In-Kind Donation Form

In-Kind Donation Form
All in-kind items reported must:
Be provided by a third-party, either an individual or an organization, not the grant recipient.
Be for allowable costs and activities that were included in your approved project budget.
Be supported by documentation that corroborates the fair market value of the goods or services provided.
While you may use allowable third-party in-kind contributions to meet the matching requirement for your award, you cannot be reimbursed by the NEA for in-kind donations.
Grantee Organization
Organization Name
Project Name
NEA Award #
Authorizing Official
First NameLast Name
Email
example@example.com
Contact Person
First NameLast Name
Email
example@example.com
Select the type(s) of contribution
DonorVolunteer
Donor Data
Donor Name
First NameLast Name
Email
example@example.com
Phone Number
Area CodePhone Number
Description of Donated Goods/Facilities Quantity Date Provided/Used Fair Market Value ($)
Donated Good/Facility
Donated Good/Facility
Donated Good/Facility
Donated Good/Facility
Donated Good/Facility
Total Donation Value
Volunteer Data
Volunteer Name
First NameLast Name
Email
example@example.com
Phone Number
Area CodePhone Number
Service Performed Date of Service Total Hours Worked Location of Service Fair Market Value of Service ($)
Service
Service
Service
Service
Service
Total Contribution Value
Should be Empty:

	Description of Donated Goods/Facilities	Quantity	Date Provided/Used	Fair Market Value ($)
Donated Good/Facility
Donated Good/Facility
Donated Good/Facility
Donated Good/Facility
Donated Good/Facility