Healthcare Workforce Wellbeing Grant Program

Winter Retention and Surge Payment
Template B - Progress and reporting template

This program has been provided to health services to provide snacks and meals for staff prioritising those working on night shift and doing double shifts from 1 June 2022 to 31 December 2022. Funding will be provided in two instalments: August 2022 and October 2022. All health services will be required to submit this template to whwb@health.vic.gov.au on the following dates: Monday 19 September 2022 (triggers the second payment) and Monday 9 January 2023 (final report and acquittal).
Organisational information
Name of organisation*
Partner organisation/s (if relevant)
Organisational contact
Accountable Executive Officer*

First NameLast Name
Position *
Phone Number*
Email*
example@example.com
Program Contact Name*

First NameLast Name
Contact name*

First NameLast Name
Position *
Phone Number*
Email*
example@example.com

Winter Retention and Surge Payment