Community Support Program

Acquittal form – Community Support Program

This form must be submitted within three months of the project/event completion (see Sponsorship T&C’s)

The information provided in this form accounts for the use of funds and demonstrates funding has been used for the purpose it was provided under the Funding Agreement.

If you have any questions when filling out this form, please contact us on 1300 720 711 or email communications@westernportwater.com.au

Please complete all sections of this form.

Failure to supply an Acquittal Form will result in applicants being ineligible for sponsorship in subsequent years until a completed Acquittal Form is provided. Westernport Water reserves the right to terminate the Sponsorship Agreement or seek repayment of any funding if the applicant has not completed the Acquittal Form or met the conditions of the Funding Agreement.

    Contact details:

    Project, initiative or event details:

    Sponsorship acknowledgement:

    How was Westernport Water recognised as a sponsor?* (Select all that are applicable)*

    Evidence of funding use:



    Share your experience (Optional):

    Declaration:


    Westernport Water uses this form to collect information, including personal information, from members of the public. The Corporation will use this personal information only for the purpose for which it is collected [or for an associated secondary purpose]. For further information please refer to Westernport Water’s Privacy Policy.