PROJECT CLAIM FORM

Project Title: Claim No.

PF number

Total Project Costs (from application) £Total match-funding (from application) £Total in-kind contributions (from application)

£

Total grant offer & % intervention from Partnership Fund (from application)

£ ( %)

Project Details

Claim Details

Approved activities / works

Invoice Refs (copies attached)

Costs incurred VAT (if being claimed)

Total costs for this claim £ £

Match-funding (this claim) £

In-kind contributions (this claim) £

Claim to Partnership Fund £

Signature & Date: