Professional Documents
Culture Documents
Declaration worksheet
Name and position: This concerns the person who has the power to commit the Beneficiary
Sample worksheet
Start date end end date of incurring the costs: these dates correspond to the sample, not to the period of the
Decision or the reporting period.
Components of costs of personnel: If you are reporting costs per person, please provide the name or a
personnel number of each person involved. Alternatively, if you work with categories of personnel, fill in the name
of the category concerned. Then, specify the hourly rate used and the number of hours charged to the Action.
If you have any additional questions related to this template, please contact your Project Manager.
Guidelines
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201X-XX-XX-XXXX-X
Grant Agreement N
Action Title
Beneficiary
Name
Position
The Beneficiary declares that:
1. The Costs of personnel declared meet the requirement of article II.19.1 of the Grant agreement, and particularly they they are
incurred in connection with the action as described in Annex I and are necessary for its implementation.
2. The Costs of personnel declared only include the following (compliant to national legislation and according to work contract) :
* Pay (Gross salary, overtime, 13th month (or +), bonus , holiday allowance)
* Employers' contribution ( social insurance charges, pension funding, other insurances)
3. If it includes other items, please specify which ones here below.
YES/NO
5. Please indicate if the declared staff costs are either actual personnel costs or unit costs
6. Do you have a time recording system, as required by Commission Decision C(2016)478?
If not, please describe alternative evidence supporting the number of hours declared to the action (in compliance with the "Use of unit
costs" Commission Decision C(2016)478)
7. Please briefly explain how you calculate the costs of staff working for the action in compliance with Article II.19.1 and Commission
Decision C(2016)478.
The personnel costs declared should be:
- based on the beneficiary's usual cost accounting practices
- applied in a consistent manner, based on objective criteria and
- the hourly rate is calculated using actual personnel costs, excluding any ineligible cost or costs included in other budget categories.
- Please list all components included in the calculation of the gross personnel cost.
Date
Signature
2 Declaration
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201X-XX-XX-XXXX-X
Grant Agreement N
Sampling item
Sampling value (in local currency)
Start date of incurring the costs (DD/MM/YYYY)
End date of incurring the costs (DD/MM/YYYY)
1/1/2015
31/06/2015
Hourly rate
50.00
1,720
86,000.00
80.00
100
8,000.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
94,000.00
The total of costs justified
is not the amount of the
sampling
10
"Unit costs"
Hours
charged to
the project
#DIV/0!
#DIV/0!
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