Checklist & Cover Sheet

Checklist & Cover Sheet

2016 Travel Allowance Application

Certain awards offered by the Heart Foundation Research program prior to 2012 included annual travel allowance funding. Applications for this allowance must be made in writing and require supporting evidence of work-related travel.

Important:

•Only awards that specifically stipulate a Travel Allowance in the Funding Agreement are eligible.

•Travel Allowance can be applied for once per year, and must be spent in the designated calendar year.

•Unspent Travel Allowance cannot be carried over to the following year.

•Please see and complete checklist below, attach required supporting documentation and submit to the Heart Foundation Research Program at: .

•Once the Travel Allowance request has been approved, the administering institution will raise an invoice for the payment funds.

Privacy Statement:

The Heart Foundation respects your privacy and embraces the principles contained in the Privacy Act. The Heart Foundation is the National Heart Foundation of Australia and all associated Australian State and Territory Heart Foundation Divisions, full details of which can be found in our Privacy Notice. The information collected on this form will only be used for the purposes of administering the award. Personal details may be provided to third parties where required by law or for the purpose of facilitating services contracted by us, in so doing your personal information may be disclosed to overseas recipients. The Heart Foundation will not disclose your information to any third party for their marketing purposes.

If you have any questions about privacy please contact the Research team at Level 12, 500 Collins Street, Melbourne VIC 3000, or by calling (03) 9321 1581. Our APP privacy policy is set out in our Privacy Notice and details how you may complain about privacy issues and how we would deal with that complaint. It also explains how you can access, correct or update information we hold about you. A copy of our Privacy Notice is available at on request. [HFPSB022-150923]

Form Submission Date: Click here to enter a date.

1.Checklist
☐ / Completion of Section 2 ‘Award Details’ below
☐ / Letter of Request
☐ / Letter of support from supervisor
☐ / Abstract to be presented
☐ / Copy of abstract’s acceptance for presentation
☐ / Copy of airfare/travel expense invoice
2.Travel Allowance Application
Award Details:
Award ID: Click here to enter text. / Type of Award: Click here to enter text.
Researcher’s Name: Click here to enter text. / Supervisor’s Name: Click here to enter text.
Project Title: Click here to enter text.
Administering Institution: Click here to enter text.
Travel Details:
Name of Conference: Click here to enter text.
Location (City & Country): Click here to enter text.
Travel Start Date: Click here to enter a date. / Travel End Date: Click here to enter a date.
Amount Requested: Click here to enter text.
Please outline how the travel allowance funding will be expended:
Click here to enter text.

Heart Foundation – Grant Progress Report – Progress Report – Page 1