Restricted Gift Designation and Acknowledgment Form
Record a restricted gift’s donor terms, allowable uses, time horizon, and acceptance approval in one place. This form helps finance and development teams set up fund accounting correctly and avoid using funds outside the donor’s conditions.
Trusted by frontline teams 15 years of frontline software AI customization in seconds
Built for: Nonprofit Organizations · Higher Education · Healthcare Foundations · Faith Based Organizations
Overview
The Restricted Gift Designation and Acknowledgment Form documents the donor’s restriction, the organization’s acceptance of those terms, and the accounting setup needed to track the gift correctly. It is designed for restricted cash gifts, pledges, non-cash donations, and endowment-style commitments where the donor specifies allowable uses, prohibited uses, reporting expectations, or a release event.
Use this template when a gift cannot be treated as general operating revenue and needs to be assigned to a specific fund, program area, or investment pool. It helps capture the donor’s identity, gift amount or pledge total, quid pro quo details, restriction classification, indirect cost rules, time horizon, and supporting documents in one record. That makes it easier for finance, development, and gift acceptance reviewers to align on the same facts before funds are booked or spent.
Do not use this form for fully unrestricted gifts, routine payments with no donor conditions, or simple thank-you acknowledgments. It is also not the right tool when the organization has not yet agreed it can meet the restriction; in that case, the acceptance review should happen first. If the donor terms are still being negotiated, use the form as a draft record and keep conditional logic tight so only the relevant fields appear. The goal is a clean audit trail, accurate fund classification, and a clear answer to what the organization may do with the gift after it is accepted.
Standards & compliance context
- The form supports FASB ASC 958 by capturing the information needed to distinguish donor-restricted gifts from unrestricted support and to document release conditions.
- Collect only the donor and gift data needed for acceptance, stewardship, and accounting to align with GDPR data minimization and reduce unnecessary PII exposure.
- If the gift includes non-cash assets, attach valuation support and keep the description specific enough for audit review and fund classification.
- Use an approval trail with named reviewers and signatures so the organization can show who accepted the restriction and when.
- If the form is used for public-facing intake, ensure fields, labels, and validation meet WCAG 2.1 AA accessibility expectations.
General regulatory context for orientation only — verify current requirements with counsel or the relevant agency before relying on this template for compliance.
What's inside this template
Donor Information
This section identifies who made the gift and who finance or stewardship should contact if the restriction needs clarification.
- Donor Type *
- Donor Name (Primary / Entity Name) *
- Second Donor Name (Joint gifts only)
-
Donor Email Address *
Used for acknowledgment letter and follow-up correspondence only.
- Donor Phone Number
-
Donor Mailing Address *
Required for IRS written acknowledgment (IRC § 170(f)(8)).
- Primary Contact Person (if different from donor)
Gift Details
This section captures the amount, type, and any quid pro quo details needed to distinguish the gift from a simple donation.
-
Date Gift Received *
Use the date the organization received or legally accepted the gift (check date, wire date, or deed transfer date).
- Gift Type *
-
Gift Amount (USD) *
Enter the fair market value at date of gift. For non-cash gifts, attach qualified appraisal if value exceeds $5,000 (IRS Form 8283).
-
Total Pledge Amount (if this is a pledge payment)
Enter the full pledge commitment if this payment is part of a multi-year pledge.
- Check Number / Wire Reference / Grant Award Number
- Description of Non-Cash Asset
-
Did the donor receive any goods or services in exchange for this gift? *
Required for quid pro quo disclosure (IRC § 6115). If yes, the deductible amount must be reduced by the fair market value of goods/services provided.
-
Fair Market Value of Goods/Services Provided (USD) *
This amount will be disclosed in the acknowledgment letter and reduces the donor’s charitable deduction.
Restriction Terms
This section defines exactly what the donor allows, what is prohibited, and whether overhead or indirect costs may be charged.
-
Net Asset Classification *
Select the FASB ASC 958 net asset class that applies to this gift.
-
Restriction Description (Donor's Own Language) *
Use the donor’s verbatim language where possible. Paraphrasing can create ambiguity during audits.
-
Allowable Uses of These Funds *
Select all uses the donor has explicitly authorized.
- Describe Other Allowable Use
- Explicitly Prohibited Uses (if any)
-
May indirect / overhead costs be charged to this fund? *
Affects cost allocation and fund balance reporting.
- Indirect Cost Cap (%)
Time Horizon and Release Conditions
This section explains when the restriction starts and ends, and what event or condition releases the funds for use.
-
Restriction Effective Date *
Date from which the restriction applies. Typically the gift date.
- Does the restriction have a defined end date or event? *
-
Restriction End Date / Spend-By Date *
Funds not expended by this date may need to be returned or renegotiated with the donor.
- Describe the Release Event or Milestone *
-
Treatment of Unspent Funds at Restriction Expiration *
Clarify disposition of any remaining balance when the restriction period ends.
-
Donor Reporting Requirement
How often must the organization report fund use back to the donor?
-
First Report Due Date
Enter the date the first stewardship or compliance report is due to the donor.
Fund Accounting Setup
This section connects the donor’s terms to the actual fund, code, pool, and manager used in the accounting system.
-
Designated Fund Name *
This name will appear on fund statements, acknowledgment letters, and the Form 990.
- Fund Action *
-
Existing Fund Code / GL Account Number
Required if adding to an existing fund.
- Existing Endowment Fund Code / GL Account Number
- Should endowment principal be invested in the long-term investment pool?
-
Applicable Spending Policy Rate (%)
Enter the board-approved spending policy rate applicable to this endowment fund. Leave blank to apply the organization’s default rate.
-
Associated Program Area / Department *
Select the program area responsible for expending and reporting on these funds.
-
Assigned Fund Manager (Staff Name) *
This person is accountable for expenditure compliance and donor reporting.
Supporting Documentation
This section preserves the source documents and notes that prove the restriction and support the audit trail.
- Is a signed gift instrument / grant agreement attached? *
-
Upload Gift Instrument / Grant Agreement
Accepted formats: PDF, DOCX, JPEG, PNG. Maximum file size: 20 MB.
-
Additional Supporting Documents
Upload any additional documents: donor correspondence, pledge cards, board resolutions, appraisals (IRS Form 8283 for non-cash gifts > $5,000), or legal opinions. Accepted formats: PDF, DOCX, JPEG, PNG. Maximum file size: 20 MB.
- Verbal Commitment Documentation Notes
- Additional Notes or Special Conditions
Organizational Acceptance and Authorization
This section records the organization’s decision to accept the gift and shows who approved any exceptions or special terms.
-
Has this gift been reviewed against the organization's Gift Acceptance Policy? *
All restricted gifts should be reviewed for alignment with the Gift Acceptance Policy before acceptance.
- Describe the Policy Exception and Approval Obtained
-
Confirm the organization has the capacity to fulfill the restriction as stated *
Check to confirm that the organization’s programs, timeline, and resources are sufficient to honor the donor’s stated restriction. Accepting a gift the organization cannot fulfill creates legal and reputational risk.
- Submitted By (Staff Name) *
- Title / Role *
- Date of Submission *
-
Authorizing Officer Name *
The authorizing officer confirms organizational acceptance of the gift terms and conditions.
-
Authorizing Officer Signature *
Electronic signature constitutes organizational acceptance of the gift terms documented in this form.
- Authorization Date *
-
Data Use Acknowledgment *
Donor contact information collected in this form is used solely for gift acknowledgment, fund stewardship, and IRS reporting purposes. It is retained in accordance with the organization’s data retention policy and is not shared with third parties except as required by law.
How to use this template
- Enter the donor’s legal name, contact details, and donor type, then mark any fields that are optional so the record follows data minimization and only collects what finance and stewardship need.
- Record the gift date, amount or pledge total, gift type, quid pro quo value if applicable, and any reference number so the donation can be matched to the source document and accounting entry.
- Describe the restriction in plain language, select the restriction classification, and use conditional logic to show only the allowable-use, prohibited-use, and indirect-cost fields that apply.
- Set the time horizon, release condition, reporting frequency, and unspent-funds policy so reviewers know when the restriction ends and what happens to balances that remain unused.
- Assign the fund name, fund code, program area, investment pool, and fund manager, then attach the gift instrument and any supporting documents needed for audit trail and review.
- Complete the acceptance section, note any policy exceptions, and route the form for authorization only after confirming the organization can fulfill the donor’s terms.
Best practices
- Use the donor’s exact restriction language whenever possible instead of paraphrasing it into broad categories.
- Mark only the fields that are truly required, and hide unrelated sections with progressive disclosure so the form stays usable.
- Use a date picker for gift dates and restriction end dates, numeric inputs for amounts and caps, and multi-select fields for allowable uses.
- Attach the signed gift instrument before approval so the accounting record points back to the controlling document.
- Document whether indirect costs are allowed and, if so, cap them explicitly to avoid later disputes over overhead charges.
- Include a clear line stating what happens after submission, such as who reviews the gift and when the fund is created or updated.
- Record any verbal commitment notes immediately, but do not rely on them as the only source of restriction language.
- Route policy exceptions to an authorizing officer or gift acceptance committee instead of approving them in the normal workflow.
What this template typically catches
Issues teams running this template most often surface in practice:
Common use cases
Frequently asked questions
When should this form be used?
Use it when a donor gives money, securities, or non-cash assets with conditions on how or when the organization may use them. It is especially useful before funds are deposited into a program or endowment account so accounting can classify the gift correctly. If the gift is unrestricted, a simpler acknowledgment form is usually enough. If the donor’s terms are unclear, this form helps capture the missing details before acceptance.
Who should complete and approve the form?
Development or advancement staff usually capture the donor details and gift terms, while finance or accounting reviews the restriction language and fund setup. An authorizing officer should approve the acceptance when the gift includes unusual conditions, time limits, or policy exceptions. For larger or complex gifts, legal counsel or a gift acceptance committee may also need to review the terms. The key is that the person approving the gift can confirm the organization can actually fulfill the restriction.
How often is this form used?
It is typically completed once per restricted gift, pledge, or donor agreement. If the donor makes multiple gifts under the same restriction, each new commitment or material change should be documented separately or linked to the original record. For recurring pledges, the form can be reused when the restriction terms, reporting cadence, or fund assignment change. It should not be treated as a one-time blanket approval for all future gifts.
How does this support FASB ASC 958 and fund accounting?
The form captures the facts needed to determine whether a gift is with donor restrictions and how it should be tracked in the general ledger. It also records the fund name, fund code, spending policy, and release conditions so finance can classify and monitor the balance correctly. That reduces the risk of mixing restricted and unrestricted funds. It also creates a clear audit trail for later reporting and release of restrictions.
What are the most common mistakes when using this form?
Common mistakes include leaving the restriction description too vague, marking every field required, or failing to attach the gift instrument that defines the donor’s intent. Another issue is accepting a gift before confirming whether indirect costs are allowed or capped. Teams also sometimes forget to document what happens to unspent funds at the end of the restriction period. Those gaps make fund setup and reporting harder later.
Can this form be customized for endowments, scholarships, or capital gifts?
Yes. The restriction fields can be adapted to match endowment payout rules, scholarship eligibility, capital project milestones, or time-based release conditions. You can also add conditional logic so only relevant fields appear for cash, non-cash, pledge, or endowment gifts. If your organization uses different approval paths by gift size or purpose, those can be added without changing the core structure. The important part is preserving the donor’s exact terms.
What documents should be attached?
Attach the signed gift instrument, letter of intent, pledge agreement, deed of gift, or any written donor correspondence that sets the restriction. If the gift is non-cash, include valuation support or a description of the asset. If there were verbal commitments, note them clearly and identify who heard them and when. The form should point reviewers to the source document that controls the restriction.
How does this connect to accounting systems or workflows?
The form can feed a fund accounting workflow by capturing the fund name, fund code, program area, and investment pool in a structured way. Those fields can be mapped into your ERP, CRM, or document management system so finance and development are working from the same record. It also supports an audit trail by showing who submitted, reviewed, and authorized the gift. If your process uses conditional logic, you can route endowment or policy-exception gifts to the right approver.
Related templates
Go deeper on the topic
-
Lockout/tagout (LOTO) is the procedure for controlling hazardous energy — electrical, hydraulic, pneumatic, mechanical, thermal, chemical — before...
-
Job hazard analysis (JHA) — also called job safety analysis (JSA) — is the structured exercise of breaking a work task into sequential steps, identifying the...
-
A near-miss is an event that could have caused injury or damage but didn't — a slip that didn't fall, a load that shifted but didn't drop, a machine that...
-
AI governance is the framework a company uses to decide what AI tools are allowed to do, who's accountable for their outputs, what data they're allowed to...
-
Compare 9 top shift scheduling platforms for 2026—features, pricing, and workforce fit for frontline, retail, healthcare, and enterprise teams.
-
Discover 4 proven keys to successful project management and team collaboration — from transparent goal-setting to real-time communication and workflow...
-
Boost team collaboration with modern tools that improve visibility, accountability, and communication for stronger project outcomes.
-
Compare the best employee apps of 2026—MangoApps, Blink, WorkJam, Flip, and more—to find the right fit for your frontline workforce.
Ready to use this template?
Get started with MangoApps and use Restricted Gift Designation and Acknowledgment Form with your team — pricing built for small business.