R.C. Archdiocese of Indianapolis

Donor Advised Fund Grant Request FormPlease use one form for each recommendation request.

The Donor Advised Fund (DAF) Grant Application Form is an online tool for individuals who hold a DAF with the Catholic Community Foundation. This tool allows the advisor to make grant recommendations that benefit Catholic ministries. Upon receipt of your electronic request, the Catholic Community Foundation will review the grant recommendations, notify you of any questions, and transfer all funds associated with the grant request to the appropriate beneficiary. An email confirmation will occur when the transaction is complete, typically within 7 – 10 business days.

If you have any questions throughout the online process, please contact Amy Higgins at ahiggins@archindy.org or 317-236-1482.

This form is reviewed regularly and all steps and information included are up to date.

Fund & Advisor Information:

Name of Advisor(s): *

Name of Donor Advised Fund: *

Name of Donor: *

Mailing Address: *

City: *

State: *

Zip Code: *

Email: *

A receipt will be e-mailed to this address.

Cell Phone Number: *

Fund # (located on statement):

Amt of Distribution:

Beneficiary Information:

Name of Organization/Ministry to Receive Distribution:

Organization/Ministry Contact Person:

Contact Phone #:

Contact Email Address:

Organization/Ministry Address:

City:

State:

Zip:

Purpose of Distribution/ Special Instructions (if applicable):

Purpose of Distribution / Special Instructions:

Advisor Signature (please type name): *

Advisor’s Authorization #: *

Additional Advisor Signature (please type name if necessary):

Date:

Please contact Amy Higgins, Donor Relations Coordinator, if in need of assistance confirming or obtaining your authorization number. Amy can be reached at ahiggins@archindy.org or 317-236-1482.

Would you like to receive more information regarding Planned Giving with the archdiocese?