You have requested a budget for a residents' initiative via the application form. The initiative has been approved by De Eerste Kamer and through this claim form you can claim the costs incurred by handing in (a copy of) the receipts/invoices and making a short (photo)report. You will receive the money in your account within two weeks.
✱ Information initiative ✱ Costs incurred
Justification of costs Add receipts/invoices in the attachment (in .doc of .pdf)
Short report Add text and pictures in the attachment (in .doc of .pdf)
✱ Contact details ✱ Account number (IBAN)
Account holder
✱ General terms and conditions ✱ 1. The general terms and conditions of the application form winch apply here.
I agree with the General Terms and Conditions.
I am aware of the Privacy Statement.
