INFORMATION ABOUT ACCOUNTABILITY FORM

This accountability report including receipts is due 2 weeks after the completion of your project/event. Failure to provide this report will result in future applications being automatically declined.

Note: Trustees may request receipts if not provided.

DISCLAIMER: The collection and use of the information provided as part of the grant application process is for the purpose of carrying out grant services. All information is stored securely and in accordance with our Privacy Policy and Privacy Statement. For more information or to report a suspected breach please contact our Privacy Officer at privacy@wyat.co.nz.

ACCOUNTABILITY FORM

Accountability Form
GRANT RECIPIENT'S NAME:
GRANT RECIPIENT'S NAME:

Maximum file size: 104.86MB

MEDIA & PUBLICITY RELEASE AGREEMENT: I grant WYAT permission to use the information and images provided in this accountability form for media and promotional purposes.