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 firstname.lastname@example.org. If you have not agreed to hold grant funds on behalf of the applicant, please contact us as soon as possible. Name 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 a salary to staff employed by the organisation to facilitate the group. Date* MM slash DD slash YYYY Thank you.