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STATEMENT OF NONPERFORMANCE (Certified Under Penalty of Perjury) PROJECT: PAYROLL PERIOD: to PAYROLL NUMBER: BENEFITS: Union Contractor Nonunion Contractor No Benefits Provided I, the undersigned
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How to fill out statement of non-performance

How to fill out a statement of non-performance:
01
Begin by clearly identifying the parties involved in the non-performance. This includes the name and contact information of the person or entity who failed to meet their obligations, as well as your own information as the person filing the statement.
02
Clearly state the nature of the non-performance. Provide specific details regarding what was expected to be done or delivered, and how it fell short of those expectations. Be objective and provide any relevant evidence or documentation.
03
Explain any attempts made to rectify the situation. If you have tried to address the non-performance through communication or other means, include these details in your statement. This can be helpful in demonstrating that you have made a genuine effort to resolve the issue before resorting to a statement of non-performance.
04
Describe the impact of the non-performance. Explain how the failure to meet obligations has affected you or your business. This can include financial losses, missed opportunities, or damage to your reputation.
05
Finally, state any desired remedy or action. Specify what you expect as a resolution to the non-performance, whether it is compensation, specific actions to be taken, or an alternative arrangement.
Who needs a statement of non-performance:
01
Businesses or individuals who have experienced non-performance by a contractor, supplier, or service provider. This can include situations where goods or services were not delivered as agreed upon.
02
Employers who have employees that consistently fail to meet their performance expectations. A statement of non-performance can be used as documentation for disciplinary actions or termination.
03
Individuals who have encountered non-performance in personal agreements or contracts, such as unpaid loans or breaches of agreement in rental contracts.
In summary, filling out a statement of non-performance requires clear identification of the parties involved, detailed explanation of the non-performance, communication attempts made, impact assessment, and a statement of desired remedy. This document is necessary for various parties who have encountered non-performance in business or personal agreements.
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What is statement of non-performance?
Statement of non-performance is a documentation that outlines the failure to meet certain expectations or obligations.
Who is required to file statement of non-performance?
The individual or entity who has failed to meet the obligations is required to file the statement of non-performance.
How to fill out statement of non-performance?
The statement of non-performance can be filled out by providing details about the specific obligations that were not met and the reasons for the non-performance.
What is the purpose of statement of non-performance?
The purpose of the statement of non-performance is to acknowledge and document the failure to meet certain expectations or obligations.
What information must be reported on statement of non-performance?
The information to be reported on the statement of non-performance includes details about the obligations that were not met, the reasons for the non-performance, and any relevant supporting documentation.
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