Get Write Off Form

Financial Management Operations Sales Receivables General Services Complex -3150 6000 TAMU College Station TX 77843-6000 DUE DATE August 1 2014 Reset Form Print Form 3 Accounts Receivable Write-Off Request Department Name Contact Name Account Number Phone Number This is to request that the following list of accounts receivables be charged off as uncollectible. Every collection effort has been made and no further collection is foreseen* It is understood that invoices may only be written off when they are one year old or older or if the customer has filed for bankruptcy. At no time is a department allowed to waive an uncollectable debt without submitting a write-off request. Departments may not reduce or cancel payments due from customers. This not only includes unpaid invoices but also includes returned checks that have not been repaid* The percentage written off should not exceed 10 of the total receivables billed for that particular fiscal year. If the percentage exceeds 10 a detailed explanation must be attached and signed by the Department Head* Attached is supporting documentation invoice copies past due letters statement from collection agency bankruptcy notices etc showing the collection efforts made by this department and a copy of the approved extension of credit letter. Attached is the State Hold Form for each customer listed that has not been placed on State Hold prior to the completion of this form* Invoice Date Customer s Name Listing of Invoices Amount Total AR s billed in FY12 TOTAL Department Head Signature FMO Approval of Write-off. Every collection effort has been made and no further collection is foreseen* It is understood that invoices may only be written off when they are one year old or older or if the customer has filed for bankruptcy. At no time is a department allowed to waive an uncollectable debt without submitting a write-off request. At no time is a department allowed to waive an uncollectable debt without submitting a write-off request. Departments may not reduce or cancel payments due from customers. This not only includes unpaid invoices but also includes returned checks that have not been repaid* The percentage written off should not exceed 10 of the total receivables billed for that particular fiscal year. Departments may not reduce or cancel payments due from customers. This not only includes unpaid invoices but also includes returned checks that have not been repaid* The percentage written off should not exceed 10 of the total receivables billed for that particular fiscal year. If the percentage exceeds 10 a detailed explanation must be attached and signed by the Department Head* Attached is supporting documentation invoice copies past due letters statement from collection agency bankruptcy notices etc showing the collection efforts made by this department and a copy of the approved extension of credit letter. If the percentage exceeds 10 a detailed explanation must be attached and signed by the Department Head* Attached is supporting documentation invoice copies past due letters statement from collection agency bankruptcy notices etc showing the collection efforts made by this department and a copy of the approved extension of credit letter. Attached is the State Hold Form for each customer listed that has not been placed on State Hold prior to the completion of this form* Invoice Date Customer s Name Listing of Invoices Amount Total AR s billed in FY12 TOTAL Department Head Signature FMO Approval of Write-off.