NC CSPs Contract Cancellation Form

Cancellation Form Instructions

1) Please note all items are required.

2) Enter only the county name under District.

3) Enter the applicant name as it appears on the contract.

4) When the form is submitted, you will receive an email from Formsite. You MUST save the email and upload it under the reference materials section of the applicable contract before it can be processed. This is the validation step to ensure contracts are not accidentally cancelled.

NOTES:

1) If you submit the form and do not get an email response from Formsite, double-check the email address you entered for errors and, if it is correct, please contact your county email contact to have the Formsite address whitelisted. Contact Lisa Fine to get a copy of the email.

2) You do NOT need to put the contract in REVISION status to upload the the form.

District *

Program *

Contract Number (one per entry) *

Applicant Name *

Best Management Practice(s) *

Technical Representative *

Email Address *

Reason for Cancellation *

Contract complete - cancel remaining funds. ONLY required if the RFP cancel remaining funds box is NOT CHECKED.

Cooperator/representative requested contract be cancelled - provide explanation in Comments box.

Cooperator did not complete 1/3 of the work in the first 12 months after division approval and did not request a 6-month extension from the board.

Cooperator requested a 6-month extension and it was granted by the board but the cooperator failed to complete 1/3 of the work in that time.

Cooperator requested but was not granted a 6-month extension from the board.

Other - provide explanation in Comments box.

Comments *

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