PRELIMINARY BUDGET

No later than 6 months after the official confirmation of the occurrence of primary outbreak of the pest and every 3 months thereafter.

To be addressed to: SANTE-G5-EMERGENCY-PLANT-HEALTH@ec.europa.eu

First submission

Update

For the period from

DD/MM/YY

to

DD/MM/YY

Outbreak reference

MS/Pest/Year

Region

EUROPHYT Notification

Contact person for this budget:

Telephone:

E-mail address

Direct costs

Total amount (In euro, VAT excluded)

Eligible Measures

Type

Costs (labour costs, treatments, traps etc.)

Eligible costs (Article 18(1) of Regulation (EU) No 652/2014)

A. Operational cost occurring for the actions related to:

1. Cost of Personnel

2. Cost of Renting Equipment

3. Cost of Consumables

4. Cost of Materials

5. Treatment Products

6. Sampling

7. Laboratory Tests

B. Cost of service contracts to execute part of the measures:

1. Service Contracts with third parties

C. Costs of compensating the owners concerning the type of treatment:

1. Treatment

2. Destruction of Plants/Trees

3. Plant Products

4. Cleaning and Disinfection

D. Other type of measures (please justify the type and cost)

Sub-total:

EUR —

Indirect cost — Overhead 7 % —

Total amount (In euro, VAT excluded)

Overheads on direct costs, other than compensation

Sub-total:

EUR —

TOTAL

Date:

DD/MM/YY

Name of responsible:

Signature:

PRELIMINARY BUDGET

No later than 6 months after the official confirmation of the occurrence of primary outbreak of the pest and every 3 months thereafter.

To be addressed to: SANTE-G5-EMERGENCY-PLANT-HEALTH@ec.europa.eu

First submission

Update

For the period from

DD/MM/YY

to

DD/MM/YY

Outbreak reference

MS/Pest/Year

Region

EUROPHYT Notification

Contact person for this budget:

Telephone:

E-mail address

Direct costs

Total amount (In euro, VAT excluded)

Eligible Measures

Type

Costs (labour costs, treatments, traps etc.)

Eligible costs (Article 18(1) of Regulation (EU) No 652/2014)

A. Operational cost occurring for the actions related to:

1. Cost of Personnel

2. Cost of Renting Equipment

3. Cost of Consumables

4. Cost of Materials

5. Treatment Products

6. Sampling

7. Laboratory Tests

B. Cost of service contracts to execute part of the measures:

1. Service Contracts with third parties

C. Costs of compensating the owners concerning the type of treatment:

1. Treatment

2. Destruction of Plants/Trees

3. Plant Products

4. Cleaning and Disinfection

D. Other type of measures (please justify the type and cost)

Sub-total:

EUR —

Indirect cost — Overhead 7 % —

Total amount (In euro, VAT excluded)

Overheads on direct costs, other than compensation

Sub-total:

EUR —

TOTAL

Date:

DD/MM/YY

Name of responsible:

Signature:

PRELIMINARY BUDGET

No later than 6 months after the official confirmation of the occurrence of primary outbreak of the pest and every 3 months thereafter.

To be addressed to: SANTE-G5-EMERGENCY-PLANT-HEALTH@ec.europa.eu

First submission

Update

For the period from

DD/MM/YY

to

DD/MM/YY

Outbreak reference

MS/Pest/Year

Region

EUROPHYT Notification

Contact person for this budget:

Telephone:

E-mail address

Direct costs

Total amount (In euro, VAT excluded)

Eligible Measures

Type

Costs (labour costs, treatments, traps etc.)

Eligible costs (Article 18(1) of Regulation (EU) No 652/2014)

A. Operational cost occurring for the actions related to:

1. Cost of Personnel

2. Cost of Renting Equipment

3. Cost of Consumables

4. Cost of Materials

5. Treatment Products

6. Sampling

7. Laboratory Tests

B. Cost of service contracts to execute part of the measures:

1. Service Contracts with third parties

C. Costs of compensating the owners concerning the type of treatment:

1. Treatment

2. Destruction of Plants/Trees

3. Plant Products

4. Cleaning and Disinfection

D. Other type of measures (please justify the type and cost)

Sub-total:

EUR —

Indirect cost — Overhead 7 % —

Total amount (In euro, VAT excluded)

Overheads on direct costs, other than compensation

Sub-total:

EUR —

TOTAL

Date:

DD/MM/YY

Name of responsible:

Signature:

REQUEST FOR PAYMENT

To be addressed to: SANTE-G5-EMERGENCY-PLANT-HEALTH@ec.europa.eu

First submission

For the period from

DD/MM/YY

to

DD/MM/YY

Outbreak reference

MS/Pest/Year

Region

EUROPHYT Notification

Contact person for this budget:

Telephone:

E-mail address

Direct costs

Total amount (In euro, VAT excluded)

Eligible Measures

Type

Costs (labour costs, treatments, traps etc.)

Eligible costs (Article 18(1) of Regulation (EU) No 652/2014)

A. Operational cost occurring for the actions related to:

1. Cost of Personnel

2. Cost of Renting Equipment

3. Cost of Consumables

4. Cost of Materials

5. Treatment Products

6. Sampling

7. Laboratory Tests

B. Cost of service contracts to execute part of the measures:

1. Service Contracts with third parties

C. Costs of compensating the owners concerning the type of treatment:

1. Treatment

2. Destruction of Plants/Trees

3. Plant Products

4. Cleaning and Disinfection

D. Other type of measures (please justify the type and cost)

Sub-total:

EUR —

Overheads on direct costs, other than compensation (7 %)

Sub-total:

EUR —

TOTAL

Statement by the beneficiary

This expenditure was actually incurred, accurately accounted for the above costs correspond to the resources employed for the work and those resources were reasonable and necessary for the work;

1. the costs were incurred and fall within the definition of eligible costs;

2. all supporting documents relating to the expenditure are available for inspection;

3. no other Union contribution was requested for this action and all revenue accruing from operations for this action is declared to the Commission;

4 control procedures apply, in particular to verify the accuracy of the amounts declared, to prevent, detect and correct irregularities.

Date:

Signature:

Name of responsible:

REQUEST FOR PAYMENT

To be addressed to: SANTE-G5-EMERGENCY-PLANT-HEALTH@ec.europa.eu

First submission

For the period from

DD/MM/YY

to

DD/MM/YY

Outbreak reference

MS/Pest/Year

Region

EUROPHYT Notification

Contact person for this budget:

Telephone:

E-mail address

Direct costs

Total amount (In euro, VAT excluded)

Eligible Measures

Type

Costs (labour costs, treatments, traps etc.)

Eligible costs (Article 18(1) of Regulation (EU) No 652/2014)

A. Operational cost occurring for the actions related to:

1. Cost of Personnel

2. Cost of Renting Equipment

3. Cost of Consumables

4. Cost of Materials

5. Treatment Products

6. Sampling

7. Laboratory Tests

B. Cost of service contracts to execute part of the measures:

1. Service Contracts with third parties

C. Costs of compensating the owners concerning the type of treatment:

1. Treatment

2. Destruction of Plants/Trees

3. Plant Products

4. Cleaning and Disinfection

D. Other type of measures (please justify the type and cost)

Sub-total:

EUR —

Overheads on direct costs, other than compensation (7 %)

Sub-total:

EUR —

TOTAL

Statement by the beneficiary

This expenditure was actually incurred, accurately accounted for the above costs correspond to the resources employed for the work and those resources were reasonable and necessary for the work;

1. the costs were incurred and fall within the definition of eligible costs;

2. all supporting documents relating to the expenditure are available for inspection;

3. no other Union contribution was requested for this action and all revenue accruing from operations for this action is declared to the Commission;

4 control procedures apply, in particular to verify the accuracy of the amounts declared, to prevent, detect and correct irregularities.

Date:

Signature:

Name of responsible:

REQUEST FOR PAYMENT

To be addressed to: SANTE-G5-EMERGENCY-PLANT-HEALTH@ec.europa.eu

First submission

For the period from

DD/MM/YY

to

DD/MM/YY

Outbreak reference

MS/Pest/Year

Region

EUROPHYT Notification

Contact person for this budget:

Telephone:

E-mail address

Direct costs

Total amount (In euro, VAT excluded)

Eligible Measures

Type

Costs (labour costs, treatments, traps etc.)

Eligible costs (Article 18(1) of Regulation (EU) No 652/2014)

A. Operational cost occurring for the actions related to:

1. Cost of Personnel

2. Cost of Renting Equipment

3. Cost of Consumables

4. Cost of Materials

5. Treatment Products

6. Sampling

7. Laboratory Tests

B. Cost of service contracts to execute part of the measures:

1. Service Contracts with third parties

C. Costs of compensating the owners concerning the type of treatment:

1. Treatment

2. Destruction of Plants/Trees

3. Plant Products

4. Cleaning and Disinfection

D. Other type of measures (please justify the type and cost)

Sub-total:

EUR —

Overheads on direct costs, other than compensation (7 %)

Sub-total:

EUR —

TOTAL

Statement by the beneficiary

This expenditure was actually incurred, accurately accounted for the above costs correspond to the resources employed for the work and those resources were reasonable and necessary for the work;

1. the costs were incurred and fall within the definition of eligible costs;

2. all supporting documents relating to the expenditure are available for inspection;

3. no other Union contribution was requested for this action and all revenue accruing from operations for this action is declared to the Commission;

4 control procedures apply, in particular to verify the accuracy of the amounts declared, to prevent, detect and correct irregularities.

Date:

Signature:

Name of responsible: