Assistance - Template

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Assistance ID:

Staff Assisting:

Program Type:

Contact:

Action Date:

Report

Attached Files/Reports

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
7/20/2010	After multiple attemps MMP is finally considered approved. Verification of County Receipt form and annual compliance fee form with appropriate fees is still required.	AfoLOADInsp-2-07/20/2010

Assistance Details:

Field Office Compliance - Assistance