What information does the Donation Acceptance Form request?

It requests donor details, a donation description and estimated value, costs, intended use, conditions, remarks, and the city department receiving the donation.

Who completes the Donation and Gift Policy Acknowledgement?

The acknowledgement is for an employee to confirm they received and read the city’s Donation and Gift Policy. The form says the signed acknowledgement will be placed in the employee’s personnel file.

Do I need a notary for this form?

No. This form has no notary block and identifies no notarized or sworn attachment; the signer just signs and dates it.

How do I submit the donation form?

The form names Parks and Recreation as the department receiving the donation and includes department head and City Manager approval fields, as well as fields for Council submission and approval.

St. Helena, CA · Napa County

No notary required

Donation Acceptance Form and Donation and Gift Policy Acknowledgement

This form records a donation to the city and acknowledges its Donation and Gift Policy; donors and employees complete the applicable section.

What this form is

The Donation Acceptance Form records donor information, the donation description and estimated value, costs, intended use, any conditions, and the receiving city department. It includes fields for department and City Manager approval and Council submission and approval. A separate acknowledgement states that an employee has received and read the city’s Donation and Gift Policy and that the signed acknowledgement will be placed in the employee’s personnel file.

Who needs it

Donors provide information about a donation to the city, while employees complete the policy acknowledgement if it applies to them.

How to submit it

The form identifies Parks and Recreation as the department receiving the donation. It includes approval fields for the department head and City Manager, and fields for submission to and approval by Council.

About notarization

This form is signed and dated without a notary; it identifies no notarized or sworn attachment, so the signer just signs and dates it.

How to submit this form

1
Download The Form
Download the Donation Acceptance Form and Donation and Gift Policy Acknowledgement PDF.
2
Complete The Applicable Section
For a donation, provide the donor and donation details. For the policy acknowledgement, the employee prints their name and signs and dates.
3
Gather Attachments
The form does not identify any required attachments.
4
Submit To The City
The form names Parks and Recreation as the department receiving the donation and provides fields for city and Council review.

Frequently asked questions

What information does the Donation Acceptance Form request?: It requests donor details, a donation description and estimated value, costs, intended use, conditions, remarks, and the city department receiving the donation.
Who completes the Donation and Gift Policy Acknowledgement?: The acknowledgement is for an employee to confirm they received and read the city’s Donation and Gift Policy. The form says the signed acknowledgement will be placed in the employee’s personnel file.
Do I need a notary for this form?: No. This form has no notary block and identifies no notarized or sworn attachment; the signer just signs and dates it.
How do I submit the donation form?: The form names Parks and Recreation as the department receiving the donation and includes department head and City Manager approval fields, as well as fields for Council submission and approval.

Need something notarized?

This Donation Acceptance Form and Donation and Gift Policy Acknowledgement doesn’t need a notary — but if you have another St. Helena form that does, a commissioned online notary can help.