FUND EXPENSE CLAIM FORM

Please complete the form below if you would like to process an expense claim from your Named Fund at Australian Communities Foundation.

Where reasonable, Australian Communities Foundation allows Named Funds to pay or reimburse costs associated with the administration of the Fund.

If you would like assistance completing this form, please contact our Donor Services Team on (03) 9412 0412 or email admin@communityfoundation.org.au.

Date of request *

1. YOUR DETAILS

Fund name *If fund does not appear, choose 'Select Fund' from drop down list and type fund name in field below

Fund name (if not appearing in drop-down list)

Your name *

Email *

Are you a fund advisor? *

YesNoUnsure

Please contact our office on 03 9412 0412 or email admin@communityfoundation.org.au.

2. EXPENSE DETAILS

Requirements

Payment to supplier

If requesting a direct to supplier payment, please upload all invoices and receipts to be paid. At minimum, documents must contain an ABN and financial account information (account name, BSB and account number) to facilitate payment.

If the invoice/receipt does not have an ABN, a 'Statement by supplier' form will also be required.

Expense reimbursement

If you are reimbursing yourself for expenses paid on behalf of the fund, please upload all invoices and receipts paid and your financial account information (account name, BSB and account number).

Payment terms

Australian Communities Foundation endeavours to process all claims within 30 days of receiving a request (subject to approval and all documentation being received).

Payee *

Description of expense *

GST applicable? *

YesNo

Amount (GST inclusive) *

Invoices & Receipts *

Browse

Quantity

Additional expenses?

YesNo

Payee *

Description of expense *

GST applicable? *

YesNo

Amount (GST inclusive) *

Invoices & receipts *

Browse

Quantity

Additional expenses?

YesNo

Payee *

Description of expense *

GST applicable? *

YesNo

Amount (GST inclusive) *

Invoices & receipts *

Browse

Quantity

Please prepare an additional expense claim form if claiming more than three expenses.

3. ACKNOWLEDGEMENT

By signing and submitting this form, you acknowledge that you have read, understood and agree to the following:

That expenses incurred have a direct correlation to the administration of your fund.
All required documentation to facilitate payment has been provided and is true and correct.
Expense claims are subject to approval and the Trustee reserves the right to decline the request should expenses be deemed unreasonable.
The Named Fund Expenses and Reimbursements Policy

Signature *

Draw signature|Type signatureClear

Office Use Only

Fund balance at 30/06 previous year as per policy

Fund balance

Fund group

Pending grants

% of expenses after payment

Expenses reviewed by

Date reviewed

Additional notes (if applicable)

To be approved by

Additional notes by approver (if applicable)

Draw signature|Type signatureClear

Finance Use

Account code

Tax type on expense (1)

Tax type on expense (2)

Tax type on expense (3)