Grant Disbursement Request Form

Grant Disbursement Request Form — Form Fields

This finance template includes 10 fields. Request disbursement of approved grant funds for a specific project milestone or expense. Free to customize and use on ZenBuild.

• Organization or Project Name (text, required)
• Grant ID or Award Number (text, required)
• Contact Name (text, required)
• Email Address (email, required)
• Disbursement Period (text, required)
• Amount Requested (number, required)
• Description of Expenses for This Disbursement (long text, required)
• Supporting Invoices or Receipts (file upload, required)
• Funds To Be Used Within 30 Days? (multiple choice, required) — options: Yes, No
• Project Milestone or Deliverable Completed (long text, required)