CLARE COUNTY COUNCIL APPLICATION FOR BURIAL GROUND MAINTENANCE PRIMING GRANT 2016

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(1) Name of Group: CLARE COUNTY COUNCIL APPLICATION FOR BURIAL GROUND MAINTENANCE PRIMING GRANT 2016 (2) Name and Address for Correspondence: (3) Location of Proposed Works: Outline of Proposed Works: (4) Proposed Expenditure: (5) Group Established (Year). A list of members of this Group must be attached together with positions held in Group. Minutes of last meeting held by Group together with Minutes of your most recent A.G.M. and a copy of Group Constitution to be submitted with application form. Form outlining detail of Groups Bank Account must also be submitted with the application form. (6) When is it intended to commence and complete works: (7) Has your Group received any other grants or monies from the Council or any other Organisation (if so, give specific details): (8) In the event of your grant application being approved, please give name and address of person who will submit original receipts addressed to the Group, with the name of the Burial Ground clearly identified and marked as paid for monies expended on the project: (9) Telephone number of contact person (please note the person must be contactable during the day at this number: Alternative contact number:

(10) Is there a C.E./TÚS/SOLAS (FÁS) or any other scheme involved in this work (if so, attach details including what work they are carrying out and what work is being carried out on a voluntary basis. Please also identify the actual number of people working on the project through the scheme and the number of people working on a voluntary basis): I confirm that the Group is representative of the area and that any improvements will be available to the public. I also agree to the conditions of the grant scheme, in particular to adhere to the requirements of the Heritage Service, as set out in the booklet for The Care and Conservation of Graveyards. The following must be attached as part of the Application on behalf of the Group. Application Form Group Set Up Form (with bank details) List of Group Members and positions held in Group Minutes of AGM/last meeting/constitution Detail and/or map of location of the burial ground (for inspection purposes) Signed: Office Held: :

BURIAL GROUND PRIMING GRANT 2016 - OBJECTIVES, ELIGIBILITY AND CONDITIONS (1) The purpose of the grant scheme is to allow the Council to contribute financially to local voluntary groups such as Residents Associations, Tidy Village Groups, etc., who carry out burial ground maintenance/improvement works and incur expenses associated with this work. (2) A grant up to a maximum of 600 or 90% of the cost may be made available to successful applicants. The amount of a grant paid to an individual group will depend on take-up of the scheme in the County and overall expenditure incurred by each group. (3) Prior to any payments being made to successful applicants, bank account details must be provided as part of the Groups application form. Please note completion of this form does NOT imply payment will be made of a priming grant. (4) Before giving a grant for any project, the Council must be satisfied that the applicant is a bona fide group, representative of the area to which the application relates. The scheme will be administered on a county-wide basis. (5) The grant can be used for the purpose of purchasing trees, shrubs, shovels, hire of strimmer, petrol for lawnmower and other items, which are required to carry out the environmental maintenance works in the burial ground. Please note wages for carrying out of work are not acceptable as an expense as the purpose of the grant is to support voluntary work. Clare County Council wishes to discourage the use of weed-killers in burial grounds. Where weed-killer is used it should be done in conjunction with the recommendations of the DOEHLG The Care and Conservation of Graveyards" booklet. Expenditure on weed-killers will be excluded from re-imbursement. (6) All works in burial grounds carried out under the scheme must comply with Department of the Environment, Heritage and Local Government Historic Monument Service requirements. These are detailed in a booklet called "The Care and Conservation of Graveyards" (available on request). Proposed works on national monuments/protected structures within burial grounds, or on burial ground walls must be notified to Department of the Environment, Heritage and Local Government Historic Monument Service, two months before the proposed start date. Grants cannot be paid to groups who do not adhere to the requirements and non-compliance will be the responsibility of the group. (7) Original receipts addressed to the Group with the name of the Burial Ground clearly identified and marked as paid with stamp or headed paper of the shop where purchase was made together with supporting documentation, shall be submitted to the Council in order to enable consideration of grant approval and payment, where approved. Receipts must be dated between 1 st October 2015 and 30 th September 2016 and not previously submitted. Approved grant payments will be made at the latter end of the year. The grant will not meet 100% of the costs incurred by the Group. The Council must be satisfied that the expense was bona fide incurred on cemetery maintenance, and the responsibility for providing requisite supporting information rests with the groups. (8) Taking before and after photographs is recommended to applicants, as they would provide a record of the progress that was made during the season. Inspections will be carried out to assess the ongoing maintenance work in cemeteries. (9) Application for grant assistance should be addressed to the Tourism & Community Development Department, Clare County Council, Aras Contae an Chláir, New Road, Ennis, Co. Clare or can be obtained by ringing 065 6846222 or on http://www.clarecoco.ie/community/grants/burial-groundmaintenance-grant-scheme/ (10) THE CLOSING DATE FOR RECEIPT OF APPLICATIONS IS FRIDAY, 1 st JULY 2016.

To be completed annually where Group has a Credit Union Account Name of Group Name and Address of Credit Union where Group have account Name and Address of Bank where Credit Union holds its accounts Bank Account Number for Credit Union Account Sort Code of Bank Email address for Credit Union Account No. of Group at Credit Union (if group have more than one account, Please ensure you identify the specific Account relating to priming grant for burial grounds) I confirm that above is up to date and accurate information given on behalf of the above-named Group Signed: Position held in Group: Tel Number: : Note: Please note payment of Priming Grants will be made to the Bank where the Credit Union has its account. In this regard, you should notify the Credit Union when it is confirmed a Priming Grant will be paid to your group.

Part A to be completed by Group Group Group ID (ccc) Group NAME c/o CONTACT NAME TELEPHONE Nos. (two) VAT REG. NO and/or PPS No Group Account Detail Priming Grants Burial Grounds Payment of grants are made directly to bank account of Group Set Up Amendment Set Up as Sundry Group It is necessary to complete this form on an annual basis Part A Where applicable FAX E-MAIL of Group BANK ACCOUNT DETAILS BANK NAME BANK (if Credit Union, please complete overleaf) Bank Account No for group. Bank SORT CODE IBAN Number*: BIC Number*: * SEPA (Standardise European Electronic Payments across Europe effective 1 st February 2014) CUSTOMER SIGNATURE: Position held within Group Office Use Only : Requested by: Section. Entered by Checked by :