The Department shall verify annually during Program participation, the participant’s compliance with: The Program Promissory Note; The Service Obligation Agreement; and Any subregulatory guidelines developed by the Department. A participant shall respond to annual verification by submitting all required documentation to the Department within 180 calendar days of request. The Department shall annually receive confirmation from the: Approved practice site that the participant provided services in the previous year and continues to practice at the practice site; and Lender institution that the participant has an outstanding education loan balance that is not in default. For a medical resident in their final year of medical residence, prior to the disbursement of award payment for the first obligation cycle, the Department shall: Receive confirmation from the residency training program that the participant is specializing in primary care; and Follow the same verification procedures stated in §§A and B of this regulation once service obligations by the participant commences. Failure to provide required reverification documentation to the Department will constitute a breach of agreement with the Department.