ACCOUNTABILITY REPORT

Download the Accountability Statement.

We confirm that the funds received have been used for the purpose for which they were approved.

Accountability Report Date

Funds Received Date

Name of Organisation/Applicant

On behalf of my organisation/myself this is to advise that the grant of $

Was used for the purpose of (where appropriate please supply Financial details, photos etc. to support how the grant was expended.)

Responsible Officer

Supporting Document

Please combine all the supporting documents into one file.

Signed (to be signed by Responsible Officer)

Position

Until this duly completed form is received by the ŌCT, you will not be eligible for consideration for any further grants from the ŌCT.

Should your project not be completed on a timely basis, please supply an interim status report.

Please remember if your project does not proceed you must return your grant money to the ŌCT.

Please return via email to info@otoct.org.nz