Financial Declaration This form may be lodged by email or mailed to your Grant Agreement Manager listed as DSS's contact officer for notices in your Grant Agreement. If lodging by email please send a scanned copy of the signed form. Please complete the following form with details of the schedule ID, name of the activity, financial year funding amount (GST Exclusive) and indicate any amount which has not been spent on the activity in accordance with the grant agreement. Social and Community Services (SACS funding) Additionally please indicate if your organisation receives SACS funding. Please also indicate if your organisation has not spent the full amount of the SACS funding below. Please note a separate SACS declaration is not required if this form is completed. Organisation Name Financial Year Amount of Funds carried Unspent and Funding SACS over from Uncommitted Unspent SACS Amount funding Schedule ID previous Funding from funding Please enter the received (as noted Activity ID financial year amount of funding this financial (Please enter GST Activity Name (Please enter on Grant (if known) (excluding GST Exclusive (Please enter GST year GST Exclusive Agreement) and SACS) $ amount Exclusive (Please enter GST $ amount received in this or nil) $ amount Exclusive or nil) financial year or nil) $ amount or nil) If more rows are required for this declaration, please add additional rows.
Financial Declaration This form may be lodged by email or mailed to your Grant Agreement Manager listed as DSS's contact officer for notices in your Grant Agreement. If lodging by email please send a scanned copy of the signed form. Please complete the following form with details of the schedule ID, name of the activity, financial year funding amount (GST Exclusive) and indicate any amount which has not been spent on the activity in accordance with the grant agreement. Social and Community Services (SACS funding) Additionally please indicate if your organisation receives SACS funding. Please also indicate if your organisation has not spent the full amount of the SACS funding below. Please note a separate SACS declaration is not required if this form is completed. Organisation Name Financial Year Schedule ID (as noted on Grant Agreement) Activity ID (if known) Activity Name Funds carried over from previous financial year (Please enter GST Exclusive $ amount or nil) Funding Amount Please enter the amount of funding (excluding GST and SACS) received in this financial year Amount of Unspent and Uncommitted Funding from this financial year (Please enter GST Exclusive $ amount or nil) SACS funding received (Please enter GST Exclusive $ amount or nil) Unspent SACS funding (Please enter GST Exclusive $ amount or nil) If more rows are required for this declaration, please add additional rows.
financial_declaration_-_multiple_activities_mar_2016_v1.3_2.docx