COVID-19 Service Continuity Supplies Fund — Declaration and Agreement


  • 1. Contact Details

  • 2. Declaration & Agreement

  • As a representative of my organisation:

    • I agree that my organisation will use the COVID-19 Service Continuity Supply Funds granted to purchase essential supplies requested in the grant application in order to protect the workforce (paid and volunteer) and continue to deliver essential community services in line with our COVID-19 Safety Plan.
    • I understand that minor changes to the approved supplies (as per the grant application) are acceptable, however if significant changes are required additional approval will need to be sought via TasCOSS prior to purchases.
    • I understand that TasCOSS can ask for the funding to be returned if the above is not fulfilled.   
    • I understand that TasCOSS is not responsible for/or liable for the supplies purchased.  
  • Date Format: DD slash MM slash YYYY
  • 3. Invoice

  • Please attach an invoice below for the full amount granted in your confirmation email, plus GST. Please ensure your invoice includes:

    • Name and address of the organisation
    • ABN
    • Total of the amount granted
    • Invoice number
    • Email address for remittance
    • Bank details (name of account, BSB number and account number)
  • Drop files here or