completed form.
Notes: • Handwritten forms are also accepted. Print and complete the form by hand and upload a picture of it below. • All W-9 information must match the listed Farm Service Agency (FSA) record and cannot be modified. W-9 Completion (Required) Please complete and sign the W-9 below. This form must be filled out in full and signed before submitting this contract.
• Handwritten forms are also accepted. Print and complete the form by hand and upload a picture of it below.
• All W-9 information must match the listed Farm Service Agency (FSA) record and cannot be modified.
By signing this contract, you agree that the individual/LLC names provided are in good standing with Farm Services Agency (FSA). Further, you also agree that the information provided will ultimately be the recipient of the contract payment. NBGIF is unable to change the payment recipient or the designated account once this contract is signed. Any modification that does not match your FSA farm record nullifies this contract and a new application to the RCPP will need to be pursued.