Financial Declaration Financial Declaration Step 1 of 2 50% Financial Declaration for Organisations Holding Grant Funds On Behalf of A Group You have been sent this form because a group is applying for a grant through CRCC and they have named you as an organisation that has agreed to hold funds on their behalf. If you would prefer us to email you a Word version, please contact us at email@example.com or call Sharon on 01872 243535. If you have not agreed to hold grant funds on behalf of the applicant, please contact us as soon as possible. Will you be holding grant funds on behalf of:*A mental health support groupA dementia support groupA carers support groupName of group*Name of organisation holding the applicant’s funds*Contact name*Job title*Organisation address*Contact number*Email* How do you know the applicant group?*Please confirm the bank details for the account into which grant funds should be paid if the applicant is awarded a grantBank or building society*Account name*Account number*Sort code*Please tick all boxes and sign below to confirm your agreement* The organisation named above agrees to hold any awarded grant funds on behalf of the named group The money will be ring-fenced for the applicant group’s use only and will not be spent on any organisation costs. I understand that I must provide information on the grant spend and include relevant receipts as part of the applicant’s Feedback Report as requested by CRCC. The money will not be used to pay staff employed by the organisation to facilitate the group. Date* Date Format: MM slash DD slash YYYY Thank you.