Bushfire Relief and Recovery Campaign

Disaster Relief Form for the Request of Funds

This is an online version of the Disaster Relief Fund Request form that pastors can use to request funds for their disaster affected churches and communities.

Please fill out the form below to request disaster relief funds. If you have questions about how these funds can be spent, please email Kelly Crawford at kcrawford@nswactbaptists.org.au or call on 02 9868 9257. Funds are generally spent on food, fuel, utilities, mental and physical health needs, etc. We discourage giving funds away as cash and roughly limit the amount spent per family unit to $1000. Each church receiving funding will need to acquit these funds using a separate form that will be provided. A summary of how the funds were spent including any supporting documentation e.g. invoices will need to be submitted.
Name of Church*
Contact Person*
Contact Person's Position within Church*
Contact Person's Phone Number*
Contact Person's Email Address*
Amount Requested*
Bank Account Details for the Funds to be Deposited*
Account name, BSB, Account # (note must be an account in the church’s name)
Short description of proposed use of funds*
I declare that*
- The funds will be used as outlined above to directly assist disaster-affected families in hardship.
- Within 2 months of receiving the funds, the acquittal form that will be provided will be sent to Kelly Crawford at kcrawford@nswactbaptists.org.au and any unspent funds returned or a new request for funds submitted outlining how the remaining funds will be used. (Please contact finance@nswactbaptists.org.au for bank account details.)
- I am authorised to submit this document on behalf of the above-named church.
How we collect, hold, use and disclose information about you is important to us. The purpose of collection, holding, use and disclosure of the information is to fulfill the ministry and administrative functions of the Association. We also collect your information to facilitate your requests. Your individual information can be accessed by contacting the Privacy Officer, hello@nswactbaptists.org.au or write to Level 4, 5 Saunders Cl, Macquarie Park, NSW 2113. By submitting this form you consent to us using and disclosing your personal information and contacting you as described above. For further information, refer to our website https://www.nswactbaptists.org.au.

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