Washington Trust for Historic Preservation

General Information
Name of historic building / resource funded
Contact name
First Last
Organization/Affiliation
Email
Phone
Mailing address
Street Address City State ZIP Code

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Project Information
Project beginning date
MM slash DD slash YYYY
Project completion date
MM slash DD slash YYYY
Total project cost
This amount should reflect the total project cost as noted in the application/contract for this grant award, rather than the bare minimum, isolated amount required for full reimbursement. This information will help us demonstrate how preservation grants can provide substantial return on the dollars invested into a project.
Grant amount awarded
Are you returning unused award funds?
- Yes
- No
Amount of funding returned
Reason for return of funds:
Please provide a brief description of the needs / problems the grant was intended to address:
Please provide a brief description of the accomplishments / results of your project:

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Project Documentation

List of Project Expenses

Please list each project expense, its cost, and what project element it was related to. You will upload supporting documentation for each expense in the next step.

Item or service	Payee	Amount	Related project element/phase

(Use the “+” to the right of the boxes to add as many rows as you need.)
Financial Documentation
In this section, upload digital copies of financial documents that relate to each item listed above in the “List of Project Expenses.” This should include:
- • Proof of expenses (invoices, bills, itemized receipts, etc.) – Documents showing what each of your expenses were.
- • Proof of payments (credit card receipts, canceled checks, bank statements, etc.) – Documents showing how you paid for those expenses.
Drop files here or

Max. file size: 50 MB.
Historic Standards Documentation
If applicable, provide a copy of correspondence with the Historic Preservation Office showing that they reviewed the work and/or a copy of the Certificate of Appropriateness (COA) showing that the Landmarks Commission approved the work.
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Max. file size: 50 MB.

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Images
IN-PROGRESS
Please upload 4-6 high-resolution images of the project in progress.
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Max. file size: 50 MB.
OVERALL IMAGES
Please upload 4-6 high-resolution images of the entire building / resource after project completion.
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Max. file size: 50 MB.
DETAIL IMAGES
Please upload 4-6 high-resolution images of the specific project area that the grant funds went toward, after project completion.
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Max. file size: 50 MB.
IMAGE CAPTIONS AND CREDITS
Please upload a text document with image captions and image credits that correspond with the file names of the images you are uploading.
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Accepted file types: txt, doc, docx, xls, xlsx, pages, Max. file size: 50 MB.

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Section 106 Grant Completion Form

Grant Completion Report

Step 1 of 4

General Information

Project Information

Project Documentation

Images