Community Service Team Request for Funding Questionnaire Care Abounds in Communities - Mail to: Community Service Team Director, Carolyn Popple, 613 N 3rd St., Cameron, WI 54822 715-205-7148 c-zabel@hotmail.com

Permission to Disclose Information - Recipients (those who receive the help) must complete so the chapter and service team can disclose/publish recipient information for the activity.

Forms to use DURING the activity

Attendance Sheet - Track attendance and provide to chapter leadership board

Acknowledgement of Donation Received - Special reporting is required when service teams receive donations of $25.00 or more.

Donation Tracking Record - Contributions of $250 or more are deductible only if the chapter provides a written acknowledgement to the contributor (individual).

Forms to use AFTER the activity

Activity Results Reporting - Complete and send to chapter leadership board to receive Care Abounds in Communities™ supplemental funding. Send with Receipts, Funds Raised and Expenses Report below.

Receipts, Funds Raised and Expenses Report - Complete and send, along with all receipts or copies of receipts, to the chapter leadership board. Send with Activity Results Reporting form above.