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:

Ø  Please complete details above and mark each box below to indicate that the required documents are enclosed.

Ø  Documents should be attached to the checklist in the order listed below.

Ø  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.
Required Documents / Details / Items
Enclosed / Checked
By E.I.
Checklist / Complete this form for each claim and attach documents
Ensure you read the checklist carefully and submit all relevant documentation
ERDF Checklist
Enter N/A if nor required / If your project is co-funded by European Regional Development Fund (ERDF) download and complete the ERDF Checklist from www.enterprise-ireland.com
Independent Accountant’s Report / Claims may not need to be certified by an auditor.
Please refer to Step 3 of Claims Process to establish if certification is required for this claim.
Directors Statement / Completed on Company’s Headed Paper, download from www.enterprise-ireland.com
R&D Revenue Grant Claim Form / Download from www.enterprise-ireland.com
Tax Clearance / 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.
PPSN/TRN : ______TCAN : ______
Letter of Offer -
required for first claim only / Signed and dated acceptance of the Letter of Offer duly executed (if not already submitted)
R&D Project Progress Report / Download template from www.enterprise-ireland.com
Special Conditions –
Indicate to show you have forwarded these directly to DA
OR
Enter N/A if not required / Some grant approvals have special or performance related conditions included as a pre-condition of payment.
Evidence of compliance with these conditions should be forwarded to your Development Adviser (DA) for clearance (the special/performance related conditions are specified in the Letter of Offer – Schedule A)
Bank Details Form / Enterprise Ireland endeavours to make all payments by Electronic Fund Transfer (EFT). Complete the Bank Details form and submit if 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