This form is to be completed by your organisation’s legal signatory. Once you complete and submit this information, it will remain on our records for current and future grant applications. You will only need to complete this form again if your ‘Delegated Authority’ changes. In completing this form you are confirming that:

  • You are the person legally responsible to enter into contracts on behalf of your organisation according to your organisation’s constitution or as bound by law
  • That you authorise the nominated person in this form to sign:
    • Lotterywest Grant Conditions
    • Endorse acquittal documentation associated with a Lotterywest grant
  • The authorised person has been made fully aware of the responsibilities assumed by this delegation and signing of Lotterywest Grant Conditions and Agreements