Acquittal form

Community Support Program Acquittal Form

This form must be submitted within three months of the project/event completion (see section 7 of our Sponsorship guidelines).

The information provided in this form accounts for the use of funds and demonstrates funding has been used for the purpose it was provided under the Funding Agreement.

If you have any questions when filling out this form, please contact us on 1800 050 500 or email communications@gippswater.com.au.

ORGANISATION DETALS: Name of organisation *

ABN

Address *

Email *

PROJECT DETAILS: Name of project/event *

Event target group/market *

Estimated number of attendees

Outline any changes which were made to the project/event as originally described in the sponsorship application and provide reasons for these changes *

Assessment of sponsorship – what went well?

Assessment of sponsorship – what could be improved?

How was Gippsland Water recognised as a sponsor? *

Media acknowledgement in print, radio or television

Placement of Gippsland Water logo on posters and marketing materials

Signage at event/on site reflecting Gippsland Water's support

Acknowledgement via website and/or social media channels

Acknowledgement at event by MC

Post event acknowledgement

Sponsor recognition: Attach copies of any media (e.g. newspaper articles) your project/event has attracted, photographs and promotional material (posters, flyers, etc.) *

We provided Gippsland Water with photographs with signed photo release forms from our project/event *

Yes

No

Outline how you believe the project/event has contributed to strengthening the community *

EVIDENCE OF FUNDING USE: Please attach documents ie tax invoices, receipts etc *

The information provided accounts for our use of funding provided from Gippsland Water, demonstrates that the funding has been used for the purpose it was provided for and in accordance with our Funding Agreement. *

Yes

SHARE YOUR EXPERIENCE (OPTIONAL): Tell us about your experience with Gippsland Water's Community Support Program or anything else you'd like to say.

Name *

Position *

Date *

Phone *

DECLARATION *

I declare that the information provided in this form is true and correct and that I am authorised to provide this information on behalf of my organisation.

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