ACCOUNTABILITY FORM FOR COUNCIL FUNDING

ACCOUNTABILITY FORM FOR COUNCIL FUNDING

Accountability reports are required from all recipients of grants received from Hutt City Council.
Name of your organisation
Name of fund received
How much money did you receive?
What did you apply for funding for?
i.e. an event, an art project, etc.
Date funding grant was approved

Day Month Year
Date
How has the grant helped your organisation achieve its purpose/How your organisation benefited from the grant:
How many people benefited from this grant and how did Hutt City benefit?
How did you measure these benefits?
File Upload

Please provide receipts or legitimate supporting documentation e.g. bank statement/PAYE info.
Cancel of
Declaration

We solemnly declare that all details contained in this report are true and correct to the best of our knowledge and that we have the authority to provide this information on behalf of our organisation. (This report needs to be signed by two officeholders within the organisation e.g. Chair and Secretary.)
Officeholder #1 (i.e. Chair, Secretary, etc)

First Name Last Name
Email
example@example.com
Signature

Clear
Organisation
Position held
Today's date

Day Month Year
Date
Officeholder #2 (i.e. Chair, Secretary, etc)

First Name Last Name
Email
example@example.com
Signature

Clear
Organisation
Position held
Chair, Secretary, etc
Today's date

Day Month Year
Date
Note: Organisations that do not complete and return the accountability form will not be eligible for further funding through any of the funding schemes administered by Hutt City Council.
Should be Empty:

ACCOUNTABILITY FORM FOR COUNCIL FUNDING

Declaration