Innosuisse project no:
Interim report / [ ]
Final report / [ ]
Reporting period / from / to
Research partner
Represented by:
Surname / First name / Title
Research institution / Postal address
Street
Postcode, town
E-mail
Business phone:
Contact person in case of queries (name and email):
Research partner’s comments on financial report

Innosuisse contribution

Expenses for equipment during this reporting period are to be listed below. Receipts (copies) must be sent along. If there are more than 20 receipts, they do not need to be submitted. Instead, all the expenses must be listed in the document “Material costs” which can be found on the Innosuisse webpage. Small amounts up to CHF 1,000.- may appear under a single position. The document must be validated by the research partner’s accounting department. The original receipts must be kept on file so that they are available upon request. For applications approved from 01 May 2015, indicate amounts incl. VAT.

Equipment

Receipt no. / Description of expenditures, supplier / Amount
Total / Fr.

Additional expenditures

Receipt no. / Description of expenditures, supplier / Amount
Total / Fr.

The totals should be entered on page 5.

Salaries and fees

Only list the salaries of employees approved by Innosuisse to work on the project. Indicate the same hourly rates as mentioned in the application. For each year, no more than 1,824 hours may be attributed to any single employee. Innosuisse must be notified in advance of any changes in staff over the course of the project. Use the corresponding Innosuisse form for this purpose and include an explanation of the reasons for these changes.Receipts statements of hours worked for each employee must also be submitted.

Receipt no. / Sur- and firstname / Qualification / Pay period / No. of hours worked / Hourly rate / Total salaries
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-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Total Salaries / Fr.
Proportion of financial contribution (cash contribution) to salaries / -Fr.
Total / Fr.

The total should be entered on page 5

Financial contribution (cash contribution) for equipment and
additional expenditures

For applications approved from 01 May 2015, indicate amounts incl. VAT

Receipt No / Description of expenditures / Descriptionof supplier / Amount
Total / Fr.

Financial summary for reporting period

Enter the sums from pages 2 - 4 in column 4

Innosuisse

1 / 2 / 3 / 4 / 5
Type of costs / Innosuisse project funding(under contract) / Expenditures during previous reporting period / Expenditures during this reporting period / Amount of federal contribution remaining
Equipment / Fr. / Fr. / Fr. / Fr.
Additional
expenditures / Fr. / Fr. / Fr. / Fr.
Salaries / Fr. / Fr. / Fr. / Fr.
Total / Fr. / Fr. / Fr. / Fr.

Implementation partner

1 / 2 / 3 / 4 / 5
Type of costs / Contribution
(under
contract) / Expenditures
during previous
reportingperiod / Expenditures during this
reporting period / Remaining amount
Financialcontribution (cash
contribution) for Equipment / Fr. / Fr. / Fr. / Fr.
Financialcontribution (cashcontribution) for Additional
expenditures / Fr. / Fr. / Fr. / Fr.
Financialcontribution (cash
contribution) for Salaries / Fr. / Fr. / Fr. / Fr.
Equipment / Fr. / Fr. / Fr. / Fr.
Additional
expenditures / Fr. / Fr. / Fr. / Fr.
Salaries / Fr. / Fr. / Fr. / Fr.
Total / Fr. / Fr. / Fr. / Fr.

The filled out reporting form should be submitted along with original receipts to the Innosuisse Secretariat. By signing this form, the research partner confirms that the Innosuisse project funding received were used exclusively for expenditures in relation to work done on the present innovation project; it furthermore confirms the accuracy and completeness of the present calculation.

Place and dateSignature of the research partner

______

Application submission until the end of 2016
Final or intermediate financial report