Farm Safety Grant Report

Farm Safety Grant Report

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1 Project Information
2 Financial Report
3 Invoices
4 Signatures
Project Information
What was the Primary Target Audience for the Project?Please pick the top one or two only
Top Farm Safety Injuries Addressed by the ProjectSelect all that apply
Financial Report

You may either fill out the information below or attach a completed budget sheet.

Revenue

Total Revenue: $[(field16)+(field17)+(field18)+(field70)]

Expenses

Total Expenses (Excluding GST): $[(field19)+(field20)+(field21)+(field22)+(field23)+(field24)+(field25)+(field26)+(field27)+(field41)+(field42)]

Invoices

Invoices of all expenses are required in order to receive your reimbursement. Please attach all invoices to your report. If you are having issues attaching your invoices, you may email them directly to nathan@albertaagsocieties.ca.

Confirm Totals

Total Expenses (Excluding GST): $[(field19)+(field20)+(field21)+(field22)+(field23)+(field24)+(field25)+(field26)+(field27)+(field41)+(field42)]

Signatures

Two officers of your organization must sign this. If you are unable to obtain the e-signature of two officers, you may upload a scanned copy of the signature of either one or both officers at the bottom of this page. A signature template can be downloaded by clicking here.

Officer 1

SignatureI declare that the information I send in this report, plus the attached lists and financial reports are complete and accurate. I have signing authority for this organization
(Sign Here)
Clear Signature

Officer 2

SignatureI declare that the information I send in this report, plus the attached lists and financial reports are complete and accurate. I have signing authority for this organization
(Sign Here)
Clear Signature
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