F-03 — Contribution restriction record Purpose: Track conditions attached to funds or in-kind support. Contributor: Amount or value: Date: Restriction: Acceptance authority: Conflict or influence assessment: Use of funds: Balance: Reporting duty: Return decision: COMPLETION CHECKS [ ] No undisclosed control over research findings [ ] Check election, tax and lobbying rules [ ] Reject unlawful or incompatible conditions Prepared by: Date: Version: Reviewer / approval: Blank template. Keep completed records in the approved channel. This template does not grant authority.