Heritage Protection Fund - Grant Accountability Form

Please fill out this accountability form within one year of receiving a Heritage Protection Fund Grant.

The form is to be completed and returned before applying for any further grants.

Name of organisation (Required)
Contact person (Required)
Postal address (Required)
PO Box address
Phone (Required)
Email (Required)

Name of Item (Required)
Legal Description (Required)
Address/Location (Required)
Brief description of the item (Required)
Start date of project (Required)
Finish date of project (Required)

Amount received from the Heritage Protection Fund (Required)
Please give details of how money was spent by providing a detailed breakdown of what the money was spent on (Required) Alternatively you can attach this information in the 'Supporting' Details section.
A brief description of the benefits that have been achieved with these funds? (Required)

1. Name Signing authority (Required)
1. Position in organisation / title Signing authority (Required)
1. Date Signing authority (Required)
2. Name Signing authority (Required)
2. Position in organisation / title Signing authority (Required)
2. Date Signing authority (Required)

Supporting documents

Please provide copies of the following documents:

Please upload in either PDF, PNG or JPG formats.


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