Part B - Financial Grant Claim Form

Technology Trade and International Partnering (TRIP) Program - ICT

Part B - Claiming payment after you return from an event

Complete Part B and send paperwork to the Department of Business and Innovation within six weeks of the end of the event. Claims received after this time may not be considered, even if the application had been received and accepted.

NOTE: To ensure that invoices receive payment the recipient of the invoice must be the Department of Business and Innovation.

1. Complete the online claim form below

2. Send the following information to Department of Business and Innovation (photocopies are acceptable for all documents except expenses report & tax invoice which must be originals). To ensure that documentation is received you are advised to use registered mail and keep the receipt. Alternatively you may scan the supporting documentation (and attach the expenses report & tax invoice as pdf documents) and email to trip_ict@dbi.vic.gov.au

Copies of your Airline Ticket/Boarding Passes and receipt of payment

Entry Badge from the Exhibition attended

Expenses Report (must be signed and on your company letterhead, a template is available online once you submit the "Claim Form")

Copies of receipts – (showing actual payment for the amount you are claiming. If you are claiming a grant as an exhibitor you must also include copies of exhibition costs incurred in your name)

Valid tax invoice (on your company letterhead) which includes the name of your company and your ABN addressed to the Department of Business and Innovation.

Address supporting documentation to:
Department of Business and Innovation
Technology TRIP Program - ICT
GPO Box 4509
Melbourne VIC 3000

trip_ict@dbi.vic.gov.au

The description must include the name of the recipient and the address, the name and date of the trade event and the grant category applied for. Example: Grant for OFC 2012, 7-9 November 2012. Networker category. The invoice should specify whether it is GST inclusive and should have the words 'Tax Invoice' prominently stated.

1. Contact Details

Company Name: *
Key Contact Name: *
Job Title: *
E-mail: *
Telephone: *
Fax:

2. Claim Details

Name of Trade Event attended: *
Trade Event date: *
Name of Company Delegate who attended Trade Event: *
Did you achieve immediate sales? *
Please state amount:
As a result of the event what are your projected sales $AUD? Which markets (eg. USA, Europe etc)?
Over the next 12 months: *
Over the next 24 months: *
As a result of the event what additional countries might you now target in the next 12 months? *
Do you plan to attend any other overseas events over the next 12 months? Where? (list up to three events) *
Did you meet appropriate contacts at the event? Comment... *
Did you appoint an agent or distributor to market your product? Comment... *
Did the Trade Event meet your expectations given the risks, costs and benefits? Comment... *
What direct jobs and capital expenditure occurred as a result of the Event? Please specify figures in Australian Dollars, GST inclusive.
Do you require any follow-up assistance from Multimedia Victoria? Comment... *
Were your objectives for the event achieved? Comment... *
Additional comments/feedback... *
I have not been reimbursed from any other sources for these costs. *	Yes No
I understand that Multimedia Victoria may contact me and follow up results against projected sales. *

Please print this form for your records after clicking SUBMIT
(Select File, Print from your Browser menu)