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
1/24/2018	Per note in file, Nicole application was incorrect for this site and should have been 2496 head. Paying extra indemnity and re sending MMP. No other penalty or fees as they are new sites and were supposed to be 2496 originally. Cleared with KH.	LOIS BENSON

Assistance Details:

Field Office Compliance - Assistance