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Online Form - Community Quick Grant - Acquittal Form

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Must be completed within four weeks of the event / project completion. Acquittals that are incomplete, or fail to adequately recognise the Shire's contribution will be noted and may be considered when assessing future Shire grant applications.

Introduction

Navigate through the different form sections using the navigation on the left, or use the next/previous buttons located at the bottom of each step.

Save Your Progress

You have the ability to save this form and complete it at a later date. An email will be generated and sent to the specified address.

Clicking the next/previous button will automatically save your form.

Note: Incomplete forms are kept for a period of 336 hour(s), after this time the system will automatically delete your response.

Contact Details


Information

Please outline the key achievements of the project / event.


Budget

Please outline how the Shire of Wyndham East Kimberley Community Quick Grant funds were spent using the below Project Budget Template. Please include all details and upload the completed document.

Project Budget Template

Please note. Your total income should equal your total expenditure. 

***Any unused Community Grant funds must be returned with this acquittal report

Copies of all receipts over $100 must be attached. Please attach copies below:


Supporting Documents

Please return copies of any media releases, documentation produced, news article reports, statistics or photographs in support of your initiative.  Evidence must be provided of recognition of the Shire’s contribution as outlines in the organisation’s application.

Please upload attachments below:


Declaration

I declare that the grant provided by the Shire has been spent in accordance with the purpose and conditions for which it was granted

I declare that the financial statements provided are a true and accurate record of the transactions for this project / event.

I certify that the information submitted is a true and accurate report.


Validate and Submit Form