Please include the following documents with your Grant Financial Acquittal Statement:

Copies of proof of payment For an example of $0 balance invoice or invoice and payment receipt please refer to our FAQ section - Grants and funding | City of Charles Sturt
Progress is not able to be saved, please ensure before you begin filling in this form that you have all your documents handy and ready to upload including but not limited to any marketing materials (print or online) you created for your project, relevant participant feedback or comments, any digital media advertising as screenshots, and photos from your project or event. Provide a min. of 2 photos, if you have over 10 photos please contact your grant manager. Any marketing materials (print or online) you created for your project, relevant participant feedback or comments, any digital media advertising as screenshots, and photos from your project or event. Provide a min. of 2 photos, if you have over 10 photos please contact your grant manager.

Part of your funding agreement is to complete the feedback survey – please click on the link below relevant to your grant stream.

Supporting Documents * (including receipts, marketing materials, photos and any other supporting document to demonstrate expenditure of your grant funding as per agreement.)

Select the plus icon to add a new row. To delete your row, select the row by clicking the box and delete by selecting the minus icon. Please note that the title of each attachment needs to be different.

Project/Business Name *

Applicant Name *

Applicant Email *

Grant Received *

Expenditure

Select the plus icon to add a new row. To delete your row, select the row by clicking the box and delete by selecting the minus icon. Please note that the title of each attachment needs to be different.

Item description* (eg Marketing, printing, wages, social media advertising etc)

Amount*

Proof of Payment*
(Please attach receipt or a $0 balance invoice clearly demonstrating payment) Help

Yes

No

TOTAL EXPENDITURE $

0

Income

Select the plus icon to add a new row. To delete your row, select the row by clicking the box and delete by selecting the minus icon. Please note that the title of each attachment needs to be different.

Item Description* - (eg. Ticket sales, other grant income, sponsorship, bar sales and other related income.)

Amount*

TOTAL AMOUNT $

0

Total Income Minus Expenses

CITY OF CHARLES STURT GRANT INCOME $

OTHER INCOME $

EXPENDITURE $

TOTAL PROFIT/LOSS $

0

If you are having difficulties or need any assistance with any part of this form or acquittal process and/or are unable to complete please get in touch with your grant manager and discuss.

Declaration *

I have completed the survey or Grant Evaluation relevant to the funding stream grant I received. *

I have uploaded all financial and supporting documentation including receipts relevant to the grant. *

The information contained in this Grant Financial Acquittal Statement is, to the best of my knowledge, true and correct *

I understand that any omission or false statement may result in the City of Charles Sturt taking action to recover any funds not spent in accordance with the conditions under which funding was provided *

Privacy Policy *

By submitting this form, I consent to the City of Charles Sturt collecting, retaining and using my personal information provided in line with Council's Privacy Policy.

I accept this Privacy Policy *

Grant Funding Acquittal Statement

Grant Funding Acquittal Statement

Supporting Documents * (including receipts, marketing materials, photos and any other supporting document to demonstrate expenditure of your grant funding as per agreement.)

Expenditure

Item description* (eg Marketing, printing, wages, social media advertising etc)

Amount*

Proof of Payment*
(Please attach receipt or a $0 balance invoice clearly demonstrating payment) Help

Income

Item Description* - (eg. Ticket sales, other grant income, sponsorship, bar sales and other related income.)

Amount*

Total Income Minus Expenses

Declaration *

Privacy Policy *

Grant Funding Acquittal Statement

Grant Funding Acquittal Statement

Supporting Documents * (including receipts, marketing materials, photos and any other supporting document to demonstrate expenditure of your grant funding as per agreement.)

Expenditure

Item description* (eg Marketing, printing, wages, social media advertising etc)

Amount*

Proof of Payment* (Please attach receipt or a $0 balance invoice clearly demonstrating payment) Help

Income

Item Description* - (eg. Ticket sales, other grant income, sponsorship, bar sales and other related income.)

Amount*

Total Income Minus Expenses

Declaration *

Privacy Policy *

Proof of Payment*
(Please attach receipt or a $0 balance invoice clearly demonstrating payment) Help