CHF Form 8
CHF 2012 Allocation Revision Request Form
The CHF Technical Unit will compile all requests for the Humanitarian Coordinator’s final review and approval.
Requests sent directly to the HC will be delayed in processing.
For further CHF information please visit: http://www.unocha.org/sudan/humanitarian-financing or contact the CHF Technical Unit at
Instructions: For CHF Technical Unit:
Please submit this request to the CHF Technical Unit (Humanitarian AA/ UNDP Informed
Financing Section, OCHA Sudan) at firstname.lastname@example.org and copy :
email@example.com and firstname.lastname@example.org. Any major changes made to Sector Lead Informed
the original allocation as stipulated in the allocation tables must have the :
endorsement of the Sector Lead with final approval made by the CHF Database Date
Humanitarian Coordinator. Updated :
Website Updated By:
Date of Request
Has this revision request been endorsed by the Sector Lead? Yes No
Section 1 – Contact Details
Sector Lead’s Email:
Allocation Details of Original
Organization Name: Contact Name:
Contact Email: Contact Tel. No.:
Project Code: Date of Allocation:
States: Amount Allocated: US$
Allocation Details for New Recipient/Project (Complete only if funds are being reallocated to a new
Organization Name: Planning Region:
Project Title: Project Code:
Allocation ID (CHF TU to Amount
Section 2 – Revision Type
Type of Revision: Please indicate the type of revision being made to the original allocation.
Change in recipient project Change in location
Change in beneficiaries Change in budget
Significant change in activities Change in targets
Change in outcome/outputs Other Specify:
This section is for the approving official’s review.
Approved by Peter De Clercq, Humanitarian Coordinator a.i. Review Date
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Section 4 – Revision Description and Justification
Description and Justification of Requested Change to the Original Allocation
Please describe the requested changes to the original allocation and provide detailed background and justification for the proposed revision.
CHF revision requests have to be submitted to the Humanitarian Coordinator for any significant changes in the following allocation parameters:
major activities, implementation targets, location, allocation amount, recipient organization and/or recipient project, planning region,
To reallocate funds to a new project, please provide a detailed explanation for why the new project was chosen to receive the reallocation.
Please provide revision details in the revision table in section 5 of this document.
Remarks by OCHA Reviewer:
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Section 5 - Revision Details
Original CHF Allocation(s) Proposed Revised Allocation(s)
Details of the original CHF allocations (please insert information from original project application). Details on proposed revised allocations.
Org. Name: Amount (US$): $ Org. Name: Amount (US$): $
Contact Email: Contact Email:
Work Plan Telephone: Work Plan Telephone:
Project Title: Project Title:
Beneficiarie Men: Beneficiarie Men:
s: Women: s: Women:
Indicative Staff Costs Program Personnel Indicative Staff Costs Program Personnel
Budget: Contracts (SSAs, TAs) Budget: Contracts (SSAs, TAs)
Staff Costs – Staff Travel Staff Costs – Staff Travel
Training/ Workshops Training/ Workshops
Supplies and Commodities Supplies and Commodities
Vehicle operating /Maintenance costs Vehicle operating /Maintenance costs
Office Equipment and Communication Office Equipment and Communication
Other Administrative Costs Other Administrative Costs
Programme Support Costs (PSC) - 7% Programme Support Costs (PSC) - 7%
Audit costs Audit costs
1 If CHF funds are proposed allocated to a new project please submit an allocation matrix in addition to this revision form.
2 Implementation timeline
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