R&D Revenue Grant Claim Checklist

R&D REVENUE GRANT CLAIM CHECKLIST

Project No:

Details of person responsible for company claim Contact Name: Email Address:

Company: Telephone No: Date claim received by E.I. Address:

 Please complete details above and mark each box below to indicate that the required documents are enclosed.  Documents should be attached to the checklist in the order listed below.  Failure to submit any of the required documents will result in the claim being returned with the missing items marked.

The following should be submitted with your claim. Items Checked Required Documents Details Enclosed By E.I. Complete this form for each claim and attach documents Checklist Ensure you read the checklist carefully and submit all relevant documentation ERDF Checklist If your project is co-funded by European Regional Development Fund (ERDF) download and complete the ERDF Enter N/A if nor required Checklist from www.enterprise-ireland.com Claims may not need to be certified by an auditor. Independent Accountant’s Report Please refer to Step 3 of Claims Process to establish if certification is required for this claim. Completed on Company’s Headed Paper, download from Directors Statement www.enterprise-ireland.com R&D Revenue Grant Claim Form Download from www.enterprise-ireland.com Tax Clearance must be valid on submission & payment of grant claim. Please input PPSN/Tax Reference Number (TRN) & Tax Clearance Access Number (TCAN) for verification. Tax Clearance PPSN/TRN : ______TCAN : ______

Letter of Offer - Signed and dated acceptance of the Letter of Offer duly executed (if required for first claim only not already submitted) R&D Project Progress Report Download template from www.enterprise-ireland.com Some grant approvals have special or performance related Special Conditions – conditions included as a pre-condition of payment. Indicate to show you have Evidence of compliance with these conditions should be forwarded to forwarded these directly to DA your Development Adviser (DA) for clearance (the OR special/performance related conditions are specified in the Letter of Enter N/A if not required Offer – Schedule A) Enterprise Ireland endeavours to make all payments by Electronic Fund Transfer (EFT). Complete the Bank Details form and submit if Bank Details Form the details have not already been provided. The name of the bank account MUST be the same as the name of the grantee. Mark N/A if already submitted.

Version: 06/01/2016