Forms

We’ve compiled a list of frequently used forms to keep your Nebraska Community Foundation affiliated fund going strong.

Committee Member Forms

Fund Advisory Committee Member and Account Committee List Form – (pdf)

Contribution Forms

Contribution Submission Form – (pdf) (doc)
Donor ACH Authorization –  (pdf) (doc)

Disbursement Forms

Disbursement Request Form – (pdf)
Donor-Advised Fund Grant Recommendation Form – (pdf) (doc)
Scholarship Reporting Form – (pdf) (doc)

Fund Disbursement Authorization Form

For Community Affiliated Funds – (pdf) (doc)
For Donor-Advised Funds – (pdf) (doc)
For Organizational Affiliated Funds – (pdf) (doc)

Notification of Planned Gift Form

Fillable pdf

Scholarship Forms

2025 Scholarship Selection Committee Packet
Scholarship Reporting Form – (pdf) (doc)
Disbursement Request Form – (pdf)

Special Event Form

Affiliated Fund Event Protocols & Checklist (Sept. 2021) – (pdf) (doc)