A participant's failure to comply with the Service Obligation Agreement and Promissory Note shall constitute a breach of agreement with the Department. A final year medical resident who fails to begin a service obligation at the start of the next obligation cycle following the completion of primary care residency training, shall be in breach of the Service Obligation Agreement and Promissory Note. Penalties for breach of agreement with the Department shall be stated in the Service Obligation Agreement and Promissory Note, and may include: Financial penalties dependent on the funding source of the award provided to the participant; The elimination of future eligibility for the Program; or Referral of the participant to the Maryland Board of Physicians for investigation of the participant's violation of breach of service obligation.