Acquittal and Evaluation - Community Financial Assistance Program

1
Instructions to Applicants

Council requires feedback from organisations regarding the delivery of projects funded through the Community Financial Assistance Program.

It is your responsibility to:

- submit all forms within the agreed program timeframes

- provide Council with sufficient evidence to acquit the project

- keep all financial & operational records relating to the project for seven (7) years and produce them on request for audit purposes

- clearly acknowledge the support of Richmond Valley Council

- advise Council of any concerns with delivery of your project prior to expiry of project timeframes

Any questions regarding the project, funding or acquittal requirements can be directed to Marie Cullen, phone 6660 0300 or email marie.cullen@richmondvalley.nsw.gov.au

Completing the Report

Please note: Internet Explorer is being phased out and is no longer supported by many web-based applications, including this one. We recommend using another internet browser e.g. Google Chrome, Firefox, Safari or Microsoft Edge.

Navigating the form
You can click 'Next' or 'Previous' at the bottom of each question to move forward or backward through the report.
Also if you hover over the page number (below the progress bar at the bottom of the page), you can click on 'See All'. This will allow you to preview all the questions and navigate between questions.
All questions marked with * are compulsory. You are unable to submit your report unless all compulsory questions have been answered.

Saving your draft and returning later
If you need to exit your report at any time before submitting, please click the save icon (below the progress bar at the bottom of the page). The first time you do this, a pop-up window (see below) will appear asking you to login with google, facebook or create an account. Or you can click 'Skip Create an Account' at the bottom of the window, and enter your email address. You should then receive an email with a unique link to your form.

Please note, progress is not saved automatically, so make sure you click save each time before exiting.

Submitting your form
Please review your report before you submit it. Once submitted you will receive a confirmation email with a copy of your report.
2
Name of organisation/ group* This field is required.
3
Project title* This field is required.As listed in your Funding Agreement
4
Financial year funding was received* This field is required.Scroll down to find the correct financial year or select unsure.
Please Select
Please Select
2024/2025
2023/2024
2022/2023
2021/2022
2020/2021
2017/2018
Unsure
5
Round (if known)* This field is required.
Please Select
Please Select
Round One
Round Two
Unsure
6
Describe how the funds were expended* This field is required.What did you purchase with the funding or what activities did you deliver?
Huge
Large
Normal
Small
Ok
Ok
7
Was the project completed as outlined in your Funding Agreement?* This field is required.
YESNO
8
Was the project change approved by Council in writing* This field is required.
YESNO
9
Please provide more information on how your project differed and why.Organisations are required to seek Council approval prior to making any changes to the project. Please provide more information on your project, including: - How did the project differ from your original application? - Why was it necessary to change the project scope? - Why did you not obtain approval from Council? Note: failure to provide an adequate response to this question, may result in your organisation having to return the grant funding to Council.
Huge
Large
Normal
Small
Ok
Ok
10
Describe how this project has benefited your organisation* This field is required. What outcomes were achieved for your organisation? e.g. increased membership and improved safety.
Huge
Large
Normal
Small
Ok
Ok
11
Describe how this project has benefited the community* This field is required. What outcomes were achieved for your organisation? e.g. allows more local youth to safely participate in sport.
Huge
Large
Normal
Small
Ok
Ok
12
Total cost of your project* This field is required.
13
Total grant amount spent* This field is required.
14
Please upload evidence of expenditure* This field is required.This should include evidence of payment, for example copies of invoices and receipts
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
15
Please upload any other project related documentsFor example photos of your activity, materials produced as part of your project, acknowledgement of Council support or feedback from the community
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
16
Contact Details* This field is required.Please provide your contact details in case Council has any follow up questions
Full name of person submitting this report
Position of person submitting this report
Preferred email address
Preferred phone number
17
Declaration* This field is required.I confirm that the information and supporting evidence contained in this Report present the truth, fairness and accuracy of the project activities and outcomes as per the project's agreed scope of works.
Clear
Should be Empty: