Form CRF5: Catchment Restoration Fund for England – Final statement of account
Catchment Restoration Fund for England –
Final statement of account
This form should be completed as soon as possible and no
later than the end of the first complete financial year
following the date of substantial completion of the works
(evidence on the project completion form CRF8).
Alternatively, email it to
CRFfinance@environment‐agency.gov.uk
The project completion form CRF8 should be submitted once
the project has been completed. If it has not been submitted,
please complete it and send it to us with this form.
Include an explanation if the whole or any part of the
contingency sum has been used. All additional work or
variations undertaken must be identified and justified if the
cost for each individual item of work exceeds £10,000 or 10%
of the original approved estimated cost of the scheme,
whichever is the lesser. All variations must be approved prior to
completion of this form or they will not be eligible for a grant.
If the total grant due at section C line (i) for the project
exceeds the ‘de minimis’ level for auditor certification, please
send this form to your appointed auditor and a copy to the
Environment Agency grant administration team address
below. If the total grant due is below the de minimis level,
auditor certification is not necessary.
The organisation submitting this form CRF5 is responsible for
demonstrating to its appointed auditor the reconciliation of
the estimates in section C to the final approved sum,
including all the approved variations.
Please send the completed form to the Environment Agency at
the address below:
Business Finance – Grants Administration Team
Environment Agency
Manley House
Kestrel Way
Sowton
Exeter
EX2 7LQ
A
If you are not sure about anything in this form, contact the
person who sent it to you or phone us on 01392 442 002.
Any overclaimed, underspent or inappropriate use of a grant is
repayable to the Environment Agency forthwith and may be
invoiced at any time. The Environment Agency aims to invoice
any such sums by the date of approval of the final statement of
account, but reserves the right to do so at a later date.
Contents
A Scheme details
B Certificate of the organisation
C Financial statement
D The Data Protection Act 1998
E Certificate of the authority
F Organisation’s bank details
G Audit certificate
Project details
Name of organisation
Name of project
Scheme number
Address of registered office/principal place of business
Please specify the percentage grant rate of the project (see line (i) overleaf).
%
B
Certificate of the organisation
For completion by the authorised Technical Officer.
It is certified that this scheme has been completed in accordance with the plans and specifications approved by the Environment
Agency.
Signature
CRF5 Version 1, June 2012
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Form CRF5: Catchment Restoration Fund for England – Final statement of account
Name (in BLOCK LETTERS)
Title (Mr, Mrs, Miss and so on)
First name
Last name
Position
Today’s date (DD/MM/YYYY)
Status
C
Financial statement
For completion by the authorised Finance Officer.
Type
Approved cost
£
Total final
expenditure
£
Breakdown of
final expenditure
£
(a) Direct costs
Staff salaries/costs
Material, equipment and machinery
Travel, accommodation and subsistence
Meetings and conferences
Compensation payments
Others, please specify
(b) External expertise
Contractors
Professional fees (audit, consultancy etc.)
Others, please specify
(c) Indirect costs
Rent
Utilities
Insurance
Others, please specify
(d) Others
Irrecoverable VAT
Others, please specify
(e)
Total
(f) Less deductible contributions received or receivable
Please specify
(g) Less non‐approved cost increases and approved project items
not eligible for grant
Please specify
(h) Net expenditure (eligible for grant) (e – f – g)
(i)
Total grant due for the projects
(h x percentage grant rate, as stated in section A)
CRF5 Version 1, June 2012
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Form CRF5: Catchment Restoration Fund for England – Final statement of account
D
The Data Protection Act 1998
We, the Environment Agency, will process the information you provide so that we can:
 deal with your application;
 make sure you keep to the conditions of the licence, permit or registration;
 process renewals; and
 keep the public registers up to date.
We may also process or release the information to:
 offer you documents or services relating to environmental matters;
 consult the public, public organisations and other organisations (for example, the Health and Safety Executive, local
authorities, the emergency services, the Department for Environment, Food and Rural Affairs) on environmental issues;
 carry out research and development work on environmental issues;
 provide information from the public register to anyone who asks;
 prevent anyone from breaking environmental law, investigate cases where environmental law may have been broken, and take
any action that is needed;
 assess whether customers are satisfied with our service, and to improve our service; and
 respond to requests for information under the Freedom of Information Act 2000 and the Environmental Information Regulations
2004 (if the Data Protection Act allows).
We may pass the information on to our agents or representatives to do these things for us.
E
Certificate of the organisation
For completion by the Finance Officer.
I certify that:




the particulars in the financial statement at section C are correct;
the conditions set out in the Grant Conditions and CRF Guide relating to grants have been observed;
all sums received and receivable against the cost of this scheme have been fully identified;
the expenditure has been properly incurred and has not been nor will not be the subject of any other claim from other funding
bodies; and
 the application is accordingly made for any balance of grant, which may be due in respect of this project.
Without prejudice to any other rights and remedies of the Environment Agency, a false or inaccurate statement can lead to loss of
entitlement and recovery of any payments made.
I declare that as far as I know and believe the information in this application is true. I understand that this application may be
refused, or approval withdrawn, if I give false or incomplete information.
Signature
Name (in BLOCK LETTERS)
Title (Mr, Mrs, Miss and so on)
First name
Last name
Organisation
Position
Contact numbers, including the area code
Phone
Fax
Mobile
Email
Today’s date (DD/MM/YYYY)
CRF5 Version 1, June 2012
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Form CRF5: Catchment Restoration Fund for England – Final statement of account
F
Organisation’s bank details
Any balance of grant payable in respect of this claim will be paid to the organisation’s bankers. If changes are required to the
organisation’s bank details, these should be notified to the Business Finance – Grants Administration Team, Environment Agency,
Manley House, Kestrel Way, Sowton, Exeter, EX2 7LQ. These changes should be sent in a letter signed by your authorised Finance
Officer.
G
Audit certificate
Certificate of public auditor appointed by the organisation.
I/we have examined the entries in this form (which replaces or amends the original submitted to me/us by the organisation dated
(DD/MM/YYYY) and the related accounts and records of the organisation in accordance with
)
with certification instruction CRF‐A1 and I/we have:

assessed the control environment for the preparation of this claim or return in accordance with certificate instruction (CRF‐A1)
and, on the basis of my/our assessment, carried out tests in the control list (CRF‐A2) and obtained such evidence and
explanations as I/we consider necessary (except for the matters raised in the attached qualification letter dated
(DD/MM/YYYY)).

I/we have concluded that the claim or return is in accordance with the underlying records and is:
 accurate and fairly stated; and
 in accordance with the Grant Conditions and CRF Guide.
Signature
Name (in BLOCK LETTERS)
Title (Mr, Mrs, Miss and so on)
First name
Last name
On behalf of the
Today’s date (DD/MM/YYYY)
For Environment Agency use only
Scheme number
Date received (DD/MM/YYYY)
CRF5 Version 1, June 2012
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