feas-claim-form by xiaopangnv

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									                                   Feasibility Study Grant Claim Form - Salaries, Wages and Overheads




For assistance on any aspect of your claim contact the Claims Help Desk on 01 727 2877 or grantadministration@enterprise-ireland.com
                                                                      Company & Project Details
Name of Company/Grantee:
Project Number:
Claim number: (1st, 2nd, 3rd Claim etc)
Section 1: Salary/Wages
Note: For each employee listed we will require 1) a payslip relating to the period of the claim and 2) a proof of payment i.e. bank statement. Salary/wages can only be
claimed for employees of the company. For start-up companies, where no salary/wages are being paid and no proof of payment exists you must enter the time and amount of
money being claimed and also submit a Salary/Wages declaration form (available on website). Each entry must be given an "Item No.". Please ensure that the
corresponding payslip and proof of payment are clearly marked with the item no. that it corresponds with.


 Item No.                   Employee Name                               Position/Function              Rate per Day/Week       No. of Days/Weeks       Amount Paid (€)




                                                                                                                           Total Salaries/Wages    €
If you need additional space print a new sheet and continue Item numbering.
Overheads (calculated as a percentage of Salary/Wages)
Note: Do not itemise overhead expenditure. No evidence of expenditure or proof of payment is required for overheads.            Total Overheads €
Overheads are calculated as a percentage of certified Salary/Wages. Please refer to your Letter of Offer to establish if you
have been approved overheads as part of your feasibility study grant.
                                             Feasibility Study Grant Claim Form - Consultancy Fees




For assistance on any aspect of your claim contact the Claims Help Desk on 01 727 2877 or grantadministration@enterprise-ireland.com
                                                                  Company & Project Details
Name of Company/Grantee:
Project Number:
Claim number: (1st, 2nd, 3rd Claim etc)

Section 2: Consultancy/Fees
Note: Max. 30 days per consultancy firm to include travel and subsistence and all out of office expenses. Max. Consultancy rate per consultancy firm of €900 per day for
days 1-20, €700 per day for days 21-30. Consultancy/Fees can only be claimed for non-company management/employee costs - Directors, shareholders and employee
time/costs cannot be claimed as consultancy. Each entry must be given an "Item No." Please ensure that the corresponding invoice and proof of payment i.e. bank
statement are clearly marked with the item no. that it corresponds with.

                                                                                                    Invoice      Invoice      No. of     Rate per
Item No.         Consultant/Service Provider Name                       Role/Function                                                                 Amount Paid (€)
                                                                                                      No.         Date.       Days         day




                                                                                                               Total Consultancy/Fees €
If you need additional space print a new sheet and continue Item numbering.
                                               Feasiblity Study Grant Claim Form - Travel and Subsistence




For assistance on any aspect of your claim contact the Claims Help Desk on 01 727 2877 or grantadministration@enterprise-ireland.com
                                                                      Company & Project Details
Name of Company/Grantee:
Project Number:
Claim number: (1st, 2nd, 3rd Claim etc)
Section 3: Travel and Subsistence
Mileage (Ireland & Overseas):
Mileage rate of 60c/km applies. Please insert journey length (km) in Travel Type column. Mileage rate is inclusive of fuel. Do not submit fuel costs/receipts.
Economy Airline/Ferry/Rail Travel Costs:
Please submit the ticket/e-ticket. No Proof of payment needed for e-tickets. Tickets must confirm an outward and return journey in order to calculate appropriate
subsistence for each journey. Airline tickets must state: name, destination, travel dates and price.
Economy Car Hire
Submit receipt/invoice and proof of payment. Mileage is ineligible on hire cars.
Subsistence Rates and how to calculate.
Daily Allowance Rate                  Ireland = €60            Overseas = €60            24 Hr Allowance Rate                  Ireland = €150           Overseas = €200
Subsistence Rates can only apply where a person is absent on business at a location more than 20 kilometres (overnights 80km) from their work base
Subsistence rate covers all out of pocket expenses including hotels, meals, taxis, parking, local fares, incidentals etc. N.B. Do not submit any invoices/receipts or proof of
payment for subsistence. Subsistence amount must tally with the Trip Information section.
                                Trip Information                                              Travel Expenditure               Related Subsistence for Each Trip
                                                                    Date of Travel        Travel Type (Mileage,     Travel                                    Subsistence
 Item No.        Employee Name         Destination & Purpose                                                                   No. of Days     Rate
                                                                  From             To      Tickets or Car hire)    Amount €                                   Amount €




                                                                                   Total Travel Amount €                       Total Subs Amount €
If you need additional space print a new sheet and continue Item numbering.
                                       Feasibility Study Grant Claim Form - Prototype and Materials




For assistance on any aspect of your claim contact the Claims Help Desk on 01 727 2877 or grantadministration@enterprise-ireland.com
                                                                   Company & Project Details
Name of Company/Grantee:
Project Number:
Claim number: (1st, 2nd, 3rd Claim etc)
Section 3: Prototype & Materials
Note: Each entry must be given an "Item No." Please ensure that the corresponding invoice and proof of payment i.e. bank statement are clearly marked with the item no.
that it corresponds with.
Item No.           Itemised Expenditure/Material                        Description                    Invoice No.             Invoice Date          Amount Paid (€)




                                                                                                                 Total Prototype & Materials €
If you need additional space print a new sheet and continue Item numbering.

								
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