Grant Provider Declaration Form

(For grants over £5,000)

Introduction

Thank you for considering supporting FFH.

To help our trustees review and accept your grant, we ask you to complete this short form. All information will be kept confidential and used only to ensure your grant aligns with our charitable purposes.

Section 1: Grant Provider Details

Are you providing this grant as:

An Individual

An organisation / company

A trust or foundation

Full name / organisation name:

Address

Phone

Email

If an organisation, trust, or company please confirm your registration number

First name

Last name

Position

Section 2: Grant Details

Grant Amount (£)

Is this grant:

One-Off

Multi-year / phased

Purpose of the grant / how the funds should be used:

Are there any restrictions or conditions attached?

No

Yes - if this is the case, please give details below

Please outline restrictions or conditions attached

Reporting or monitoring requirements (if any):

Section 3: Declaration

Please confirm the following:

I confirm the funds are from a legitimate source

I confirm the grant conditions are compatible with FFH’s charitable purposes

I confirm that acceptance of this grant will not bring FFH into disrepute

Name of authorised signatory

Date

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Section 4: Data Protection

FFH will process this information in line with UK GDPR. Your details will be used only for grant review and record-keeping and stored securely.