Waste Minimisation Contestable Fund Accountability Form

All recipients must complete this form within one month of the end of the project.

Your details

First name

Last name

Email address

Contact phone number

Name of group

Project name

Date of project

Project information

Please give details of how the money was spent, showing both yours, other funding and the DCC contributions to the project.

Please download this worksheet and enter the Project Costs and Income into the worksheet. Transfer the Total Project Costs (A) and Total Project Income (B) figures into the fields below.

Waste Minimisation Contestable Fund Accountability Worksheet (Excel, 11kb, new window)

Save and name the worksheet with your organisation's name. Upload the completed worksheet below.

Total project income (b)

Total project costs (a)

Money unspent (c)

Please provide details about the project or activities that were supported by the funding. Explain what was successful, and what didn’t work so well.

Briefly describe the highlights of your project, including the number of participants

How do you feel the project benefitted your community?

Receipts and declaration

(Files may only be of .doc, .docx, .jpg, .jpeg or .pdf type and no larger than 2MB in file size.)

Waste Minimisation Accountability Worksheet *(required)

Please attach receipts detailed in the Accountability worksheet.

Project costs - receipts (1) *(required)

Project costs - receipts (2)

Project costs - receipts (3)

Project costs - receipts (4)

Please attach photos, flyers or advertisements of the event. As the photos may be used by the DCC for promotion purposes, please make sure you have permission from any people in photos.

Photos, flyers or ads of the event (1)

Photos, flyers or ads of the event (2)

Photos, flyers or ads of the event (3)

Additional information (1)

Additional information (2)

Declaration

Declaration *(required) I declare that all details contained in this report are true and correct to the best of my knowledge and that I have the authority to provide it on behalf of my organisation.

Privacy Statement

We collect information from you, including your name, contact information, and the details of your organisation and the project that you received a grant for. If you do not provide this information, you may be asked to pay back the grant.

We store your information in a secure, centralised location and only use it for the purposes outlined in this accountability form. Please note that we publish and share all the details of applications, decisions and information you provide to us about the use of the grant. We don’t publish your phone number and email address.

You have the right to ask for a copy of any personal information we hold about you, and to ask for it to be corrected if you think it is wrong. If you’d like to ask for a copy of your information, or to have it corrected, please contact us at dcc@dcc.govt.nz, or write to 03 477 4000, or PO Box 5045, Moray Place, Dunedin 9058, New Zealand.

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