diff --git a/.github/ISSUE_TEMPLATE/payout-request-proposal.md b/.github/ISSUE_TEMPLATE/payout-request-proposal.md
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+---
+name: Payout Request Proposal
+about: Raise a payout request from the Paseo bounty
+title: "[PROVIDER] - [Q#] - [2024]"
+labels: payout-request
+assignees: ''
+
+---
+
+Name: 
+
+Contact details (tg/email/element): 
+
+Proponent: 
+
+Requested DOT: 
+
+Proactive / Retroactive payment: 
+
+Description: 
+
+Evidence:
+
+you can use the payout calculator here https://docs.google.com/spreadsheets/d/10R4s5LVsxHnTbQeHVEd1YXkC09SjjQTMm0Cg9BH6lgY/edit?gid=1924769351#gid=1924769351
+
+| Type          | Starting Date | End Date   | QUARTER | Days | $ / Day | $       | DOT AVG      | DOT       |
+| ------------- | ------------- | ---------- | ------- | ---- | ------- | ------- | ------------ | --------- |
+| VALIDATOR     | 6/16/2024     | 8/1/2024   | Q3      | 46   | $4.93   | $226.78 | DOT 1,797.45 | DOT 33.35 |
+| TOT VALIDATOR | 8/1/2024      | 11/1/2024  | Q1      | 92   | $4.93   | $453.56 | DOT 898.72   | DOT 66.71 |
+| TOT COLLATOR  | 11/1/2024     | 11/26/2024 | Q2      | 25   | $4.93   | $123.25 | DOT 898.72   | DOT 18.13 |
+| VALIDATOR     | 11/2/2024     | 11/27/2024 | Q4      | 25   | $4.93   | $123.25 | DOT 2,696.17 | DOT 18.13 |